Forms & brochures

Having surgery is an important decision for you and that is why we require you to complete a number of forms and ask that you read the brochures provided. Here is a guide to our forms and brochures.

Pre-admission forms

Admission: Form 1

The Admission Form contains personal and payment information.

Consent: Form 2

The Consent form relates to your medical diagnosis and details of your treatment which will be provided to you. Please fill in the personal details only. The consent to anaesthesia and treatment must be completed in consultation with your specialist.

Health Questionnaire: Form 3

The Health Questionnaire / Nursing Assessment Form provides us with the important details about your medical history.

Patient Admission Pack

We recommend you read all the information contained in this pack as well as the anaesthetic information provided.

Brochures

Publications available on request

  • Pre-admission Information Booklet
  • Surgical Wounds (caring for your wound at home)
  • Methicillin Resistant Staphylococcus Aureus (MRSA)
  • Extended Spectrum Beta Lactamase (ESBL)
  • Patient Controlled Analgesia (PCA)
  • Epidural Pain Relief
  • Complaints view pdf
  • Allergies, Sensitivities and Side Effects
  • Blood Clots and You view pdf

To request one of these publications, please call us or complete the following:

Required fields are marked with an asterisk (*).
Brochure enquiry form
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