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In this section you can download consent forms which you are required to complete prior to investigation or treatment undertaken at Addenbrooke's.

Cambridge University Hospitals consent forms (and information) will also be given and explained to you before your procedure.

All consent forms

Leaflet title Service
PDF icon Abdominal hysterectomy bilateral salpingectomy with ovarian conservation or bilateral oophorectomy Gynaecology
PDF icon Abdomino Perineal Excision of Rectum (A.P.E.R.) Colorectal Unit (Surgery), General Surgery
PDF icon Abdomino perineal excision of rectum and anus (APER) Colorectal Unit (Surgery), General Surgery
PDF icon Acupuncture (consent form) Physiotherapy
PDF icon After bereavement: Source of information, advice and support Chaplaincy
PDF icon Allogeneic Bone Marrow Harvest Haematological Oncology, Haematology (Medical), Oncology
PDF icon Allogeneic donor peripheral blood stem cell mobilisation and collection Haematological Oncology, Haematology (Medical), Oncology
PDF icon Amniocentesis Fetal Medicine, Maternal Fetal Assessment Unit (MFAU)
PDF icon Anal Fistula Colorectal Unit (Surgery), General Surgery
PDF icon Anterior cervical discectomy for cervical myelopathy (pressure on the spinal cord) or cervical radiculopathy (pressure on a nerv Neurosciences, Neurosurgery
PDF icon Anterior resection Colorectal Unit (Surgery), General Surgery
PDF icon Appendicectomy (removal of an inflamed appendix) Colorectal Unit (Surgery), General Surgery
PDF icon April 2015 - Disclosure log Corporate services
PDF icon August 2015 - Disclosure log Corporate services
PDF icon Autologous fascial sling for stress urinary incontinence Gynaecology
PDF icon Axillo-femoral/axillo-profunda bypass (to improve the blood flow in the leg) Vascular Surgery
PDF icon Bartholin’s Cyst/Abscess Treatment using Word catheter Gynaecology
PDF icon Biopsy of brain tumour in adults Neurosciences, Neurosurgery
PDF icon Blood or Marrow Transplant Haematological Oncology, Haematology (Medical), Oncology
PDF icon Bone anchored heearing aid consent form Ear nose and throat (ENT)
PDF icon Bone Marrow Harvest Haematological Oncology, Haematology (Medical), Oncology
PDF icon Botulinum toxin injection for blepharospasm (spasm of the eyelids) Ophthalmology
PDF icon Botulinum Toxin injection for cervical Dystonia (Spasmodic Torticollis) Neurology, Neurosciences, Neurosurgery
PDF icon Botulinum toxin injection for hemifacial spasm Neurology, Neurosciences, Neurosurgery
PDF icon Botulinum toxin injection for spasticity Neurorehabilitation
PDF icon Breast surgery (axillary clearance) Breast unit
PDF icon Breast surgery (mastectomy) Breast unit
PDF icon Breast surgery: duct clearance or microdochectomy Breast unit
PDF icon Breast surgery: excision biopsy Breast unit
PDF icon Breast surgery: localisation and diagnostic excision biopsy Breast unit
PDF icon Breast surgery: localisation and wide local excision Breast unit
PDF icon Breast surgery: male mastectomy and axillary clearance Breast unit
PDF icon Breast surgery: mastectomy and axillary clearance Breast unit
PDF icon Breast surgery: re-excision Breast unit
PDF icon Breast surgery: re-excision and axillary clearance Breast unit
PDF icon Breast surgery: wide excision of the nipple and areola complex Breast unit
PDF icon Breast surgery: wide local excision Breast unit
PDF icon Breast surgery: wide local excision and axillary clearance Breast unit
PDF icon Caesarean section Gynaecology, Obstetrics
PDF icon Caesarean section: consent form Maternity Services
PDF icon Cardiac catheterisation and coronary angiography Cardiology
PDF icon Cartilage tympanoplasty Ear nose and throat (ENT)
PDF icon Cataract surgery - general anaesthesia Ophthalmology
PDF icon Cataract surgery - local anaesthesia Ophthalmology
PDF icon Cerebral angiogram of the brain - consent for Neurosurgery, Radiology
PDF icon Chorionic villus sampling Fetal Medicine, Maternal Fetal Assessment Unit (MFAU)
PDF icon Closure of ileostomy General Surgery
PDF icon Colectomy Colorectal Unit (Surgery), General Surgery
PDF icon Consent for immunisations of neonates Neonatal Services
PDF icon Consent for immunisations of neonates (BCG etc) Neonatal Services
PDF icon [SPECIMEN]133230_BBa_CF414_BrainBankConsent_PQR_4ppA4_0215_v4.pdf Histopathology, Tissue bank
PDF icon Consent form: For donation of brain, pituitary tissue and cerebrospinal fluid by the donor Brain Bank, Histopathology
PDF icon Consent form: For donation of brain, spinal cord, pituitary tissue and cerebrospinal fluid by a Nominated Individual or Person i Brain Bank, Histopathology
PDF icon Consent form: For donation of brain, spinal cord, pituitary tissue and cerebrospinal fluid by the donor Brain Bank, Histopathology
PDF icon Consent to perform an unrelated bone or marrow transplant donor search Haematological Oncology
PDF icon Costochondritis (rib pain) east un
PDF icon Craniotomy and resection of brain tumour in adults Neurosciences, Neurosurgery
PDF icon Craniotomy and resection of brain tumour with insertion of Carmustine (Gliadel®) implants in adults Neurosciences, Neurosurgery
PDF icon Cystoscopy Gynaecology
PDF icon Cystoscopy: Flexible Urology
PDF icon December 2015 - Disclosure log Corporate services
PDF icon Diagnostic laparoscopy (Gynaecology): consent form Gynaecology
PDF icon Diphencyprone: topical immunotherapy Dermatology
PDF icon Distal or sub-total pancreatectomy Hepatobiliary & Pancreatic Surgery (HPB)
PDF icon Dobutamine Stress Echocardiography Cardiology
PDF icon Donating breast milk to the breast milk bank Neonatal Services
PDF icon [SPECIMEN-2]133230_BBb_CF413_BrainBankRegConsent_Donor_4ppA4_0215.pdf Histopathology, Tissue bank
PDF icon Doppler-Guided Haemorrhoidal Artery Ligation Colorectal Unit (Surgery)
PDF icon Elective caesarean section with sterilisation Obstetrics
PDF icon Elective Caesarean section with sterilisation: consent form Maternity Services
PDF icon Elective coil occlusion of brain aneurysm Neurosciences
PDF icon Elective day-case cardioversion Cardiology
PDF icon Electrocochleography Ear nose and throat (ENT)
PDF icon Endometrial ablation using the novasure procedure Gynaecology
PDF icon Endoscopic hypophysectomy / transphenoidal hypophysectomy Neurosciences, Neurosurgery
PDF icon Endovascular repair of abdominal aortic aneurysm (EVAR) - ‘key hole’ repair of a ballooned artery in your abdomen Vascular Surgery
PDF icon Endovascular repair of thoracic aortic aneurysm– ‘key hole’ repair of a ballooned artery in your chest Vascular Surgery
PDF icon Excision of recurrence in breast/chest wall Breast unit
PDF icon Excision of spinal intradural tumour Neurosciences, Neurosurgery
PDF icon Extended total gastrectomy Upper Gastrointestinal (GI) Unit
PDF icon External cephalic version (ECV): consent form Maternity Services
PDF icon Eylea (Aflibercept) for wet age-related macular degeneration (AMD) Ophthalmology
Microsoft Office document icon Fast-track referral form: facial and/or oral symptoms Oral and Maxillofacial Surgery and Orthodontics
PDF icon February 2015 - disclosure log Freedom of Information (FoI)
PDF icon Femoro-popliteal and/or femoro-crural bypass (to improve the blood flow in the leg) Vascular Surgery
PDF icon For parents of a child who has lymphoma – Routine procedures under general anaesthetic for the whole course of lymphoma treatmen Paediatric Haematology and Oncology
PDF icon For women requiring a highly-potent topical steroid (for example Dermovate® cream or ointment / Clobetesol) Dermatology, Genitourinary Medicine, Gynaecology
PDF icon Form for adults who lack the capacity to consent to investigation or treatment Generic
PDF icon Formation of an ileo-anal pouch Colorectal Unit (Surgery), General Surgery
PDF icon Haemorrhoidectomy Colorectal Unit (Surgery), General Surgery
PDF icon Hip arthroscopy and treatment of Femoroacetabular Impingement (FAI) Trauma & Orthopaedics
