Consent forms via search table

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.

Common forms What's New

consent-form - Consent Form Only  patient-information-sheet - Patient Information Sheet Only  consent-and-patient-information - Consent form and Patient Information Sheet

Title Adult or Child/Young PersonSpecialty
A Additional Student Consent **consent-form Adult All
About your Anaesthetic - Patient Information patient-information-sheet Adult Anaesthetic
Consent for Anaesthesia consent-form Adult Anaesthetic
Epidural & spinal anaesthesia for your procedure - Patient Information patient-information-sheet Adult Anaesthetic
Epidural for birth - Patient Information patient-information-sheetAdult/Child/Young Person Anaesthetic
General anaesthesia - Patient Information patient-information-sheet Adult Anaesthetic
Sedation with your procedure - Patient Information patient-information-sheet Adult Anaesthetic
Local anaesthetic for your eye operation - Patient Information patient-information-sheet Adult Anaesthetic
Local Anaesthetic - Patient Information patient-information-sheet Adult Anaesthetic
Regional anaesthesia (nerve block) for your procedure - Patient Information patient-information-sheet Adult Anaesthetic
A Additional Student Consent - Child/Young Person ** consent-form Child/Young Person All
About your Child's Anaesthetic - Patient Information patient-information-sheet Child/Young Person Anaesthetic
Consent for Anaesthesia consent-form Child/Young Person Anaesthetic
General anaesthesia - Patient Information patient-information-sheet Child/Young Person Anaesthetic
Hospital Autopsy Consent Form & Information for Families about Hospital Autopsies consent-and-patient-information Adult/Child/Young Person Autopsy
Perinatal and Fetal Autopsy Consent consent-and-patient-information Adult/Child/Young Person Autopsy
Queensland Health Staff only Explanatory Information for Interviewing Families to Seek Consent for Hospital Autopsy (under review) Adult/Child/Young Person Autopsy
Blood and/or Manufactured Blood Products Transfusion (Full/Limited Consent) - Adult consent-and-patient-information Adult Blood
Blood and/or Manufactured Blood Products Transfusion (REFUSAL to Consent) - Adult consent-and-patient-information Adult Blood
Transfusion Consent: Fresh and/or Manufactured Blood Products (Full or Limited consent) - Child/Young Person consent-and-patient-information Child/Young Person Blood
Transfusion Consent: Fresh and/or Manufactured Blood Products (REFUSAL to Consent)- Child/Young Person consent-and-patient-information Child/Young Person Blood
Breast - Abscess/Haematoma Procedure * consent-and-patient-information Adult Breast
Breast - Fibroadenoma/Cyst Procedure consent-and-patient-information * Adult Breast
Breast - Fine Needle Aspiration * consent-and-patient-information Adult Breast
Breast - Inverted Nipple Repair * consent-and-patient-information Adult Breast
Breast Microdochotomy/Microdochectomy * consent-and-patient-information Adult Breast
Breast Surgery - Wide Local Excision * consent-and-patient-information Adult Breast
Breast Surgery - Wide Local Excision +/- Sentinel Lymph Node Biopsy * consent-and-patient-information Adult Breast
Breast Tissue Biopsy * consent-and-patient-information Adult Breast
Central Breast Tissue Biopsy * consent-and-patient-information Adult Breast
Insertion of Breast Implant/Tissue Expander consent-and-patient-information Adult Breast
Mastectomy * consent-and-patient-information Adult Breast
Nonpalpable Breast Lump Localisation * consent-and-patient-information Adult Breast
Reduction Mammoplasty * consent-and-patient-information Adult Breast
Subcutaneous Mastectomy * consent-and-patient-information Adult Breast
Alcohol Septal Ablation Consent * consent-and-patient-information Adult Cardiac
Aortic Surgery consent-and-patient-information Adult Cardiac
Atrial Fibrillation (AF) Ablation Consent *consent-and-patient-information Adult Cardiac
Cardiac Biopsy Consent * consent-and-patient-information Adult/Child/Young Person Cardiac
Cardiac Device Removal Consent * consent-and-patient-information Adult Cardiac
Cardiopulmonary Exercise Stress Test consent-and-patient-information Adult Cardiac
Cardioversion Consentconsent-and-patient-information Adult Cardiac
Coronary Angiogram Consent * consent-and-patient-information Adult Cardiac
Coronary Angioplasty and Stenting Consent * consent-and-patient-information Adult Cardiac
Coronary Angiogram and/or Angioplasty and Stenting ConsentAdult Cardiac
Coronary Artery Bypass Graft &/or Valve Surgery consent-and-patient-information Adult Cardiac
Electrophysiology Study (EPS) with or without Cardiac Catheter Ablation Consent * consent-and-patient-information Adult/Child/Young Person Cardiac
Exercise Stress Test Consent * consent-and-patient-information Adult Cardiac
Generic Consent - Cardiac Consent * consent-formAdult/Child/Young Person Cardiac
Heart Transplant consent-form Adult Cardiac
Implantable Cardiac Defibrillator (ICD) Consent * consent-and-patient-information Adult/Child/Young Person Cardiac

Magnetic Resonance Imaging (MRI) Cardiac Stress Study Consent consent-and-patient-information

