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Prosthetic Urology Implant Identification Card (ID cards) and User Guide Request Form

Congratulations on your decision to receive a Boston Scientific Men’s Health implant

Identification cards are provided as part of your post-procedure support. If you received an ID card at your procedure, no further action is needed, and you do not need to request another ID card. To request your initial ID card if you didn't receive one at your procedure, or if you are in need of a replacement ID card, please complete the fields below confirming your implant details.

* Denotes required field

Device Implanted:
By submitting this form, I consent to Boston Scientific using all information I enter onto this form to contact me with information regarding its products and services, inform me regarding various news, events and research studies and allow Boston Scientific to use this information for additional purposes identified in its Privacy Policy and Terms of Use.