Student Health and Counseling Center

Information:

Forms

If you are the parent of a minor under 18 years of age, please fill this form out and fax it back to us at 657-278-3069. Minor Consent Form.

Most forms are available on our Titan Health portal page. Titan Health

Other Forms

Authorization for Disclosure and Release of Medical Information
This form must be completed before any medical record will be released.

Immunization Waiver Form
Informed Consent for Chiropractic Care

Contact Information:

Health Center:
Phone: (657) 278-2800
Fax: (657) 278-3069

CAPS:
Phone: (657) 278-3040

Hours of Operation (SHCC):

Monday: 8 am to 5 pm
Tuesday: 8 am to 5 pm
Wednesday: 8 am to 5 pm
Thursday: 9 am to 5 pm
Friday: 8 am to 5 pm
Saturday: Closed
Sunday: Closed

Hours of Operation (CAPS):

Monday: 8 am to 5 pm
Tuesday: 8 am to 5 pm
Wednesday: 8 am to 5 pm
Thursday: 8 am to 5 pm
Friday: 8 am to 5 pm
Saturday: Closed
Sunday: Closed

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Report problems to hcwebmaster@fullerton.edu. California State University, Fullerton ©2011. All Rights Reserved.

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