Adult/Child/Young Person Cardiac
Mitral Transcatheter Edge-to-Edge Repair Consent * consent-and-patient-information Adult Cardiac
Myocardial Perfusion Scan Consent*consent-and-patient-information Adult/Child/Young Person Cardiac
Pacemaker Insertion Consent * consent-and-patient-information Adult/Child/Young Person Cardiac
Patent Ductus Arteriosus Repair consent-and-patient-information Adult Cardiac
Patent Foramen Ovale Repair consent-and-patient-information Adult Cardiac
Percutaneous Aortic Balloon Valvuloplasty Consent consent-and-patient-information Adult/Child/Young Person Cardiac
Percutaneous Mitral Balloon Valvuloplasty Consent consent-and-patient-information Adult/Child/Young Person Cardiac
Right Heart Catheter Consent * consent-and-patient-information Adult/Child/Young Person Cardiac
Stress Echocardiogram Consent * consent-and-patient-information Adult Cardiac
Tilt Test consent-and-patient-information Adult Cardiac
Transcatheter Heart Valve Implant Consentconsent-and-patient-information Adult Cardiac
Transcatheter Atrial Septal Defect Repair consent-and-patient-information Adult/Child/Young Person Cardiac
Transcatheter Ventricular Septal Defect Repair Consent consent-and-patient-information Adult/Child/Young Person Cardiac
Transoesophageal Echocardiogram (TOE) Consent * consent-and-patient-information Adult/Child/Young Person Cardiac
Ventricular Assist Device (VAD) consent-and-patient-information Adult Cardiac
Atrioseptostomy consent-and-patient-information Child/Young Person Cardiac
Cardiac Catheterisation consent-and-patient-information Child/Young Person Cardiac
Exercise Stress Test consent-and-patient-information Child/Young Person Cardiac
Patent Ductus Arteriosus consent-and-patient-information Child/Young Person Cardiac
Tetralogy of Fallot consent-and-patient-information Child/Young Person Cardiac
Abdominoperineal Resection of Rectum consent-and-patient-information * Adult Colorectal
Appendicectomy - Open * consent-and-patient-information Adult Colorectal
Anal Sphincter Repair * consent-and-patient-information Adult Colorectal
Anorectal Physiology and Endoanal Ultrasound * consent-and-patient-information Adult Colorectal
Fistula Closure - Faecal/Small Bowel/Gastric * consent-and-patient-information Adult Colorectal
Fistula in Ano Repair * consent-and-patient-information Adult Colorectal
Haemorrhoidectomy * consent-and-patient-information Adult Colorectal
Haemorrhoidectomy - Stapled * consent-and-patient-information Adult Colorectal
Ileostomy & Colostomy Closure * consent-and-patient-information Adult Colorectal
Intussusception Repair * consent-and-patient-information Adult Colorectal
Ischiorectal/Perianal Abscess Drainage* consent-and-patient-information Adult Colorectal
Large Bowel (Colon) Resection * consent-and-patient-information Adult Colorectal
Lateral Sphincterotomy/Treatment of Anal Fissure * consent-and-patient-information Adult Colorectal
Pilonidal Sinus Removal * consent-and-patient-information Adult Colorectal
Rectal Biopsy * consent-and-patient-information Adult Colorectal
Rectal Prolapse - Abdominal * consent-and-patient-information Adult Colorectal
Rectal Prolapse - Laparoscopic * consent-and-patient-information Adult Colorectal
Rectal Prolapse - Perineal * consent-and-patient-information Adult Colorectal
Removal of Rectal Tumour (Trans Anal) * consent-and-patient-information Adult Colorectal
Resection of Rectum * consent-and-patient-information Adult Colorectal
Sigmoidoscopy (flexible) * consent-and-patient-information Adult Colorectal
Sigmoidoscopy (flexible) - Open Access * consent-and-patient-information Adult Colorectal
Small Bowel Resection * consent-and-patient-information Adult Colorectal
Total Colectomy/Excision of Rectum & Formation of Ileoanal Reservoir - Non Malignant * consent-and-patient-information Adult Colorectal
Vesico-Colic Fistula * consent-and-patient-information Adult Colorectal
Intussusception Repair * consent-and-patient-information Child/Young Person Colorectal
Pyloromyotomy - Ramstedt's Operation consent-and-patient-information Child/Young Person Colorectal
Dental Check Uppatient-information-sheet Adult Dental & Oral Health
Dental Fillings patient-information-sheet Adult Dental & Oral Health
Dental Imaging *patient-information-sheet Adult/Child/Young Person Dental & Oral Health

Dental treatment under general anaesthetic consent-and-patient-information

Adult/Child/Young PersonDental & Oral Health

Dental treatment under nitrous oxide consent-and-patient-information

Adult/Child/Young PersonDental & Oral Health
Dental X-rays patient-information-sheet Adult Dental & Oral Health
Extractions (removal) of adult teeth patient-information-sheet Adult Dental & Oral Health
Fissure Sealantpatient-information-sheet Adult Dental & Oral Health
Fixed prosthodontics (crown & bridge) consent-and-patient-information Adult Dental & Oral Health

