Please click HERE to display and complete the General Health History in your web browser.
When you have filled out the form, save it to your computer.
In Chrome or Firefox, click the downward-pointing arrow at the top right of the screen, then choose a location to save the file.
In Safari, choose File > Save As, then choose a location.
If your browser will not allow you to fill out the form online, try downloading it and double-clicking it to open and complete it. If you still have issues, please email us at the address below and we’ll do our best to help.
Finally, email the completed form as an attachment to DrMarcel@DrsHernandez.com.
Thank you. We will respond promptly. We look forward to discussing your needs and concerns.
650-282-5176 (voice and message)
650-447-2622 (fax)
Email: