Shim form 2026

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01. Edit your shim form online
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  1. Click ‘Get Form’ to open the shim form in the editor.
  2. Begin by entering your date and personal information, including your name, birth date, and phone number. This ensures that your responses are accurately linked to your profile.
  3. Proceed to the Sexual Health Inventory for Men (SHIM) section. For each question, circle your answer based on your experiences over the past six months. Make sure to add up your score at the end of this section.
  4. Next, check any ED treatments you have tried by marking the appropriate boxes. This helps provide a comprehensive view of your health history.
  5. Move on to the Bladder Health Assessment section. Answer questions regarding urine leakage and any coping solutions you have attempted. Be thorough for accurate assessment.
  6. Finally, customize the form by entering your consulting physician's name and office phone number, then choose how you would like to return the questionnaire.

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Versions Form popularity Fillable & printable
2019 4.9 Satisfied (39 Votes)
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