Orthodontic treatment consent-and-patient-information

Adult/Child/Young PersonDental & Oral Health
Removable prosthodontics (dentures)patient-information-sheet Adult Dental & Oral Health
Root Canal Treatment patient-information-sheet Adult Dental & Oral Health
Wisdom teeth removal consent-and-patient-information Adult Dental & Oral Health
Dental Check Up patient-information-sheet Child/Young Person Dental & Oral Health
Dental Fillings patient-information-sheet Child/Young Person Dental & Oral Health
Dental X-rays patient-information-sheet Child/Young Person Dental & Oral Health
Extractions (removal) of adult teeth patient-information-sheet Child/Young Person Dental & Oral Health
Extractions (removal) of baby teeth patient-information-sheet Child/Young Person Dental & Oral Health
Fissure Sealant patient-information-sheet Child/Young Person Dental & Oral Health
Pulpotomy patient-information-sheet Child/Young Person Dental & Oral Health
Root Canal Treatment patient-information-sheet Child/Young Person Dental & Oral Health
Adenoidectomy & Cautery of Inferior Turbinates Adult Ear, Nose & Throat
Adenoidectomy & Insertion of Grommets Adult Ear, Nose & Throat
Adenoidectomy Adult Ear, Nose & Throat
Adenotonsillectomy & Cautery of Inferior Turbinates Adult Ear, Nose & Throat
Adenotonsillectomy & Insertion of Grommets Adult Ear, Nose & Throat
Adenotonsillectomy, Insertion of Grommets & Cautery of Inferior Turbinates Adult Ear, Nose & Throat
Adenotonsillectomy Adult Ear, Nose & Throat
Cautery or Partial Resection of Inferior Turbinates Adult Ear, Nose & Throat
Cautery/Diathermy Septum Adult Ear, Nose & Throat
Cochlear Implant Consent consent-and-patient-information Adult Ear, Nose & Throat
Division of Tongue Tie Adult Ear, Nose & Throat
Endoscopic Sinus Surgery Adult Ear, Nose & Throat
Examination under Anaesthetic of Ears &/- Removal of Grommets Adult Ear, Nose & Throat
Examination under Anaesthetic of Nose & Excision of Nasal Lesion Adult Ear, Nose & Throat
Excision of Submandibular Gland Adult Ear, Nose & Throat
Insertion of Grommets Adult Ear, Nose & Throat
Laryngoscopy/Microlaryngoscopy Adult Ear, Nose & Throat
Mastoidectomy &/or Tympanoplasty Adult Ear, Nose & Throat
Meatoplasty Adult Ear, Nose & Throat
Myringoplasty Adult Ear, Nose & Throat
Oesophagoscopy Adult Ear, Nose & Throat
Otoplasty Adult Ear, Nose & Throat
Panendoscopy Adult Ear, Nose & Throat
Reduction of Fractured Nose Adult Ear, Nose & Throat
Reduction of Fractured Zygoma Adult Ear, Nose & Throat
Removal of Exostoses Adult Ear, Nose & Throat
Rigid Oesophagoscopy Adult Ear, Nose & Throat
Septoplasty Reduction of Inferior Turbinates Adult Ear, Nose & Throat
Septoplasty/Rhinoplasty Adult Ear, Nose & Throat
Stapedectomy Adult Ear, Nose & Throat
Tonsillectomy Adult Ear, Nose & Throat
Tympanoplasty Adult Ear, Nose & Throat
Tympanoplasty with Cortical Mastoidectomy Adult Ear, Nose & Throat
Cochlear Implant Consent consent-and-patient-information Child/Young Person Ear, Nose & Throat
Division of Tongue Tie Child/Young Person Ear, Nose & Throat
Myringoplasty Child/Young Person Ear, Nose & Throat
Tonsillectomy Child/Young Person Ear, Nose & Throat

