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Phone:  323-343-3300
Fax:  323-343-3304
 www.calstatela.edu/univ/hlth_ctr
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Download Forms
 
Below are forms available for download in PDF format. You are required to have Adobe Acrobat Reader to view these forms. You may download Adobe Acrobat Reader for free.
 
Student Health Center Forms
► Athletic Clearance - Returning Athlete
► Authorization and Consent for Treatment - Under 18
► Authorization and Consent for Treatment
► Authorization and Consent - Chiropractic Treatment
► Athletic Pre-participation Questionnaire
► Health Inventory and History
► Meningococcal
► Patient Address & Notification
► Health Requirements - for all New Students
► Health Requirements - for International Students
► Health Requirements - for ELP Students
► Health Requirements - for Housing Students





 
 


 

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LAST UPDATE:  May 07