Consent forms for SACT (Systemic Anti-Cancer Therapy)

Chemotherapy consent form image

What's new?

6 October 2016: Head and neck forms added

15 September 2016: Generic form updated

25 July 2016: National guidance updated

31 May 2016: Breast cancer forms added

Are you a clinician or other healthcare professional involved with consenting and treating patients with SACT?

We are working with Guy’s and St. Thomas’ NHS Foundation Trust to produce national standardised SACT regimen-specific consent forms.

Endorsed by the National Chemotherapy Board, we want to support clinicians in ensuring all patients are fully informed when consenting to SACT.

The National Chemotherapy Board has also issued guidance for the introduction of the national SACT regimen-specific forms by individual chemotherapy providers.

The consent forms and guidance document are available to download in PDF format. Forms are grouped by tumour-site.

Who has approved the content in these forms?

The programme is being led by a dedicated CRUK-funded oncology pharmacist at Guys’ and St. Thomas’ NHS Foundation Trust.

All forms are independently checked by an oncology/haematology pharmacist, oncology/haematology consultant and member of the National Chemotherapy Board.

Publishing, additions and updates

We are publishing forms by tumour site, the first were for breast cancer in May 2016. We will publish new forms for other tumour sites regularly.

Recent additions and updates will be highlighted on the "What's new?" section on this page, and details of when forms have been last updated is stated in each section. Please check for updated versions and ensure that you use the latest version of each form.

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