PDF icon Home termination of early pregnancy with Mifepristone and Prostaglandin Gynaecology
PDF icon Hysterosalpingogram (HSG) - information for patients Radiology, Radiotherapy
PDF icon Hysteroscopic surgery Gynaecology
PDF icon Immunoglobulin replacement therapy Immunology (Clinical)
PDF icon Information about an adult post mortem Mortuary
PDF icon Infusion study via reservoir or valve pre-chamber Neurosciences, Neurosurgery
PDF icon Insertion of a central venous catheter Vascular Surgery
PDF icon Insertion of a deep brain stimulator Neurosciences, Neurosurgery
PDF icon Insertion of a PICC (peripherally inserted central catheter): consent form Vascular Access Unit
PDF icon Insertion of a portacath Vascular Surgery
PDF icon Insertion of lumbar peritoneal shunt Neurosciences, Neurosurgery
PDF icon Insertion of ventriculo-peritoneal and ventriculo-atrial shunt Neurosciences, Neurosurgery
PDF icon Interval debulking surgery for ovarian cancer Gynaecological Oncology
PDF icon Iontopheresis using tap water (a mild electric current, to reduce sweating) Dermatology
PDF icon January 2015 - disclosure log Freedom of Information (FoI)
PDF icon January 2016 - Disclosure log Corporate services
PDF icon Jaw or chin corrective surgery (orthognathic surgery) Oral and Maxillofacial Surgery and Orthodontics
PDF icon Jugular foramen decompression consent form Ear nose and throat (ENT)
PDF icon July 2015 - Disclosure log Corporate services
PDF icon Kidney (renal) biopsy Renal Services
PDF icon Kidney Transplantation Transplant Services
PDF icon Kidney transplantation from a living donor Transplant Services
PDF icon Laparoscopic (key-hole) ovarian surgery Gynaecology
PDF icon Laparoscopic abdominal wall hernia surgery Upper Gastrointestinal (GI) Unit
PDF icon Laparoscopic adrenalectomy Hepatobiliary & Pancreatic Surgery (HPB)
PDF icon Laparoscopic anti-reflux surgery Upper Gastrointestinal (GI) Unit
PDF icon Laparoscopic assisted vaginal hysterectomy and bilateral salpingectomy with ovarian conservation or bilateral oophorectomy Gynaecology
PDF icon Laparoscopic Cholecystectomy Upper Gastrointestinal (GI) Unit
PDF icon Laparoscopic cholecystectomy Hepatobiliary & Pancreatic Surgery (HPB)
PDF icon Laparoscopic groin hernia repair Upper Gastrointestinal (GI) Unit
PDF icon Laparoscopic live donor nephrectomy (removal of kidneys from live donors using a key-hole technique) Transplant Services
PDF icon Laparoscopic pre-peritoneal inguinal hernia repair Upper Gastrointestinal (GI) Unit
PDF icon Laparoscopic sterilisation Gynaecology
PDF icon Laparoscopically assisted oesophagectomy Upper Gastrointestinal (GI) Unit
PDF icon Lateral internal anal sphincterotomy for anal fissure Colorectal Unit (Surgery), General Surgery
PDF icon Live donor hepatectomy (removal of part of the liver for the purpose of transplantation) Hepatobiliary & Pancreatic Surgery (HPB), Transplant Services
PDF icon Live donor liver transplantation (using part of a liver from a living donor) Transplant Services
PDF icon Liver resection Hepatobiliary & Pancreatic Surgery (HPB)
PDF icon Liver transplantation Transplant Services
PDF icon Living liver donation work-up Transplant Services
PDF icon Localisation and wide local excision and axillary clearance Breast unit
PDF icon Localisation and wide local excision and sentinel lymph node (SLN) biopsy +/- axillary clearance Breast unit
PDF icon Low flow Extracranial to intracranial bypass (STA-MCA) surgery to reduce the chances of future strokes Neurosurgery
PDF icon Lower limb amputation (permanent surgical removal of part of the foot/leg) Vascular Surgery
PDF icon Lumbar decompression Neurosciences, Neurosurgery
PDF icon Lumbar discectomy Neurosciences, Neurosurgery
PDF icon Lumbar infusion study Neurosciences, Neurosurgery
PDF icon Lumbar puncture Neurology, Neurosurgery
PDF icon Male mastectomy and sentinel lymph node (SLN) biopsy +/- axillary clearance Breast unit
