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Informed Consent - Obstetrics & Gynaecology

Please note: The Medical Board of Australia recently published Guidelines: Sexual boundaries in the doctor-patient relationship. These guidelines, which came into effect on 12 December 2018, provide guidance on establishing and maintaining sexual boundaries in the doctor-patient relationship. To support hospitals/individual health practitioners/patients to comply with these guidelines, our Informed Consent forms and Patient Information sheets for procedures requiring intimate examinations, have been updated in the relevant surgical areas, indicated below by an (*).

Two separate additional student consent forms (adult and child/young person), indicated below by an (**), are to be used for patients to complete if the procedure is yet to occur and prior consent has been undertaken on the previous version of informed consent forms, or if the procedure consent form does not have a student section included.

Adult Child/Young Person

A - D| E - H | I - L | M - P | Q - Z

Index

Title

File Size

Version

AA Additional Student Consent ** 2.4 MB 1
 Abdominal Sacrocolpopexy with Mesh * 5.6 MB 2
 Anaesthetic Patient Information Sheets  
    

B

Bartholin's Glands 
This form is now superseded by Treatment of Bartholin's Cyst and/or Abscess Consent
  
 Amniocentesis/Chorionic Villus Sampling Consent *

916 KB

6

 Blood & Blood Products Transfusion - Consent Form & Patient Information

914 KB

6

 Blood & Blood Products Transfusion - Patient Information

31 KB

5

  Burch Colposuspension
This form is now superseded by Retropubic Bladder Neck Suspension and Cystoscopy Consent
  
    

C

Caesarean Section Consent *

1.1 MB

7

 Cauterisation of the Cervix *

950 KB

6

  Colposuspension
This form is now superseded by Retropubic Bladder Neck Suspension and Cystoscopy Consent 
  
  Colposuspension & Cystoscopy
This form is now superseded by Retropubic Bladder Neck Suspension and Cystoscopy Consent 
  
 Cone Biopsy of the Cervix *

1.07 MB

6

    

D

Diagnostic/Operative Hysteroscopy Dilatation & Curettage (D & C) *

3.12 MB

7

 Dilatation & Curettage (D&C)/Suction Evacuation

2.5 MB

5

E  

Endometrial Resection/Ablation *

2.73 MB

6
 Excision of a Bartholin's Glands * 164 KB 3
    

F

Female Sterilisation *

2.7 MB

7
    

G

Generic Consent - Adult
This form is now located under Miscellaneous speciality.  
  
  Genital Warts
This form is now superseded by Treatment for Colposcopically Diagnosed Abnormalities Consent
  
    

H

Hysterectomy (vaginal, laparoscopic, abdominal) *

3.31 MB

6

  Hysteroscopy and Uterine Curettage 
This form is now superseded by Diagnostic/Operative Hysteroscopy Dilatation & Curettage (D & C)        
  

I  

Insertion of Progesterone Releasing Intra-Uterine Device *

3.31 MB

6

    

L  

Laparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions *

3.56 MB

8

 Laparoscopy 

3.83 MB

5

 Laparotomy

246 KB

4

 Large Loop Excision of Transformation Zone (LLETZ) Cervix *

957 KB

    6

Misoprostol Information & Consent Form                             

2.36 MB

3

 Myomectomy (Abdominal/Laparoscopic/Hysteroscopic) * 4.05 MB 1
    

O

Ovarian Cystectomy/Oophorectomy +/- Salpingectomy *

3.41 MB

6

    

P

Perinatal Autopsy Consent Form & Patient Information Sheet

469 KB

1

Retropubic Bladder Neck Suspension and Cystoscopy Consent*

3.89 MB

5

Retropubic Route (RPR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy *

3.15 MB

2

Removal of Ectopic Pregnancy by Laparoscopy/Laparotomy *

3.16 MB

7

Removal of Pelvic Mesh

2.53 MB

1

    

S

Suction Evacuation of Uterine contents
This form is now superseded by Dilatation & Curettage (D&C)/Suction Evacuation 
  
    

T

Termination of Pregnancy - Surgical Consent

2.47 MB

8

  Termination of Pregnancy - Medical Consent

2.47 MB

8

 Transobturator Route (TOR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy *

3.15 MB

2

 Transvaginal Ultrasound Consent *

1.03 MB

2

  Treatment for Colposcopically Diagnosed Abnormalities *

2.6 MB

5

 Treatment of Bartholin's Cyst and/or Abscess Consent *

3.0 MB

4

    

V

Vaginal Hysterectomy & Repair
This form is now superseded by Vaginal Repair -  without Mesh +/-  Sacrospinous Fixation
  
  Vaginal Repair - With Mesh *

5.6 MB

4

  Vaginal Repair - Without Mesh
This form is now superseded by Vaginal Repair -  without Mesh +/-  Sacrospinous Fixation 
  
  Vaginal Repair -  without Mesh +/-  Sacrospinous Fixation

5.72 MB

4

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Child/Young Person  |  Adult

Title

File Size

Version

About Your Child's Anaesthetic
This patient information sheet is now located under Anaesthetics speciality. 
  
Perinatal Autopsy Consent Form and Patient Information Sheet

469 KB

1

Generic Consent - Child/Young Person
This form is now located under Miscellaneous speciality. 
  

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Last updated: 3 January 2018