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California State University, Long Beach
Student Health Services
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Student Health Forms

Authorization for the Release of Information

Authorization to Consent to Treatment of Minor

Advance Directives

Submit forms to Student Health Services in person, via fax or mail.

To fax health information please use this fax number:
(562) 985-1644

Mailing Address:

California State University, Long Beach
Student Health Services
1250 Bellflower Blvd., Long Beach, CA 90840-0201

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