Cardioversion Consentconsent-and-patient-information

Adult Emergency Department
Lumbar Puncture (Spinal Tap) Adult Emergency Department
Adrenal Gland - Removal of Tumour Adult Endocrine
Endocrine Tumour Pancreas/Duodenal Area Adult Endocrine
Parathyroid Surgery Adult Endocrine
Thyroglossal Cyst/Fistula Adult Endocrine
Thyroid Surgery Adult Endocrine
Anorectal Physiology and Endoanal Ultrasound * Adult Gastroenterology
Capsule Endoscopy Adult Gastroenterology
Colonoscopy * Adult Gastroenterology
Colonoscopy - Open Access * Adult Gastroenterology
Colonoscopy Quality Assurance - Sharing of Non-identifiable Data Consent Adult Gastroenterology
Endoscopic Ultrasound (EUS) & Fine Needle Biopsy Adult Gastroenterology
Enteroscopy * Adult Gastroenterology
ERCP Gastroendoscopy * Adult Gastroenterology
Generic Consent - Complex Endoscopic Procedures Adult Gastroenterology
Paracentesis Abdominus  Adult Gastroenterology
Percutaneous Endoscopic Gastrostomy (PEG) Tube Adult Gastroenterology
Sigmoidoscopy (Flexible) * Adult Gastroenterology
Sigmoidoscopy (Flexible) - Open Access * Adult Gastroenterology
Upper Gastrointestinal Endoscopy Adult Gastroenterology
Upper Gastrointestinal Endoscopy for Bleeding Adult Gastroenterology
Upper Gastrointestinal Endoscopy - Open Access Adult Gastroenterology
Upper Gastrointestinal Endoscopy & Dilatation Adult Gastroenterology
Upper Gastrointestinal Endoscopy & Dilatation - Open Access Adult Gastroenterology
Upper Gastrointestinal Endoscopy & Variceal Banding (or Glueing)+ Adult Gastroenterology
Burns – Skin Graft(s) Consent * Adult General Surgery
Burns – Scar Release Consent * Adult General Surgery
Burns - Wound Debridement Consent Adult General Surgery
Hernia - Laparoscopic Inguinal Hernia Repair * Adult General Surgery
Hernia - Open Inguinal Hernia Repair * Adult General Surgery
Hernia - Ventral - Incisional/Epigastric/Umbilical/Other * Adult General Surgery
Ingrown Toenail(s) & Removal of Nail Bed Adult General Surgery
Laparoscopy Consent * Adult General Surgery
Laparostomy Consent * Adult General Surgery
Laparotomy Consent * Adult General Surgery
Paracentesis Abdominus Adult General Surgery
Pilonidal Sinus * Adult General Surgery
Skin Allograft Consent Adult General Surgery
Skin Graft Adult General Surgery
Wart(s) Removal * Adult General Surgery
Wounds, Skin, Tissue, Mucus Membrane Adult General Surgery
Burns * Child/Young Person General Surgery
Division of Tongue Tie Child/Young Person General Surgery
Hernia - Inguinal Repair * Child/Young Person General Surgery
Hydrocele Repair - Division of processus vaginalis * Child/Young Person General Surgery
Intussusception Child/Young Person General Surgery
Orchidopexy Child/Young Person General Surgery
Paraphimosis Repair Child/Young Person General Surgery
Pyloromyotomy - Ramstedt's Operation Child/Young Person General Surgery
Abdominal Sacrocolpopexy Consent * consent-and-patient-information Adult Gynaecology
Cauterisation of the Cervix Consent * Adult/Child/Young Person Gynaecology
Cone Biopsy of the Cervix * Adult/Child/Young Person Gynaecology
Diagnostic/Operative Hysteroscopy Dilatation & Curettage (D & C) Consent * Adult/Child/Young Person Gynaecology
Dilatation & Curettage (D&C)/Suction Evacuation Consent * Adult/Child/Young Person Gynaecology
Endometrial Resection/Ablation * Adult Gynaecology
Female Sterilisation Consent * Adult/Child/Young Person Gynaecology
Hysterectomy (vaginal, laparoscopic, abdominal) Consent * Adult/Child/Young Person Gynaecology
Insertion of Progesterone Releasing Intra-Uterine Device Consent * Adult/Child/Young Person Gynaecology
Laparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions Consent* Adult/Child/Young Person Gynaecology
Laparoscopy Consent * Adult Gynaecology
Laparotomy Consent * Adult Gynaecology
Large Loop Excision of Transformation Zone (LLETZ) of the Cervix Consent * Adult/Child/Young Person Gynaecology
Myomectomy (Abdominal/Laparoscopic/Hysteroscopic) Consent * Adult Gynaecology
Ovarian Cystectomy/Oophorectomy +/- Salpingectomy Consent * Adult/Child/Young Person Gynaecology
Pubovaginal (Fascial) Sling for Stress Urinary Incontinence and Cystoscopy Consent * Adult Gynaecology
Removal of Pelvic Mesh * Adult Gynaecology
Retropubic Bladder Neck Suspension and Cystoscopy Consent * Adult Gynaecology
Retropubic Route (RPR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy Consent * Adult Gynaecology
Termination of Pregnancy - MS-2 Step (Mifepristone and Misoprostol) Consent * Adult/Child/Young Person Gynaecology
Termination of Pregnancy Consent * Adult/Child/Young Person Gynaecology
Transobturator Route (TOR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy Consent * Adult/Child/Young Person Gynaecology
Transvaginal Ultrasound Consent * Adult/Child/Young Person Gynaecology
Treatment for Colposcopically Diagnosed Abnormalities Consent * Adult/Child/Young Person Gynaecology
Treatment of Bartholin's Cyst and/or Abscess Consent * Adult/Child/Young Person Gynaecology
Vaginal Repair +/-  Sacrospinous Fixation Consent * Adult/Child/Young Person Gynaecology
Cholecystectomy - Laparoscopic Adult Hepatobiliary
Cholecystectomy - Open Adult Hepatobiliary
Cholecystectomy - Open & Exploration of the Common Bile Duct Adult Hepatobiliary
Cholecystoduodenostomy/Enterostomy Adult Hepatobiliary
Drainage of a Pseudocyst Adult Hepatobiliary
ERCP Gastroendoscopy * Adult Hepatobiliary
Hydatid Cyst of the Liver Adult Hepatobiliary
Liver Abscess Adult Hepatobiliary
Liver Resection Adult Hepatobiliary
Pancreatitis - Operation for Acute Pancreatitis Adult Hepatobiliary
Pancreatoduodenectomy (Whipple's Operation) Adult Hepatobiliary
Transduodenal Sphincteroplasty Adult Hepatobiliary
Whipple's Operation Adult Hepatobiliary
Percutaneous Tracheostomy Adult Intensive Care
Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) * Adult Intensive Care
Veno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) * Adult Intensive Care
Amniocentesis/Chorionic Villus Sampling Consent * consent-and-patient-information Adult/Child/Young Person Maternal & Fetal Medicine
Computed Tomography (CT) Scan During Pregnancy Consent Adult/Child/Young Person Maternal & Fetal Medicine
Exclusively Breastfed Baby Complementary Feed Consent Adult Maternal & Fetal Medicine
Generic Ultrasound Guided Antenatal Procedure Consent * consent-and-patient-information Adult/Child/Young Person Maternal & Fetal Medicine
