Consent Forms for Radiotherapy and Chemo-Radiotherapy

All consent forms on this website are for the use of St Luke’s Cancer Alliance staff in respect of St Luke’s Cancer Alliance patients only.
For those who do not work within St Luke’s Cancer Alliance:
Use of this site and any information on it is at your own risk. We do not accept responsibility for the use of any information that may be set out on the website. You assume full responsibility for the use of the information.  You may wish to take your own legal advice before using any of the consent forms.

Documents

Files(15)

Name Size/Type Description Date
01 SABR MDT Referral Form 303KB PDF SABR MDT Referral Form 21 Aug 2023
Bladder cancer Consent 97KB PDF Bladder cancer Consent 21 Apr 2020
Brain Cancer Consent 102KB PDF Brain Cancer Consent 30 Oct 2023
Breast Cancer Consent 280KB PDF Breast Cancer Consent 03 Feb 2023
Consent Form 3 41KB PDF Consent Form 3 26 Oct 2020
Gynaecological cancers Consent 97KB PDF Gynae cancers consent 26 Oct 2020
Head & Neck Radical Radiotherapy Consent Form 249KB PDF Head & Neck Radical Radiotherapy Consent Form 03 Jul 2023
HPB Radiotherapy Consent 406KB PDF HPB RT consent 26 Oct 2020
Lung cancer Consent 93KB PDF Lung cancer Consent 21 Apr 2020
Oesophageal cancer Consent 95KB PDF Oesophageal cancer Consent 21 Apr 2020
Prostate Cancer Consent 62KB PDF Prostate consent 26 Oct 2020
Rectal and Anal cancer Consent 95KB PDF Rectal and anal cancer consent 26 Oct 2020
SABR Lung Consent 74KB PDF SABR Lung consent 26 Oct 2020
SABR Oligometastatic Consent 78KB PDF SABR OLigometastatic 26 Oct 2020
Skin Radiotherapy Consent 62KB PDF Skin RT consent 26 Oct 2020