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Intake Quiz

Please complete the form below to receive personalized treatment tailored to your needs

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1. What is your main bladder goal?*
2. What is your gender?*
3. What is your age?*
4. Do you get UTIs after sex?*
5. Have you ever seen blood in your urine with no UTI symptoms?*
Sorry we are currently unable to serve patients below 18.

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Sorry we are currently unable to serve patients over 65.

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Sounds like you’re a complicated lady, we recommend you see a local urogynecologist or urologist.

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Since you have symptoms that are not quite right for a simple UTI, we recommend seeking local care in person immediately.

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It sounds like you might have a more complicated problem, we recommend you see a local urogynecologist or urologist.

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Sorry we only treat ladies.

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