BLANK CONSENT FORM
Abdominal Hysterectomy (endo or uter ca)
Breast Biopsy
Breast, Central Duct Excision
Breast Wire Localization Biopsy (Mammographic mass)
Breast Wire Localization Biopsy (Microcalifications)
BRCA Positive (BSO)
Cervical Cone Biopsy
Cesium / Fletcher Suit Insertion
Conization
D&C / Dilatation and Curettage (incomplete abortion, retained POC)
D&C / Dilatation and Curettage (missed AB)
D&C / Dilatation and Curettage (No indication specified)
D&C, Hysteroscopy (Abnormal uterine bleeding)
D&C, Hysteroscopy (Post menopausal bleeding)
Fletcher Suit Insertion / Cesium
Hysteroscopy, Diagnostic
Hysteroscopy, Dilation & Curettage (Abnormal Uterine Bleeding)
Hysteroscopy, Dilation & Curettage (Post menopausal bleeding)
Hysteroscopy, Flexible
Laparoscopic BSO for BRCA Positive
Laparoscopy, Diagnostic (No indication specified)
LEEP
Radical Abdominal Hysterectomy
Radical Abdominal Hysterectomy, BSO
Second look laparotomy (Ovarian Cancer)
Staging procedure for ovarian cancer
TAH (Total Abdominal Hysterectomy)
TAH/BSO (Total Abdominal Hysterectomy, BSO)
Vaginal Hysterectomy
Vaginal Hysterectomy, BSO
Vulvectomy (Partial)
Vulvectomy (Radical)
Vulvectomy (Total)
