Forms

Prior to receiving an appointment with a Psychologist or a Counselor, you must follow the steps below.

WHAT YOU WILL NEED

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WHAT WE WILL NEED

Download, complete, and e-sign the appropriate forms

FORMS FOR INDIVIDUAL THERAPY

FORMS FOR GROUP THERAPY

OTHER IMPORTANT FORMS

HOW TO SUBMIT DOCUMENTS

Save the completed forms as a PDF using your CSUDH ID# and the title Intake or Consent as the saved filed name (Ex. 12345678Intake and 12345678Consent).

Submit completed forms to the Student Psychological Services Dropbox located at https://www.dropbox.com/request/h6CUhhPSF5qP80YwWsAR, or click on the box below.

Please call 310.243.3818 after you have submitted your forms to the Dropbox.

How to E-Sign the Forms
  • Open the .pdf file from the Student Psychological Services webpage (please note that not all forms require a signature, but there will be areas that we need you to fill in).
  • Select Fill and Sign from the Right Navigation Panel and then select Fill & Sign from your options.
  • The fill-able form is displayed. Once you complete your form and are ready to sign; click on the icon that looks like an ink pen (at the top of the toolbar).
  • Add your signature by clicking Add Signature.
  • Type your name on the line; draw it or insert an image of your signature. Click on Save Signature (for later use for other forms) and then click Apply.
  • Once you click Apply, the signature is on the form where you can drag to the signature line. Don't forget to date your document.

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