Ionising Radiation During Pregnancy - Patient Information patient-information-sheet Adult/Child/Young Person Maternal & Fetal Medicine
Ionising Radiation During Pregnancy Consent consent-and-patient-information Adult/Child/Young Person Maternal & Fetal Medicine
Nuchal Translucency Scan * patient-information-sheet Adult/Child/Young Person Maternal & Fetal Medicine
Obstetric Ultrasound * Adult/Child/Young Person Maternal & Fetal Medicine
Excision of Submandibular Gland Adult Maxillofacial
Fractured Mandible Repair (Repair of Broken Jaw) Adult Maxillofacial
Mandibulectomy Consent Adult Maxillofacial
Maxillectomy Consent Adult Maxillofacial
Orbito-Zygomatic Maxillary Fracture Repair Adult Maxillofacial
Orthognathic (Corrective Jaw) Surgery Adult Maxillofacial
Reduction of Fractured Nose Adult Maxillofacial
Skin Graft Adult Maxillofacial
Temporo Mandibular Joint Arthroscopy/Arthrocentesis Adult Maxillofacial
Vermilionectomy Adult Maxillofacial
Wisdom Teeth Removal Adult Maxillofacial
Excision of Submandibular Gland Consent Child/Young Person Maxillofacial
Orthognathic (Corrective Jaw) Surgery Child/Young Person Maxillofacial
Reduction of Fractured Nose Child/Young Person Maxillofacial
Temporo Mandibular Joint Arthroscopy/Arthrocentesis Child/Young Person Maxillofacial
Vermilionectomy Child/Young Person Maxillofacial
Wisdom Teeth Removal Child/Young Person Maxillofacial
Bone Marrow Aspirate +/- Trephine (BMAT) Adult Medicine
Bronchoscopy - Examination of the Tubes in the Lungs Adult Medicine
Drug Challenge Test Adult Medicine
Drug Challenge Test (Intradermal Skin Test) Adult Medicine
Drug Challenge Test (Intravenous) Adult Medicine
Drug Challenge Test (Oral) Adult Medicine
Drug Challenge Test (Subcutaneous) Adult Medicine
Iron Infusion Consent consent-and-patient-information Adult/Child/Young Person Medicine
Lumbar Puncture (Spinal Tap) Adult Medicine
Amniocentesis/Chorionic Villus Sampling Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Anaesthetic patient-information-sheet Adult Medical Imaging
Anorectal Physiology and Endoanal Ultrasound * consent-and-patient-information Adult Medical Imaging
Angiogram Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Antenatal Ultrasound Guided Procedure consent-and-patient-information Adult Medical Imaging
Arthrogram (Image-Guided) Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Aspiration/Drainage (Image-Guided) Consent* consent-and-patient-information Adult/Child/Young Person Medical Imaging
Biopsy (Image-Guided) Consent* consent-and-patient-information Adult/Child/Young Person Medical Imaging
Breast Imagingpatient-information-sheet Adult Medical Imaging
Carotid Artery Angioplasty and Stenting Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Catheter Check with Iodinated Contrast patient-information-sheet Adult/Child/Young Person Medical Imaging
Central Vascular Access Device (CVAD) Insertion Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Cerebral Vasospasm Treatment Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Cerebrospinal Fluid (CSF) Shunt Patency Scan Consent * consent-and-patient-information Adult Medical Imaging
Trans-Arterial Chemo-Embolisation (TACE) Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Cholangiogram (Percutaneous Transhepatic) with or without Biliary Drain/Stent Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Chorionic Villus Sampling (CVS) consent-and-patient-information Adult Medical Imaging
Computed Tomography (CT) Cardiac Scan Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Computed Tomography (CT) Cholangiogram with Biliscopin Consent consent-and-patient-information Adult Medical Imaging
Computed Tomography (CT) Colonography patient-information-sheet Adult Medical Imaging
Computed Tomography (CT) Myelogram Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Computed Tomography (CT) Scan Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Computed Tomography (CT) Scan patient-information-sheet Adult/Child/Young Person Medical Imaging
Computed Tomography (CT) Scan During Pregnancy Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Computed Tomography (CT) Scan with Rectal Contrast patient-information-sheet Adult/Child/Young Person Medical Imaging
Conduitogram * patient-information-sheet Adult/Child/Young Person Medical Imaging
Contrast Enema * patient-information-sheet Adult Medical Imaging
Cerebrospinal Fluid (CSF) Flow Study Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Cystogram / Urethrogram / Micturating Cysto-Urethrogram (MCU) * patient-information-sheet Adult/Child/Young Person Medical Imaging
Dacrocystogram patient-information-sheet Adult Medical Imaging
Dental Imaging *patient-information-sheet Adult/Child/Young Person Medical Imaging
Defaecogram * patient-information-sheet Adult Medical Imaging
Discogram Consent consent-and-patient-information Adult Medical Imaging
Embolisation of an Intra-Cranial Aneurysm Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Embolisation in the Central Nervous System (CNS) Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Embolisation Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Embolisation of the Uterine Artery (EUA) Consent * consent-and-patient-information Adult Medical Imaging
Endovascular Thrombectomy and/or Thrombolysis for Acute Ischaemic Stroke consent-and-patient-information Adult Medical Imaging
Enteroclysis / Small Bowel Study* patient-information-sheet Adult/Child/Young Person Medical Imaging
Enema patient-information-sheet Adult Medical Imaging
Fetal Ultrasound - Nuchal Translucency * patient-information-sheet Adult/Child/Young Person Medical Imaging
Fetal Ultrasound - Obstetric patient-information-sheet Adult Medical Imaging
Fistulogram / Sinogram* patient-information-sheet Adult/Child/Young Person Medical Imaging
Fluoroscopy Swallow / Meal consent-and-patient-information Adult/Child/Young Person Medical Imaging
Gastrostomy Insertion Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Gastrografin Enema * patient-information-sheet Adult Medical Imaging
Generic Medical Imaging Consent consent-form Adult Medical Imaging
Generic Ultrasound Guided Antenatal Procedure Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Hysterosalpingogram (HSG) * consent-and-patient-information Adult Medical Imaging
Intercostal Catheter (ICC) Insertion Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Interventional Procedure - Any Interventional Procedure Requiring Consent consent-form Adult Medical Imaging
