Forms

Registration Health Requirements for New Students

Release of Information/Obtain Information

TB Risk Assessment

Please Note

New students who are also housing residents must also download and submit a second version of the Tuberculosis (TB) Risk Assessment (see below) to the Student Health Center via mail, fax or in-person submission.

Refer to Enrollment Immunization and Screening Requirements for additional details.

Submission Details

Forms that will be mailed or faxed should be submitted to the Student Health Center at:

  • Mailing Address: Cal State LA Student Health Center, 5151 State University Drive, Los Angeles, CA 90032-8411, Attention: Health Records
  • Health Records Fax: 323.343.6557

Please note:

  • Submitted documents must include student name, CIN, date of birth, and semester for which the student will first be enrolled.
  • Housing status must be indicated.