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Patient History Questionnaire

Based on your questionnaire responses, you may be a candidate for catheter removal. Would you like our nursing staff to call and schedule a bladder function assessment with Dr. Richard Roach at Advanced Urology Institute in Oxford, FL?
Please provide your name and phone number:
Submit


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N. Billerica, MA 01862 USA​
1-800-345-5642
www.srsmedical.com


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