Please note: This document should be used as part of the process outlined on our main consent page. The form should be used to help record women’s understanding of the implications of the final agreed procedure.
This document is appropriate for clinicians obtaining the consent of women undergoing diagnostic laparoscopy and includes the documentation of the findings that may include photographs or video that will be retained as part of the patient records.
The document follows the structure of Consent Form 1 of the Department of Health, England/Welsh Assembly Government/Department of Health, Social Services and Public Safety, Northern Ireland. It should be used in conjunction with RCOG Clinical Governance Advice No. 6: Obtaining Valid Consent.
The aim of this advice is to ensure that all women are given consistent and adequate information for consent; it is intended to be used together with dedicated patient information. After discharge women should have clear direction to obtaining help if there are unforeseen problems.
Declaration of interests (guideline developers)
Mr S Banerjee FRCOG, Cambridge: Dr Banerjee is a Trustee and Conucil Member for the British Society for Gynaecological Endoscopy. He is also a Senior Lecturer at the Postgraduate Medical School of the University of Surrey.
Mr KS Arambage MSc, MRCOG, Oxford: None declared.
Mr TA Smith Walker MRCOG, Truro: None declared.