• PCC Summer Hours: Most offices closed Fridays. Check service websites for specific information.
Pasadena City College
PCC Home
Translate Toggle the Main Menu
Pasadena City College
PCC Home
Pasadena City College
PCC Home
Pasadena City College Home
  • Apply Now
    • LancerPoint
    • Canvas
    • PCC Connect
  • Campus Maps
  • Calendar
  • People
  • Search PCC
HSI Logo Proud HSI
  • Future Students
  • Current Students
  • Faculty & Staff
  • Community
  • Give
  • Campus Maps
  • People
  • Calendar Events
  • Translate
  • Apply Now
    • LancerPoint
    • Canvas
    • PCC Connect
  • About
      • Quick Look
      • About PCC
      • History
      • Quick Facts
      • College Leadership
      • College Governance
      • Student Success
      • Accreditation
      • Campuses
      • Locations
      • Campus Maps
      • Directions
      • Child Development Center
      • Offices
      • Business & Administrative Services
      • Communications & Marketing
      • Economic Workforce Development
      • Human Resources
      • Institutional Effectiveness
      • Office of Instruction
      • Student Services
    • PCC 100
      • Equity, Diversity and Justice
      • Foundation
      • Give
      • Tour PCC
      • News & Events
  • Admissions & Aid
      • Admissions
      • Overview
      • Tour PCC
      • Outreach Office
      • Admissions & Records
      • Aid
      • Financial Aid Office
      • Types of Aid
      • Fees & Tuition
      • Important Deadlines
      • Special Admission
      • PCC Non-Credit Division
      • PCC Extension
      • International Students
      • Health Sciences
    • Apply Now
      • Already applied?
      • See Next Steps
  • Academics & Support
      • Programs
      • Academics Overview
      • Programs & Career Pathways
      • Degrees & Certificates
      • Areas of Study
      • Divisions
      • Online Courses
      • Support
      • Support Programs
      • Counseling
      • Tutoring
      • International Students
      • Career Center
      • Transfer Center
      • Enrichment
      • Middle or High School Student
      • Continuing Education
      • Honors
      • Study Abroad
      • Schedule of Classes
      • How to Register
      • Catalog
      • Library
      • Bookstore
  • Campus Life
      • Get Involved
      • Athletics
      • Student Government
      • Student Clubs
      • The Arts at PCC
      • Services
      • Lancer Care Center
      • Cross Cultural Center
      • Safe Zones
      • Health & Well Being
      • Student Health Services
      • Mental Health & Wellness Services
      • PCC Dental Clinic
      • Lancer Pantry
      • Campus Life Overview
      • News & Events
      • PCC Fan Gear
      • Bookstore
      • Police & College Safety
  • Finish
      • Degrees & Certificates
      • Complete Your Degree
      • Complete Your Certificate of Achievement
      • Occupational Skills Certificate
      • Transfer
      • Apply to Transfer
      • Transfer Requirements
      • Transfer Admission Guarantee
      • Transfer Center
      • GE Certification
      • Graduation
      • Graduation Overview
      • Apply for Graduation
      • Commencement
      • Order Official Transcripts
      • PCC Complete
  • Translate Website
Apply Now
Quicklinks
  • Schedule of ClassesSchedule of Classes
  • MapsMaps
  • CanvasCanvas
  • DirectoryDirectory
  • LibraryLibrary
  • LancerPointLancerPoint
  • CalendarseCalendars
  • BookstoreBookstore
  • Student EmailStudent Email
  • News and EventsNews & Events
  • Police and College SafetyPolice & Safety
  • PCC ConnectPCC Connect
  • ParkingParking
  • Translate this PageTranslate this Page
Future Students
Current Students
Faculty & Staff
Community
About
Quick Look
  • PCC 100
  • About PCC
  • History
  • Quick Facts
  • College Leadership
  • College Governance
  • Student Success
  • Accreditation
Campuses
  • Locations
  • Campus Maps
  • Directions
  • Child Development Center
Offices
  • Business & Administrative Services
  • Communications & Marketing
  • Economic Workforce Development
  • Human Resources
  • Institutional Effectiveness
  • Office of Instruction
  • Student Services
Admissions & Aid
Admissions
  • Overview
  • Tour PCC
  • Outreach Office
  • Admissions & Records
Aid
  • Financial Aid Office
  • Types of Aid
  • Fees & Tuition
  • Important Deadlines
Special Admission
  • PCC Non-Credit Division
  • PCC Extension
  • International Students
  • Health Sciences
Academics & Support
  • Schedule of Classes
  • How to Register
  • Catalog
  • Library
  • Bookstore
Programs
  • Academics Overview
  • Programs & Career Pathways
  • Degrees & Certificates
  • Areas of Study
  • Divisions
  • Online Courses
Support
  • Support Programs
  • Counseling
  • Tutoring
  • International Students
  • Career Center
  • Transfer Center
Enrichment
  • Pre-College Programs
  • Continuing Education
  • Honors
  • Study Abroad
Campus Life
  • Campus Life Overview
  • News & Events
  • PCC Fan Gear
  • Bookstore
  • Police & College Safety
Get Involved
  • Athletics
  • Student Government
  • Student Clubs
  • The Arts at PCC
Services
  • Lancer Care Center
  • Cross Cultural Center
  • Safe Zones
Health & Well Being
  • Student Health Services
  • Mental Health & Wellness Services
  • PCC Dental Clinic
  • Lancer Pantry
Finish
  • Order Official Transcripts
  • PCC Complete
Degrees & Certificates
  • Complete Your Degree
  • Complete Your Certificate of Achievement
  • Occupational Skills Certificate
Transfer
  • Apply to Transfer
  • Transfer Requirements
  • Transfer Admission Guarantee
  • Transfer Center
  • GE Certification
Graduation
  • Graduation Overview
  • Apply for Graduation
  • Commencement
What are you looking for?
Enter your search query here then click "Search" button.

