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Patient History Questionnaire

At AUI, we’ve helped thousands of catheterized men with BPH live life catheter-free once more. Please answer the questions below to determine if a bladder function assessment can help you live a catheter-free life.

Sex:
Female
Male
5%


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76 Treble Cove Rd., Bldg. 3
N. Billerica, MA 01862 USA​
1-800-345-5642
www.srsmedical.com


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