Iodine-131 Therapy Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Ionising Radiation During Pregnancy Consentconsent-and-patient-information Adult/Child/Young Person Medical Imaging
Ionising Radiation During Pregnancy - Patient Information patient-information-sheet Adult/Child/Young Person Medical Imaging
Inferior Vena Cava (IVC) Filter Removal Consent consent-and-patient-information Adult Medical Imaging
Inferior Vena Cava (IVC) Filter Insertion Consentconsent-and-patient-information Adult Medical Imaging
Joint Injection/Nerve Root Injection/Hydrodilatation (Image-Guided) Consentconsent-and-patient-information Adult/Child/Young Person Medical Imaging
Lumbar Puncture (Image Guided) Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Lumbar Puncture (Intrathecal Chemotherapy) Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Magnetic Resonance Enterography (MRE) (Small Bowel Study) patient-information-sheet Adult/Child/Young Person Medical Imaging
Magnetic Resonance Imaging (MRI) Scan Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Magnetic Resonance Imaging (MRI) Scan patient-information-sheet Adult/Child/Young Person Medical Imaging
Magnetic Resonance Imaging (MRI) Scan of Liver with Primovist® patient-information-sheet Adult Medical Imaging
Magnetic Resonance Imaging (MRI) Scan with a MRI-Conditional Pacemaker/Implantable Cardioverter Defibrillator (ICD) Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Mammary Ductogram * patient-information-sheet Adult Medical Imaging
Medical Imaging Generic Consentconsent-form Adult Medical Imaging
Medical Imaging and Radiation Adult/Child/Young Person Medical Imaging
Magnetic Resonance Imaging (MRI) Cardiac Stress Study Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Myocardial Perfusion Scan Consent *consent-and-patient-information Adult/Child/Young Person Medical Imaging
Nephrostogram patient-information-sheet Adult/Child/Young Person Medical Imaging
Nephrostomy with or without Ureteric Stent Insertion Consent consent-and-patient-information Adult Medical Imaging
Nuchal Translucency Ultrasound * patient-information-sheet Adult/Child/Young Person Medical Imaging
Nuclear Medicine Scan Generic Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Obstetric Ultrasound * patient-information-sheet Adult/Child/Young Person Medical Imaging
Pelvic Ultrasound - Transvaginal patient-information-sheet Adult Medical Imaging
Peripherally Inserted Central Catheter (PICC) Consent  consent-and-patient-information Adult/Child/Young Person Medical Imaging
Positron Emission Tomography (PET) Scan patient-information-sheet Adult/Child/Young Person Medical Imaging
Port Removal Consent*consent-and-patient-information Adult/Child/Young Person Medical Imaging
Radio-guided Occult Lesion Localisation using Iodine-125 Seeds (ROLLIS) Consent*consent-and-patient-information Adult Medical Imaging
Saline Sonogram * consent-and-patient-information Adult Medical Imaging
Selective Internal Radiation Therapy (SIRT) Consent consent-and-patient-information Adult Medical Imaging
Sialogram * patient-information-sheet Adult/Child/Young Person Medical Imaging
Small Bowel Series / Follow Through *patient-information-sheet Adult/Child/Young Person Medical Imaging
Thermal Ablation Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Thoracentesis Consent consent-and-patient-information Adult/Child/Young Person Medical Imaging
Thrombolysis (Catheter Directed) Consent* consent-and-patient-information Adult/Child/Young Person Medical Imaging
Transjugular Intrahepatic Portosystemic Shunt (TIPS) Consent consent-and-patient-information Adult Medical Imaging
Transjugular Liver Biopsy Consent consent-and-patient-information Adult Medical Imaging
Transvaginal Ultrasound Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Ultrasound Scan * patient-information-sheet Adult Medical Imaging
Ultrasound Scan - Nuchal Translucency patient-information-sheet Adult/Child/Young Person Medical Imaging
Ultrasound Scan - Obstetric patient-information-sheet Adult Medical Imaging
Venous Sampling Consent Adult Medical Imaging
Venogram Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Vertebroplasty Consent consent-and-patient-information Adult Medical Imaging
Ventilation-Perfusion (VQ) Scan During Pregnancy Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Yttrium-90 Colloid Therapy Consent * consent-and-patient-information Adult/Child/Young Person Medical Imaging
Cerebrospinal Fluid (CSF) Shunt Patency Scan Consent * consent-and-patient-information Child/Young Person Medical Imaging
Contrast Enema * patient-information-sheet Child/Young Person Medical Imaging
Endovascular Thrombectomy and/or Thrombolysis for Acute Ischaemic Stroke consent-and-patient-information Child/Young Person Medical Imaging
Intussusception Reduction Enema Consent * consent-and-patient-information Child/Young Person Medical Imaging
Magnetic Resonance Imaging (MRI) Scan of Liver with Primovist® Consent consent-and-patient-information Child/Young Person Medical Imaging
Medical Imaging Generic Consent * Child/Young Person Medical Imaging
Sclerotherapy Consent* consent-and-patient-information Adult/Child/Young Person Medical Imaging
Ultrasound patient-information-sheet Child/Young Person Medical Imaging
Abscess Drainage consent-and-patient-information Adult Miscellaneous
Biopsy of Tissue consent-and-patient-information Adult Miscellaneous
Block Dissection of Lymph Nodes (Glands) consent-and-patient-information Adult Miscellaneous
Drug Challenge Test consent-and-patient-information Adult Miscellaneous
Drug Challenge Test (Intradermal Skin Test) consent-and-patient-information Adult Miscellaneous
Drug Challenge Test (Intravenous) consent-and-patient-information Adult Miscellaneous
Drug Challenge Test (Oral) consent-and-patient-information Adult Miscellaneous
Drug Challenge Test (Subcutaneous) consent-and-patient-information Adult Miscellaneous
Foreign Body - excision consent-and-patient-information Adult Miscellaneous
Generic Consent - Adult * consent-and-patient-information Adult Miscellaneous
Haematoma consent-and-patient-information Adult Miscellaneous
Haematoma - Extradural or Subdural consent-and-patient-information Adult Miscellaneous
Hyperbaric Oxygen Therapy (HBOT) consent-and-patient-information Adult Miscellaneous

