Frequently Asked Questions

Emotional/Mental Health

Things to know about antidepressants:

When starting an antidepressant, there are several things to remember:
In general it takes at least 2 weeks (sometimes as long as 6 wks) to start feeling the benefit of these medications.  Take them consistently as prescribed and keep follow-up appointments. 
Common side effects when starting these medications can be a little nausea or diarrhea, headache, slight increased agitation or anxiety, decreased interest in sex or ability to orgasm, or increased difficulty sleeping.  If these occur and are tolerable, continue taking the medication.  Most side effects will stop within 2 weeks of regular dosing. 
If side effects occur that are intolerable, stop the medication and return to the clinic.  Please report immediately if you have increasing thoughts of suicide, sudden or dramatic changes in mood or increased panic, acting on dangerous impulses, acting aggressively or being violent, worsening depression or anxiety, or extreme increase in mood (called mania).
Remember that the more you do to help yourself, the more effective treatment will be.  Attend counseling, eat healthy small meals, get adequate sleep, exercise regularly, avoid intoxicants, and practice relaxation or meditation.

If you feel you are in crisis after business hours, call the Mental Health Crisis number at:  888-849-5728.

HSU Student Health Center:  707-826-3146

HSU Counseling and Psychological Services:  707-826-3236

 

Tips for Good Sleep

Experiencing problems with your sleep?  Here are several guidelines for getting back on track:
1. Get up and go to bed at the same time every day, even on weekends.  You are training your body to get into a sleep schedule.  Even if you had a tough time falling asleep the night before, it is important to get up when the alarm rings.  You may be a bit tired during the day, but you will be more likely to fall asleep on schedule that night. 

2. Develop sleep rituals.  Give your body cues that it is time to slow down and sleep.  For example, listen to relaxing music, read something soothing, have a cup of chamomile tea, meditate, or do relaxation exercises.

3. Don’t try to “make” yourself sleep.  If it has been over 20 minutes since you went to bed and you are still lying there awake, get up and do something boring for a short stretch of time.  For example, move to a couch or chair in a dimly lit place and read something that is fairly dull.  This is not the time for a new Stephen King novel.  Let yourself get drowsy and then get back into bed. 

4. Exercise, but do it early in the day (at least 3 hours before bedtime).  Exercise that gets your heart pumping (cardiovascular exercise) is most helpful.   Morning/early afternoon exercise is best: 20+ minutes of cardio or 45-60 minutes of brisk walking.

5. Only use your bed for sleeping and sex.  Don’t use it to watch TV, do homework, read, etc.  You are training your body to associate bed with sleep. 

6. Avoid caffeine, nicotine, alcohol and other drugs at least 4-6 hours before bed.  Caffeine and nicotine are stimulants that interfere with your ability to fall asleep.  Alcohol, while it may feel like it helps you get to sleep, will actually interfere with your ability to have a deep restful sleep (that is, you will actually wake sporadically throughout the night).  If you are a caffeine drinker, try limiting it to 1-2 cups in the morning; if you are still having trouble with sleep, try cutting caffeine altogether.

7. Don’t go to bed hungry or overly full.  It may be helpful to have a light snack before bed.  Having a glass of warm milk is actually quite helpful as this contains a natural sleep inducer (tryptophan).

8. Make sure your bed and bedroom are quiet and comfortable.  If there are external noises that are bothersome, wear earplugs or use a “white noise” machine.  Consider a “blackout shade” for your windows if the light bothers you in the mornings.  Make sure you are comfortable in terms of temperature (that the room is neither too hot nor too cold).  Typically, most people do best with the room a little on the cooler side (60s).  Make sure to have adequate blankets.

9. Take a hot bath or shower 90 minutes before bedtime.  There is research that shows that a drop in body temperature following a bath may leave you feeling sleepy.

10. Use sunlight to set your biological clock.  As soon as you get up in the morning, go outside and turn your face to the sun for 15 minutes.

11. If you can’t sleep, try to avoid getting too upset about it.  Pay attention to your thoughts and whether they are likely hindering or helping.  Tell yourself that, if you don’t get much sleep that night, you will likely be tired the next day, but you will be able to function adequately and your sleep is likely to be better the next night.

12. Avoid prolonged use of sleep medications.  Short-term sleep aids can be helpful in getting a couple of nights of good rest during a difficult period, but long-term use of medications should be avoided.  Certain medications, once stopped, can cause rebound insomnia, and medications can be habit-forming.  See your health care professional about the appropriate use of such medications.  Overall, lifestyle changes are safer and more effective in producing quality sleep over time.
Resources: Some of the above tips are adapted from The Anxiety & Phobia Workbook by Edmund Bourne, Ph.D.

