Documents

Folders (1)

Name Files
A to Z of Chemotherapy Consent Forms 164

Files(18)

Name Size/Type Description Date
Abemaciclib consent 111KB PDF Abemaciclib consent 21 Apr 2020
Abraxane (nab-paclitaxel) & Gemcitabine consent 113KB PDF Abraxane (nab-paclitaxel) & Gemcitabine consent 21 Apr 2020
Abraxane (Nab-paclitaxel) consent 112KB PDF Abraxane consent 05 Jun 2020
Accelerated EC - Accelerated Paclitaxel consent 114KB PDF Accelerated EC - accelerated paclitaxel consent 05 Jun 2020
Accelerated EC - Docetaxel consent 114KB PDF Accelerated EC - Docetaxel consent 21 Apr 2020
Accelerated EC - Paclitaxel & Carboplatin consent 115KB PDF Accelerated EC - Paclitaxel & Carboplatin 11 Aug 2020
Accelerated MVAC consent 112KB PDF 21 Apr 2020
Afatinib consent 109KB PDF Afatinib consent 21 Apr 2020
Alectinib consent 98KB PDF Alectinib consent 30 Jan 2025
Alpelisib + Fulvestrant consent 113KB PDF 13 Feb 2023
Atezolizumab + Abraxane consent 116KB PDF Atezolizumab + Abraxane consent 02 Jun 2020
Atezolizumab + Bevacizumab consent 132KB PDF Atezolizumab + Bevacizumab consent 20 Sep 2024
Atezolizumab s/c consent 114KB PDF Atezolizumab s/c consent 18 Jan 2024
Atezolizumab, Bevacizumab, Paclitaxel & Carboplatin consent 143KB PDF Atezolizumab, Bevacizumab, Paclitaxel & Carboplatin consent 18 Jan 2024
Atezolizumab, Carboplatin & Etoposide consent 140KB PDF Atezolizumab, Carboplatin & Etoposide consent 18 Jan 2024
Avelumab and Axitinib consent 141KB PDF Avelumab and Axitinib consent 17 Aug 2020
Avelumab consent 112KB PDF Avelumab consent 21 Apr 2020
Axitinib consent 111KB PDF Axitinib consent 21 Apr 2020

Chemotherapy Consent Forms for Solid Tumours

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.

Please note that the consent forms below are not tumour-specific; one consent form may be used to consent patients for more than one St Luke’s Alliance chemotherapy protocol which uses the same combination of chemotherapy.

These consent forms should act as an aide-memoire to health professionals and patients, by providing a check-list of the kind of information which patients should be offered, and by enabling the patient to have a written record of the main points discussed.

The relevant Macmillan leaflet(s) should also be provided to each patient before consent. In no way should written information given to the patient be regarded as a substitute for face-to-face discussions with the patient.

These consent forms are for solid tumour chemotherapy only, and are NOT to be used for chemo-radiotherapy regimens.