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, 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 and/or Phone Number:

We will need either a phone number or email in order to contact you about your appointment.

Optional: This is a space to enter any information (access needs, concerns, etc.) you would like to share with the advocate, before you meet.

Best date and time for the appointment:

Second best date and time for the appointment:

Third best date and time for the appointment:

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