Informed consent templates
Generic consent form
- Form A – Patient consent to treatment or investigation (PDF 108KB)
- Form B – Consent for a minor requiring parental/guardian approval for treatment or investigation (PDF 107KB)
- Form C – Adults unable to consent to treatment or investigation (PDF 111KB)
- Form D – Patient consent to anaesthesia (general or regional) (PDF 106KB)
- Form E – Consent form for electroconvulsive therapy (ECT) (PDF 110KB)
- Form F – Authorisation to proceed with surgery on a patient without a valid consent form (PDF 116KB)
New procedure specific information sheets
- Provide information about specific procedures in simple language
- May be used by health professionals to provide information to patients when gaining their consent to treatment
- Have been purchased from EIDO Health Care under copyright and adapted for the Australian context
- Are accessible only to health care professionals working in WA public hospitals via the Department of Health intranet site only
Note: The use of this information is restricted for use in the public sector only.
Procedure specific consent forms
- Will be replaced by procedure specific information sheets (PSIS) and model generic consent forms
- Procedure specific consent forms developed previously will not be updated or supported after the release of PSIS
- Forms may be amended and used as information sheets if endorsed by Area Health Service / Hospital Executive
File Formats
Some documents for download on this website are in a Portable Document Format (PDF). To read these files you might need to download Adobe® Acrobat Reader.