Informed Consent - Obstetrics & Gynaecology

Please note: The Medical Board of Australia has 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.

IndexTitle File SizeVersion
A Abdominal Sacrocolpopexy Consent*  
This form Is now located on the Gynaecology specialty page
  
  Amniocentesis/Chorionic Villus Sampling Consent *  
This form Is now located on the Obstetrics, Maternal & Fetal Medicine, Medical Imaging (Adult) and Medical Imaging (Child/Young Person) specialty pages                                
  
  The Anaesthetic Patient Information Sheets is now located on the Anaesthetics speciality page   
B Blood transfusion consent and refusal forms are now located under Blood specialty.   
C Caesarean Section Consent *
This form Is now located on the Obstetrics specialty page
  
  Cauterisation of the Cervix Consent *
This form is now located on the Gynaecology specialty page 
  
  Cone Biopsy of the Cervix *
This form is now located on the Gynaecology specialty page 
  
D Diagnostic/Operative Hysteroscopy Dilatation & Curettage Consent *
This form is now located on the Gynaecology and Obstetrics specialty pages 
  
  Dilatation & Curettage (D&C)/Suction Evacuation Consent *
This form is now located on the Gynaecology and Obstetrics specialty pages
  
E Endometrial Resection/Ablation *
This form is now located on the Gynaecology specialty page
  
  Epidural pain relief for your labour - Patient Information
This form is now located on Anaethetics and Obstetrics specialty pages
  
F Female Sterilisation Consent *
This form is now located on the Gynaecology specialty page 
  
G Generic Consent - Adult
This form is now located under Miscellaneous specialty.
  
H Hysterectomy (vaginal, laparoscopic, abdominal) Consent *
This form is now located on the Gynaecology specialty page
  
I Iron Infusion
This form is now located on the Miscellaneous and Medicine speciality page 
  
  Insertion of Progesterone Releasing Intra-Uterine Device Consent *
This form is now located on the Gynaecology specialty page 
  
L Laparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions*
This form is now located on the Gynaecology specialty page
  
  Laparoscopy *
This form is now located on the Gynaecology and General Surgery specialty pages
  
  Laparotomy *
This form is now located on the Gynaecology and General Surgery specialty pages
  
  Large Loop Excision of Transformation Zone (LLETZ) of the Cervix *
This form is now located on the Gynaecology specialty page
  
M Misoprostol is superseded by Termination of Pregnancy* and
Termination of Pregnancy - MS-2 Step  (Mifepristone and Misoprostol)*
  
  Myomectomy (Abdominal/Laparoscopic/Hysteroscopic) Consent *
This form is now located on the Gynaecology specialty page 
  
O Ovarian Cystectomy/Oophorectomy +/- Salpingectomy Consent*
This form is now located on the Gynaecology specialty page
  
  Obstetric Ultrasound - Patient Infrormation *
This form is now located on the Obstetrics, Maternal & Fetal Medicine, Medical Imaging (Adult) and Medical Imaging (Child/Young Person) specialty pages
  
P Perinatal and Fetal Autopsy Consent
This form is now located on the Obstetrics and Autopsy specialty page 
  
  Pubovaginal (Fascial) Sling for Stress Urinary Incontinence and Cystoscopy Consent *
This form is now located on the Gynaecology specialty page 
  
R Retropubic Bladder Neck Suspension and Cystoscopy Consent *
This form is now located on the Gynaecology specialty page
  
  Retropubic Route (RPR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy *
This form is now located on the Gynaecology specialty page
  
  Removal of Ectopic Pregnancy by Laparoscopy/Laparotomy *
This form is now located on the Obstetrics specialty page 
  
  Removal of Pelvic Mesh Consent *
This form is now located on the Gynaecology specialty page
  
T Termination of Pregnancy - Surgical is superseded by Termination of Pregnancy Consent   *
This form is now located on the Obstetrics and Gynaecology specialty pages
  
