To fill out forms for your appointments, click here.
Release of Information or Medical Records.
Authorization for Release or Request of Information - PDF
Treatment of Minors
Medical Exemption Request Form
Submit forms to Student Health Services in person, via fax or mail.
Confidential Fax Line: (562) 985-1644
California State University, Long Beach
Student Health Services
1250 Bellflower Blvd., Long Beach, CA 90840-0201