View Directory

  1. Home Icon
  2. Campus Life
  3. Student Health Services
  4. Forms
Student Health Services
  • Home(current)
  • About
    • Overview
    • Staff
    • Confidentiality & Privacy
    • Disclaimer
    • Frequently Asked Questions
  • Services
    • Overview
    • Illnesses & Injuries
    • Women's Health Services
    • Immunizations
    • Quit Smoking Program
    • Medications & Prescriptions
    • STI & HIV Testing
    • Emergency Response
  • Appointments & Access
    • Appointments
    • Who Can Use Student Health Services
    • Student Health Fee & Costs
  • Resources
    • Forms
    • Campus Smoking Resources
    • Community Resources
    • Health Related Websites
    • Health Insurance Enrollment
  • Contact Us
  • Student Health Portal 

Student Health Services Forms

  • 10-Panel Acknowledgement Form
  • Minor Authorization Consent Form
  • Authorization to Release Health Information Form
  • PE Exemption Form
  • Nutritional Assessment
  • Health Questionnaire/Telehealth
  • Telehealth & Fees Consent Form
Visit Student Health Services
  • D-105
  • medicalSHS@pasadena.edu
  • (626) 585-7244

  • Monday, Tuesday, Wednesday & Thursday 8 am-4:00 pm
    Friday, 8 am-12:30 pm

Afterhours Mental Health Crisis
Dial 626-585-7273 and press 9
to be connected to a clinician

Go to the Student Health Portal

01/21/2025

  • Pasadena City College
  • 1570 E. Colorado Blvd.
    Pasadena, CA 91106
    626 585 7123
  • Follow Us
  • Instagram Facebook Twitter YouTube LinkedIn Tiktok PhotoShelter

    See What's Trending at PCC
  • Find Us
  • Contact Us
  • Maps
  • Directory
  • About Us
  • Leadership
  • Accreditation
  • Pregnant & Parenting Students
  • Title IX Information
  • Board of Trustees
  • Student Success
  • News & Events
  • Jobs at PCC
  • Emergency Info
HSI Logo
Copyright 2025 Pasadena City College
  • Translate this Page
  • Privacy
  • About This Site
  • Report a Website Issue

Select a language.

©