Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Sacramento State (California State University, Sacramento) – Student Health, Counseling & Wellness Services (SHCWS) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Sacramento State (California State University, Sacramento) – Student Health, Counseling & Wellness Services (SHCWS) fax number

(888) 318-5485

Student Health, Counseling & Wellness Services

Used for: Submitting immunization records and related consent documentation (MMR) for campus requirements

Fax destination details

Department
Student Health, Counseling & Wellness Services
Purpose
Submitting immunization records and related consent documentation (MMR) for campus requirements
Form
MMR Vaccination Screening and Consent Form — MMR Vaccination Screening and Consent Form
Address
Sacramento State SHCWS, 6000 J St., Sacramento, CA 95819, USA
Voice phone
(916) 278-6011

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the form with your name, birthdate, Sac State ID, and answer the screening questions; sign and date. The form is used to screen for MMR vaccination and to obtain consent for vaccination if applicable.

Official form instructions are published as a downloadable file on the organization's website.

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