Forms, Consents, Records Release

Signed completed forms may be returned in person, via fax to 916-278-7359, or mailed to:

California State University, Sacramento
Student Health & Counseling Services
6000 J Street
Sacramento, CA  95819-6045

Complete this form to request an administrative review of your fees.  The appeal process may take up to 14 business days before a decision is rendered.  The request does NOT guarantee a fee reversal,  failure to pay your fees will result in a registration hold on your student account.