  Termination of Pregnancy - Medical is superseded by Termination of Pregnancy Consent * and
Termination of Pregnancy - MS-2 Step (Mifepristone and Misoprostol)  Consent*
This form is now located on the Obstetrics and Gynaecology specialty pages
  
  Transobturator Route (TOR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy Consent *
This form is now located on the Gynaecology specialty page
  
  Transvaginal Ultrasound Consent *
This form Is now located on the Obstetrics, Gynaecology, Medical Imaging (Adult) and Medical Imaging (Child/Young Person) specialty pages
  
  Treatment for Colposcopically Diagnosed Abnormalities Consent *
This form is now located on the Gynaecology specialty page
  
  Treatment of Bartholin's Cyst and/or Abscess Consent *
This form Is now located on the Gynaecology specialty page
  
V Vaginal Repair +/-  Sacrospinous Fixation Consent  *
This form Is now located on the Gynaecology specialty page
  

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Child/Young Person | Adult

IndexTitle File SizeVersion
A About Your Child's Anaesthetic
This patient information sheet is now located under Anaesthetics specialty.                                   
  
  Amniocentesis/Chorionic Villus Sampling Consent *     
This form is now located on the Obstetrics, Maternal & Fetal Medicine, Medical Imaging (Adult) and Medical Imaging (Child/Young Person) specialty pages                        
  
B Blood transfusion consent and refusal forms are now located under Blood specialty.   
C Caesarean Section Consent *
This form is now located on the Obstetrics specialty page 
  
  Cauterisation of the Cervix *
This form is now located on the Gynaecology specialty page 
  
  Cone Biopsy of the Cervix *
This form is now located on the Gynaecology specialty page
  
D Diagnostic/Operative Hysteroscopy Dilatation & Curettage Consent *
This form is now located on the Gynaecology and Obstetrics specialty pages
  
  Dilatation & Curettage (D&C)/Suction Evacuation *
This form is now located on the Gynaecology and Obstetrics specialty pages 
  
F Female Sterilisation Consent *
This form is now located on the Gynaecology specialty page 
  
G Generic Consent - Child/Young Person
This form is now located under Miscellaneous specialty.
  
H Hysterectomy (vaginal, laparoscopic, abdominal) Consent *
This form Is now located on the Gynaecology specialty page 
  
IInsertion of Progesterone Releasing Intra-Uterine Device Consent *
This form is now located on the Gynaecology specialty page *
  
  Iron Infusion
This form is now located on the Miscellaneous and Medicine speciality page 
  
L Laparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions Consent *
This form Is now located on the Gynaecology specialty page
  
  Large Loop Excision of Transformation Zone (LLETZ) of the Cervix *
This form Is now located on the Gynaecology specialty page
  
O Obstetric Ultrasound - Patient Information *
This form Is now located on the Obstetrics, Maternal & Fetal Medicine, Medical Imaging (Adult) and Medical Imaging (Child/Young Person) specialty pages
  
  Ovarian Cystectomy/Oophorectomy +/- Salpingectomy Consent *
This form Is now located on the Gynaecology specialty page 
  
P Perinatal and Fetal Autopsy Consent
This form is now located on the Obstetrics and Autopsy specialty page 
  
R Removal of Ectopic Pregnancy by Laparoscopy/Laparotomy *
This form is now located on the Obstetrics specialty page
  
T Termination of Pregnancy *
This form is now located on the Obstetrics and Gynaecology specialty pages
  
  Termination of Pregnancy - MS-2 Step (Mifepristone and Misoprostol) *
This form is now located on the Obstetrics and Gynaecology specialty pages
  
  Transvaginal Ultrasound Consent *
This form Is now located on the Obstetrics, Gynaecology, Medical Imaging (Adult) and Medical Imaging (Child/Young Person) specialty pages
  
  Treatment for Colposcopically Diagnosed Abnormalities Consent *
This form is now located on the Gynaecology specialty page
  
  Treatment of Bartholin's Cyst and/or Abscess Consent *
This form Is now located on the Gynaecology specialty page
  

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Last updated: 6 March 2024