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.
  • 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).

     

Useful Resources

Click here to view our printable Information for Families brochure

 

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

MD Anderson Clinic, Texas USA

Resources for

Cleveland Clinic, Ohio USA

Resources for:

St Mark's Hospital, London UK

Resources for: