Online Forms

At Gresel Dental Hayward, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

 Patient information Form – Download & Print Form
 Health History Form – Download & Print Form
 Dental History Form – Download & Print Form
 HIPAA – Release Of Information Authorization Form – Download & Print Form
 Office Policies Form – Download & Print Form
 COVID-19 Questionnaire – Download & Print Form

Formularios en Español

 Spanish Health History Form – Download & Print Form
 Spanish Patient Form – Download & Print Form
 Spanish Dental History Form – Download & Print Form
 Spanish COVID-19 Questionnaire – Download & Print Form

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