CCA Care Form
This form is not to be used to report an emergency.
If this is a medical emergency
call 9-1-1 and then call CCA Public Safety at
415.703.9510
.
If this is a psychological emergency, please contact CCA’s Mental Health Crisis Hotline at
510.594.5099
.
I am:
Please select...
A student
Faculty or Staff
A Community Member (Parent, Guardian, Employer, etc.)
I understand that the form I am submitting is not for an emergency.
Contact Information