Iron Infusion Consent consent-and-patient-information

Adult/Child/Young Person Miscellaneous
Parotid Tumours consent-and-patient-information Adult Miscellaneous
Pharyngeal Pouch consent-and-patient-information Adult Miscellaneous
Submandibular Gland Operation consent-and-patient-information Adult Miscellaneous
Tumour - Removal of Malignant Tumour consent-and-patient-information Adult Miscellaneous
Tumour, Cysts, Ulcers, Scars consent-and-patient-information Adult Miscellaneous
Wounds, Skin, Tissue, Mucus Membrane consent-and-patient-information Adult Miscellaneous
Generic Consent - Child/Young Person * consent-and-patient-information Child/Young Person Miscellaneous
Endovascular Thrombectomy and/or Thrombolysis for Acute Ischaemic Stroke Adult Neurology
Thrombolysis for Acute Ischaemic Stroke Adult Neurology
Endovascular Thrombectomy and/or Thrombolysis for Acute Ischaemic Stroke Child/Young Person Neurology
Thrombolysis for Acute Ischaemic Stroke Child/Young Person Neurology
Anterior Cervical Discectomy - Inter Body Fusion Adult Neurosurgery
Biopsy of Cerebral Space Occupying Lesion Adult Neurosurgery
Burr Holes for Haematoma Adult Neurosurgery
Carpal Tunnel Release Adult Neurosurgery
Cervical Foraminotomy Adult Neurosurgery
Cervical Laminectomy Adult Neurosurgery
Cervical Laminoplasty Adult Neurosurgery
Craniotomy & Clipping of Cerebral Aneurysm Adult Neurosurgery
Craniotomy & Repair of Anterior Cranial Fossa Floor Adult Neurosurgery
Craniotomy & Resection of Intrinsic Lesion Adult Neurosurgery
Craniotomy for Evacuation of Intracranial Haematoma Adult Neurosurgery
Deep Brain Stimulation Adult Neurosurgery
Elevation of Depressed Skull Fracture Adult Neurosurgery
Endoscopic Procedure and &/-Endoscopic Third Ventriculostomy Adult Neurosurgery
Insertion of External Ventricular Drain Adult Neurosurgery
Insertion of Syrinx Shunt Adult Neurosurgery
Insertion of Ventricular Shunt Adult Neurosurgery
Intracranial Pressure Monitoring Adult Neurosurgery
Lumbar Decompression Laminectomy Adult Neurosurgery
Lumbar Decompression & Pedicle Screw Fusion Adult Neurosurgery
Lumbar Discectomy Adult Neurosurgery
Lumbar Disc Replacement Adult Neurosurgery
Microvascular Decompression for Trigeminal Neuralgia Adult Neurosurgery
Minimally Invasive Decompression for Lumbar Canal Stenosis Adult Neurosurgery
Minimally Invasive Lumbar Discectomy Adult Neurosurgery
Muscle Biopsy Adult Neurosurgery
Nerve Biopsy Adult Neurosurgery
Percutaneous Decompression for Trigeminal Neuralgia Adult Neurosurgery
Posterior Fossa Decompression Adult Neurosurgery
Thalamotomy/Pallidotomy Adult Neurosurgery
Transsphenoidal Removal for Pituitary Tumour Adult Neurosurgery
Ulnar Nerve Decompression at the Elbow Adult Neurosurgery
Amniocentesis/Chorionic Villus Sampling Consent * consent-and-patient-information Adult/Child/Young Person Obstetrics
Caesarean Section Consent * Adult/Child/Young Person Obstetrics 
Computed Tomography (CT) Scan During Pregnancy Consent consent-and-patient-information Adult/Child/Young Person Obstetrics
Diagnostic/Operative Hysteroscopy Dilatation & Curettage (D & C) Consent * Adult/Child/Young Person Obstetrics 
Dilatation & Curettage (D&C)/Suction Evacuation Consent * Adult/Child/Young Person Obstetrics
Epidural for birth - Patient Information patient-information-sheetAdult/Child/Young Person Obstetrics 
Generic Ultrasound Guided Antenatal Procedure Consent* consent-and-patient-information Adult/Child/Young Person Obstetrics
Induction of Labour Consent * Adult/Child/Young Person Obstetrics

Ionising Radiation During Pregnancy - Patient Information patient-information-sheet

Adult/Child/Young Person Obstetrics

Ionising Radiation During Pregnancy Consent consent-and-patient-information

Adult/Child/Young Person Obstetrics
Medically Indicated Complementary Feed Consent Adult Obstetrics

