Make an Appointment

Please fill out this form to schedule a non-urgent appointment with a CARE Advocate. The CARE office will contact you as soon as possible during business hours to confirm your appointment.

For first-appointment walk-in availability, please visit our CARE office at the Student Resource Building (SRB) during office hours 9am-12pm, 1pm-5pm, or call our 24/7 CARE advocacy line at (805) 893-4613

I want to speak to a CARE advocate immediately
Please call our 24/7 CARE advocacy line at (805) 893-4613.

I have an emergency, or feel I'm in immediate danger
If you have an emergency or feel that you may be in immediate danger, please call 911.

I have experienced a sexual assault within the last five days
-Call CARE at (805) 893-4613 to learn about the time-sensitive option to seek a free, confidential forensic medical exam.
-Visit Medical Information on How We Help to learn more.

Name:

Email:

We will need either a phone number or email in order to contact you about your appointment. If you feel it is unsafe contact you by email, type in the box "N/A" and fill in the phone box instead. We need a a way to contact you about the appointment.

Phone:

We will need either a phone number or email in order to contact you about your appointment. If you feel it is unsafe contact you by phone, type in the box "N/A" and fill in the email box instead. We need a a way to contact you about the appointment.

Best date and time for the appointment:

Appointments can be scheduled at M-F 9am-5pm; for advocacy needs outside of these hours, please call the 24 hour CARE line at 805-893-4613.

Second best date and time for the appointment:

Appointments can be scheduled at M-F 9am-5pm; for advocacy needs outside of these hours, please call the 24 hour CARE line at 805-893-4613.

Third best date and time for the appointment:

Appointments can be scheduled at M-F 9am-5pm; for advocacy needs outside of these hours, please call the 24 hour CARE line at 805-893-4613.

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