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Doctor Letter

Determining Your Condition and Your Treatment

Important Information to Share with your Doctor

Having issues with your bladder can range from simple dripping, to sudden urges, to total loss of bladder control. Many bladder health issues can be managed with options you can discuss with your healthcare provider. It’s always important to keep your doctor informed on any symptoms you may be experiencing so that you can maintain a comfortable, safe, and healthy lifestyle.

UrAssist may help if you or your loved one suffers from a bladder condition.

Link to Self Assessment Questionnaire PDF

To help you and your doctor determine if you have a bladder condition and if UrAssist is suitable for you, we’ve created a brief questionnaire.

Link to Bladder Diary PDF

Simply print out the self-assessment questionnaire, answer the questions and bring to your next doctor’s visit. To help you keep track of bladder frequency and symptoms, print out the bladder diary and begin monitoring yourself and share with your doctor.

Link to Letter for your Doctor PDF

Also, be sure to print out the letter for your doctor that explains how UrAssist works and how it may be beneficial for your condition.

If you or your doctor has any questions about UrAssist, call toll free:

1-866-381-4134 and a representative will be happy to assist you.

Self-Assessment Questionnaire – print, answer and share with your physician to determine if you have a bladder condition or mobility challenges that affect your ability to get to the bathroom.

Bladder Diary – print out and monitor your bladder activity.

Letter For Your Doctor – print this letter about the UrAssist solution and share with your physician.

Always consult your doctor.

These tools are to help assist you in documenting symptoms so that you can share them with your physician. They are not intended to provide or replace medical advice from any healthcare provider. If you are experiencing difficulties with your bladder or mobility challenges, please contact your physician immediately.