PDF icon Manual vacuum aspiration (MVA) for termination of early pregnancy (TOP) Gynaecology, Obstetrics
PDF icon Manual vacuum aspiration for management of miscarriage (MVA) Gynaecology, Obstetrics
PDF icon March 2015 - Disclosure log Corporate services
PDF icon Mastectomy and sentinel lymph node (SLN) biopsy +/- axillary clearance Breast unit
PDF icon Mastoid Obliteration Ear nose and throat (ENT)
PDF icon May 2015 - Disclosure log Corporate services
PDF icon Meatoplasty / canalplasty consent form Ear nose and throat (ENT)
PDF icon Medical management of an ectopic pregnancy using methotrexate Gynaecology
PDF icon Medical management of miscarriage Gynaecology
PDF icon Medical management of persistent pregnancy of unknown location using methotrexate Gynaecology
PDF icon Medical termination of early pregnancy (up to 13 weeks gestation) Gynaecology
PDF icon Medical termination of mid-trimester pregnancy (13-18 weeks gestation) Gynaecology
PDF icon Minimally invasive oesophagectomy Upper Gastrointestinal (GI) Unit
PDF icon Minor anorectal surgery (skin tags, fibroepithelial polyps, external haemorrhoids and warts) Colorectal Unit (Surgery), General Surgery
PDF icon monitor-special-measures-plan.pdf Corporate services
PDF icon Narrow band UVB therapy and minimal erythematic dose test (MED) Phototherapy
PDF icon November 2015 - Disclosure log Corporate services
PDF icon October 2015 - Disclosure log Corporate services
PDF icon Oesophagectomy Upper Gastrointestinal (GI) Unit
PDF icon Oocyte retrieval (egg collection) Cambridge IVF, Gynaecology
PDF icon Open cavity mastoidectomy Ear nose and throat (ENT)
PDF icon Open inguinal hernia surgery General Surgery, Upper Gastrointestinal (GI) Unit
PDF icon Orthodontic treatment Orthodontics
PDF icon Ossiculoplasty Ear nose and throat (ENT)
PDF icon Otosclerosis and stapedectomy Ear nose and throat (ENT)
PDF icon Paediatric Flexible Bronchoscopy and Bronchoalveolar Lavage Children's Services (Paediatrics), Paediatrics (Children's Services)
PDF icon Paraumbilical hernia surgery Colorectal Unit (Surgery), General Surgery
PDF icon Paraurethral injection/intramural bulking procedures Gynaecology
PDF icon Partial gastrectomy Upper Gastrointestinal (GI) Unit
PDF icon Patient agreement to investigation or treatment for neurosurgery, spinal surgery or vitreoretinal surgery: consent form 2 Nursing
PDF icon Patient agreement to investigation or treatment: consent form 1 Generic
PDF icon Patient agreement to systemic therapy, or radiotherapy, or procedure (consent form) Cancer Services
PDF icon Patient information and consent to cardiac catheterisation and coronary angiography Cardiology
PDF icon Percutaneous Transhepatic Cholangiography (PTC) Hepatobiliary & Pancreatic Surgery (HPB)
PDF icon Peripheral blood stem cell mobilisation and Collection Haematological Oncology, Haematology (Medical), Oncology
Microsoft Office document icon Permanent pacemaker implantation Cardiology
PDF icon Photodynamic Therapy (PDT) Dermatology
PDF icon Pilonidal sinus Colorectal Unit (Surgery), General Surgery
PDF icon Pinnaplasty - correction of prominent ear(s) Plastic & Reconstructive Surgery
PDF icon POP home service (pelvic organ prolapse) Urogynaecology
PDF icon Posterior cervical decompression Neurosciences, Neurosurgery
PDF icon Posterior spinal instrumented fusion Neurosurgery
PDF icon Primary surgery for gynaecological cancer Gynaecological Oncology
PDF icon PUVA (Poralen and Ultraviolet Light A) Dermatology
PDF icon PUVA treatment - full body or hands or feet Phototherapy
PDF icon [SPECIMEN]133230_BBc_CF415_BrainBankRegIntent_PQR_4ppA4_0215_v4.pdf Histopathology, Tissue bank
PDF icon [SPECIMEN]133230__SPc_CF490_BrainBankRegIntent_PQR_Spinal_4ppA4_v1.pdf Brain Bank, Histopathology
PDF icon Retropubic midurethral sling/transobturator midurethral sling for the surgical treatment of stress urinary incontinence Gynaecology, Urogynaecology
PDF icon Reversal of Hartmann’s operation General Surgery
