Registry Forms and Patient Information
Patient Information Statement
All patients admitted to a participating hospital for CSF shunt surgery will be sent a patient information sheet from the Registry or given this information in hospital. This sheet explains what the Registry is about and how data is collected.
Download a sample Patient Information Statement here
This brochure gives an overview of the aims and objectives of the Shunt Registry
If you are in New Zealand - click here
If you are in Australia - click here
Data Collection Form
This form shows what data is collected for entry into the Registry.
Please contact the Registry (firstname.lastname@example.org) if you are a hospital site requiring forms
Download a sample Data Collection Form here
This form allows you to remove some or all of your information from the Registry.
There are two opt-out forms
If you are the person who has had the surgery and would like to opt-out out - click here
If you are a parent/guardian opting out on behalf of someone else - click here