Nuchal Translucency Ultrasound * patient-information-sheet

Adult/Child/Young Person Obstetrics
Obstetric Ultrasound * patient-information-sheet Adult/Child/Young Person Obstetrics
Removal of Ectopic Pregnancy by Laparoscopy/Laparotomy* Adult/Child/Young Person Obstetrics
Termination of Pregnancy - MS-2 Step (Mifepristone and Misoprostol) Consent * Adult/Child/Young Person Obstetrics
Termination of Pregnancy Consent * Adult/Child/Young Person Obstetrics
Transvaginal Ultrasound Consent * Adult/Child/Young Person Obstetrics
Perinatal and Fetal Autopsy Consent consent-and-patient-information Adult/Child/Young Person Obstetrics
Bone Marrow Aspirate +/- Trephine (BMAT) Adult Oncology/Haematology
Lumbar Puncture (Intrathecal Chemotherapy) Consent consent-and-patient-information Adult/Child/Young Person Oncology/Haematology
Selective Internal Radiation Therapy (SIRT) Consent Adult Oncology/Haematology
Cataract Surgery Adult Ophthalmology
Eye Surgery Adult Ophthalmology
Squint Repair - Adult Adult Ophthalmology
Squint Repair - Child/Young Person Child/Young Person Ophthalmology
Ankle Stabilisation Adult Orthopaedic
Anterior Cruciate Reconstruction Adult Orthopaedic
Arthrogram (Image-Guided) Consent Adult/Child/Young Person Orthopaedic
Arthroscopy - Lower Limb Adult Orthopaedic
Arthroscopy - Upper Limb Adult Orthopaedic
Bunion Correction Adult Orthopaedic
Carpal Tunnel Decompression Adult Orthopaedic
Club Foot Reconstruction Adult Orthopaedic
Coccyx Removal Adult Orthopaedic
Correction of Hammer Toes/Curly Toes/Mallet Toes Adult Orthopaedic
Digital Nerve Laceration Repair Adult Orthopaedic
Dupuytrens Disease Excision Adult Orthopaedic
Flexor Tendon Sheath Infection Adult Orthopaedic
Digital Nerve Repair Adult Orthopaedic
Fractured Ankle Adult Orthopaedic
Fractured Femur Adult Orthopaedic
Fractured Forearm Adult Orthopaedic
Fractured Hip/Hemi-Arthroplasty Adult Orthopaedic
Fractured Hip Intertrochanteric Undisplaced Subcapital Fracture Adult Orthopaedic
Fractured Humerus Adult Orthopaedic
Fractured Patella Adult Orthopaedic
Fractured Scaphoid Bone Adult Orthopaedic
Fractured Tibia Adult Orthopaedic
Ganglion/Bursa Adult Orthopaedic
Ganglion Excision Adult Orthopaedic
Lumbar Decompression Laminectomy Adult Orthopaedic
Manipulation & K Wire Adult Orthopaedic
Manipulation of Fractured Forearm or Wrist Adult Orthopaedic
Manipulation of Supracondylar Fracture of the Elbow Adult Orthopaedic
Manipulation of the Limb &/or Plaster Spica Adult Orthopaedic
Mortons Neuroma Excision Adult Orthopaedic
Patella Stabilisation for Dislocating Patella Adult Orthopaedic
Removal of Plates/Screws/Wires/Intra-Medullary Nails Adult Orthopaedic
Repair of Tendons or Nerves Adult Orthopaedic
Rotator Cuff Repair/Subacromial Decompression Adult Orthopaedic
Shoulder Stabilisation Adult Orthopaedic
Skin Graft Adult Orthopaedic
Slipped Upper Femoral Epiphysis Repair Adult Orthopaedic
Tibial Osteotomy Adult Orthopaedic
Total Hip Arthroplasty (Hip Replacement) Adult Orthopaedic
Total Knee Arthroplasty (Knee Replacement) Adult Orthopaedic
Trigger Finger Release Adult Orthopaedic
Triple Foot Arthrodesis Adult Orthopaedic
Wrist Arthrodesis Adult Orthopaedic
Abdominoplasty Adult Plastic/Skin
Excision of a Lesion & Flap Repair Adult Plastic/Skin
Excision of a Skin Lesion or Subcutaneous Lump Adult Plastic/Skin
Eyelid Surgery (Blepharoplasty) Adult Plastic/Skin
Insertion of Breast Implant/Tissue Expander Adult Plastic/Skin
Lipectomy (Apronectomy) Adult Plastic/Skin
Otoplasty/Repair of Prominent Ears Adult Plastic/Skin
Reduction Mammoplasty * Adult Plastic/Skin
Skin Graft Adult Plastic/Skin
Vermilionectomy Adult Plastic/Skin
Burns Child/Young Person Plastic/Skin
Electroconvulsive Therapy (ECT) - Consent Form & Patient Information Adult Psychiatry
Electroconvulsive Therapy (ECT) - Patient Information Adult Psychiatry
Renal Biopsy (Native) Adult Renal
Renal Transplant Biopsy (Percutaneous Renal Biopsy) Adult Renal
Bronchoprovocation Test Adult Thoracics
Bronchoscopy +/- Biopsy Adult Thoracics
Generic Thoracic Consent - Adult Adult Thoracics
Intercostal Catheter (ICC) Insertion Consentconsent-and-patient-information Adult/Child/Young Person Thoracics
Lung Biopsy Adult Thoracics
Lung Transplant * Adult Thoracics
Thoracentesis Consent consent-and-patient-information Adult/Child/Young Person Thoracics
Thoracoscopy Adult Thoracics
Thoracoscopy Surgical (VATS) &/or other procedures Adult Thoracics
Thoracotomy for Lung Resection Adult Thoracics
Generic Consent - Child/Young Person Child/Young Person Thoracics
Lung Transplant * Child/Young Person Thoracics
Gastrectomy Adult Upper GI
Oesophagectomy Adult Upper GI
Oesophagoscopy Adult Upper GI
Panendoscopy Adult Upper GI
Reflux Operation - Open Adult Upper GI
Reflux Operation - Laparoscopic Adult Upper GI
Rigid Oesophagoscopy Adult Upper GI
Pyloromyotomy - (Ramstedt's Operation) Child/Young Person Upper GI
Bladder Wall Operation * Adult Urology
Circumcision (Adult) * Adult Urology
Cystoscopy * Adult Urology
Cystoscopy & Biopsy of Prostate * Adult Urology
Cystoscopy & Crushing of Stone * Adult Urology
Cystoscopy & Insertion of Supra-pubic Catheter +/- Cystotomy * Adult Urology
Cystoscopy & Removal of Bladder Tumour * Adult Urology
Cystoscopy & Retrograde Pyelogram (&/-) Insertion Ureteric Stent * Adult Urology
Cystoscopy & Ureteroscopy & Fragmentation of Stone (Lithoclast) * Adult Urology
Cystoscopy (Flexible) Under Local Anaesthetic * Adult Urology
Cystoscopy with Passage of Ureteric Catheter * Adult Urology
Hydrocele/Epididymal Cyst Removal * Adult Urology
Nephrectomy - Removal of Part or all of Kidney Adult Urology
Orchidectomy * Adult Urology
Paraphimosis Repair * Adult Urology
Passage of Sounds * Adult Urology
Percutaneous Nephrolithotomy (PCNL) Adult Urology
Prostatectomy - Radical Adult Urology
Sinus Excision Operation Adult Urology
Transurethral Prostatectomy - TURP and Open * Adult Urology
TRUS Biopsy * Adult Urology
Ureterolithotomy (Open) * Adult Urology
Varicocele Repair – Open/Laparoscopic/Microsurgical Division * Adult Urology
Circumcision * Child/Young Person Urology
Orchidopexy * Child/Young Person Urology
Paraphimosis Repair * Child/Young Person Urology
Abdominal Aortic Aneurysm consent-and-patient-information Adult Vascular
Amputation Adult Vascular
Carotid Endarterectomy Adult Vascular
Femoropopliteal Bypass Adult Vascular
Varicose Veins Adult Vascular

Last updated: 30 August 2024