Consent to Release Information forms

As a patient under assessment with the New Zealand Familial Gastrointestinal Cancer Service, your Family History Assessor may ask you (or your relatives) to complete a Consent to Release Information form. 

These consents allow us to confirm any reported cancers and/or relevant medical history in order to clarify your risk, give appropriate surveillance recommendations and offer advice as to whether any other investigations are appropriate.

We may require a consent to access information regarding yourself, a relative (to be signed by them) or a deceased relative (to be signed by their next-of-kin). All information is treated as strictly confidential. 

If you have been asked to fill out a Consent to Release Information form please click on the link below:

Consent to Release Information 

Completed consent forms can be returned via email or post.

Please ensure that your reference number is included on your form (this can be found at the top of any correspondence from our Service).


Patient eligibility

 The New Zealand Familial Gastrointestinal Cancer Service is funded by Health NZ.

Click the following link to check your eligibility for accessing publicly funded health services in New Zealand: Eligibility Criteria


Useful Website Links

For further information on Familial Gastrointestinal Cancer Syndromes, we have compiled a list of websites that you may find useful: 


International Society for Gastrointestinal Hereditary Tumours

Resources for HNPCC/ Lynch Syndrome, Peutz Jeghers Syndrome (PJS) and Familial Adenomatous Polyposis (FAP)

MD Anderson Clinic 

MD Anderson Clinic, Texas USA
Resources for HNPCC/ Lynch Syndrome and Familial Adenomatous Polyposis (FAP)

Cleveland Clinic

Cleveland Clinic, Ohio USA

Information of Hereditary Colon Cancer syndromes

St Marks Hospital 

St Mark's Hospital, London UK
Polyposis Patient information and Lynch syndrome