PDF icon Routine procedures under general anaesthetic for the whole course of leukaemia treatment Paediatric Haematology and Oncology
PDF icon Sentinel lymph node (SLN) biopsy +/- axillary clearance Breast unit
PDF icon September 2015 - Disclosure log Corporate services
PDF icon Simultaneous Kidney and Pancreas Transplantation Pancreas transplant, Transplant Services
PDF icon Solitary Pancreas Transplantation Transplant Services
PDF icon Spinal Cord Stimulation Trial / Spinal Cord Stimulation Full Implant: Patient information and consent to Pain Clinic
PDF icon Staging laparoscopy Upper Gastrointestinal (GI) Unit
PDF icon CF426_staging_laparoscopy_and_gastroscopy_v2.pdf Upper Gastrointestinal (GI) Unit
PDF icon Supplementary consent to investigation or treatment by patient who refuses to have a blood transfusion Generic
PDF icon Surgery for abdominal aortic aneurysm (AAA) Vascular Surgery
PDF icon Surgery for hyperhidrosis (excessive sweating) Vascular Surgery
PDF icon Surgery for prolapse Gynaecology, Urogynaecology
PDF icon Surgery for prolapse following previous hysterectomy Gynaecology, Urogynaecology
PDF icon Surgery for rectal prolapse General Surgery
PDF icon Surgery for ruptured intracranial aneurysms Neurosciences, Neurosurgery
PDF icon Surgery for unruptured intracranial aneurysms Neurosurgery
PDF icon Surgery of the carotid arteries – carotid endarterectomy Neurosurgery
PDF icon Surgery of the carotid arteries – carotid endarterectomy Vascular Surgery
PDF icon Surgery on the long saphenous varicose veins (in the leg) Vascular Surgery
PDF icon Surgery on the short saphenous varicose veins (in the calf of the leg) Vascular Surgery
PDF icon Surgical evacuation of retained products of conception (SERPOC) Gynaecology
PDF icon Surgical management of an ectopic pregnancy - consent to Gynaecology
PDF icon Surgical management of miscarriage Gynaecology
PDF icon Surgical removal of acoustic neuroma Neurosciences, Neurosurgery
PDF icon Surgical removal of impacted wisdom teeth Oral and Maxillofacial Surgery and Orthodontics
PDF icon Surgical termination of pregnancy (7-13 weeks gestation) Gynaecology
PDF icon Thoracic decompression Neurosciences, Neurosurgery
PDF icon Three phase oesophagectomy Upper Gastrointestinal (GI) Unit
PDF icon Tissue typing: Donating a blood sample Tissue Typing
PDF icon Total gastrectomy Upper Gastrointestinal (GI) Unit
PDF icon Total hip replacement (arthroplasty) Trauma & Orthopaedics
PDF icon Total knee replacement Trauma & Orthopaedics
PDF icon Total pancreatectomy (removal of the pancreas) Hepatobiliary & Pancreatic Surgery (HPB)
PDF icon Trans-cervical styloidectomy consent form Ear nose and throat (ENT)
PDF icon Transanal endoscopic microsurgery (TEMS) Colorectal Unit (Surgery)
PDF icon Transanal endoscopic microsurgery (TEMS) General Surgery
PDF icon Transcervical Resection of Fibroids (TCRF) Gynaecology
PDF icon Transoesophageal echocardiogram (TOE) consent form Cardiology
PDF icon Travel Plan - Caring for our campus commuters: Access to Addenbrooke’s Plus Think Green
PDF icon Treatment of trigeminal neuralgia by percutaneous (radiofrequency or glycerol) lesioning Neurosciences, Neurosurgery
PDF icon Tympanoplasty: combined approach tympanoplasty initial stage Ear nose and throat (ENT)
PDF icon Tympanoplasty: combined approach tympanoplasty subsequent stage Ear nose and throat (ENT)
PDF icon Uterine artery embolisation Gynaecology
PDF icon UVB (ultraviolet B radiation) Dermatology
PDF icon Vaginal surgery for prolapse Gynaecology
PDF icon VNUS closure (radiofrequency ablation of varicose veins) Vascular Surgery
PDF icon Whipple’s resection (pancreatico-duodenectomy) Hepatobiliary & Pancreatic Surgery (HPB)
PDF icon Wide excision of the nipple and areola complex and axillary clearance Breast unit
PDF icon Wide excision of the nipple and areola complex and sentinel lymph node (SLN) biopsy +/- axillary clearance Breast unit
PDF icon Wide local excision and sentinel lymph node (SLN) biopsy +/- axillary clearance Breast unit