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Informed Consent - Upper GI

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.

Adult Child/Young Person

Title File SizeVersion
A Additional Student Consent ** 2.7 MB 2
Anaesthetic Patient Information Sheets  
Blood transfusion consent and refusal forms are now located under Blood specialty.   
Gastrectomy 128 KB 4
Generic Consent - Adult *
This form is now located under Miscellaneous speciality.
  
Oesophagectomy 139 KB 4
Oesophagoscopy 130 KB 4
Panendoscopy 130 KB 4
Reflux Operation - Open 129 KB 4
Reflux Operation - Laparoscopic 129 KB 4
Rigid Oesophagoscopy 130 KB 5

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Child/Young Person  |  Adult

Title File SizeVersion
A Additional Student Consent - Child/Young Person ** 2.5 MB 2
About Your Child's Anaesthetic
This patient information sheet is now located under Anaesthetics speciality.
  
Blood transfusion consent and refusal forms are now located under Blood specialty.   
Generic Consent - Child/Young Person *
This form is now located under Miscellaneous speciality.
  
Pyloromyotomy - (Ramstedt's Operation) 199 KB 4

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Last updated: 22 June 2022