Get Boston Scientific Mh-394728-ah 2019-2026
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How to fill out the Boston Scientific MH-394728-AH online
The Boston Scientific MH-394728-AH is a critical questionnaire designed to assess sexual and bladder health after prostate cancer treatment. This guide will provide comprehensive, step-by-step instructions for completing the form online, ensuring you can submit your responses accurately and effectively.
Follow the steps to fill out the questionnaire accurately.
- Press the 'Get Form' button to access the Boston Scientific MH-394728-AH questionnaire and open it in the designated online editor.
- Enter the date of completion in the designated field.
- Fill in your name and birth date in the provided sections.
- Provide your phone number and the name of your urologist in the corresponding fields.
- Complete the Sexual Health Inventory for Men (SHIM) section by circling your answers and calculating your score based on your responses to the questions.
- Mark any erectile dysfunction (ED) treatments you have previously tried in the checkboxes provided.
- For the bladder health assessment, indicate how long ago you completed prostate cancer treatment and specify the type of treatment you received.
- Answer the questions regarding urine leakage honestly, following the prompts for frequency and amount.
- Rate how much the leaking interferes with your life and where you experience the leakage.
- Select any solutions you have attempted to manage your bladder leakage.
- Complete the customization section by filling in your consulting physician's name and office phone number.
- Choose your preferred method for returning the questionnaire (e.g., office visit or using the provided envelope).
- Review all the entered information for accuracy before saving.
- Save the completed questionnaire, download a copy, or print it for your records.
Take the next step in managing your health by completing the Boston Scientific MH-394728-AH online today.
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