 

Do you have any of these Signs of Symptoms of Substance abuse? If yes, please seek help at the SHC or CAPS.

 

Signs and Symptoms of Substance Abuse and/or Dependence

  • Recurrent substance use resulting in failure to fulfill role obligations at work, school, or home (e.g.: repeated absences at school or work, not completing homework or job duties, suspensions, expulsions, neglect of children or household work).
  • Using substances in physically hazardous situations (e.g.: while operating a machine or driving an automobile or motorcycle).
  • Legal problems related to substance use (e.g.: DUI/DWI, disorderly conduct).
  • Using substances despite having persistent or recurrent social or interpersonal problems caused or increased by the effects of substances (e.g.: arguments with friends/family, physical fights).
  • Needing increased amounts of the substance to achieve intoxication or a desired affect
  • Using more of the substance than intended or using the substance more often
  • Unsuccessful attempts to cut down or control substance use
  • Experiencing withdrawal effects or utilizing the substance to relieve or avoid withdrawal effects (e.g.: headaches, vomiting, anxiety, depression, sleeping a lot or too little, transient visual, tactile, or auditory hallucinations or illusions, psychomotor agitation, seizures, increased sweating or pulse greater than 100, dry mouth, increased or decreased appetite).

 

I think I have Attention Deficit Disorder. Can I receive services such as diagnosis and treatment for this at the Student Health Center?

No. We are not able to provide services for diagnosing or treating Attention Deficit Disorder. Click here to learn more and find providers in the area who may provide these services.

 

Sexual and Reproductive Health

How do I get Emergency Contraception?

What is Pre-Cum (Pre-Ejaculate)?

20 Questions about Masturbation

How to Correctly Use a Condom

Accidents & Injuries

Can I get crutches at the Student Health Center?

Yes, we have crutches and canes for rent. Your student account will be charged a deposit when you check them out, and the charge is reversed (except for a $5 rental fee) when they're returned in good condition.

 

I have an injury and need help getting around campus.

The Student Disability Resource Center has a tram service to help transport students with mobility issues around campus. If you need tram services, you will need to be seen at the Student Health Center to complete a Medical Documentation Verification Form.

 

Coughs, Colds, & Sore Throats

Is there a treatment for the flu?

There are prescription antiviral medications that can be used to treat the flu. These medications can decrease symptoms and shorten the time you are sick by 1 to 2 days. Most healthy people do not need these medications and will get better on their own. People at risk for complications from the flu should see their healthcare provider promptly to receive a prescription. The medication works best if taken within the first 48 hours of the illness. See if you are at risk for complications.

 

Pharmacy

When will my prescription be ready?

Most in-house prescriptions will generally take about one hour from the time it is transmitted by your provider. Please present your HSU student identification card for pick-up. Prescriptions not picked up within 10 business days of request or transmission will be returned to stock. In California, non-controlled prescriptions are valid for one year from the original date; controlled prescriptions are valid for 6 months from the original date.

 

Can someone else pick up my prescription for me?

Yes, the person picking up must have their own photo identification card and the patient’s HSU student identification card.

 

Can I get a prescription from an outside provider filled at the Student Health Center Pharmacy?

Yes, our Student Health Center Pharmacy accepts all valid prescriptions from outside providers; however, we do have a LIMITED formulary (approximately 130 prescription items) and do not bill any third party insurance other than the California Family Planning, Access, Care, and Treatment (Family PACT) program. The charge is typically less than an off-campus retail pharmacy since we only charge our acquisition cost in addition to a $4 dispensing fee. Feel free to call the pharmacy at (707) 826-5043 to inquire if your prescribed medication is on our formulary.

 

How do I pay for my prescriptions?

All charges will be billed to your HSU Student Center that can be accessed through the campus portal myHumboldt. We do not accept any form of payment at the Student Health Center. You will usually see the charge within a few weeks of service date, and payment will be due within one month of posting date. The item description of the charge will be listed as “Health Center – Pharmacy” in the Account Activity tab. Please be aware that medications administered during your medical visit to the clinic are also charged under the same item description. You can pay in person at the Cashiers office on the second floor of the Student & Business Services (SBS) building or online via myHumboldt (online credit card payments are subject to a 2.75% service fee). A detailed receipt of the charges may be obtained in person at the Student Health Center Reception window - please present your HSU student identification card.

 

Can I use my private health insurance to pay for prescriptions?

No, we do not accept any health insurance plans, other than Family PACT. Students will be charged out-of-pocket our acquisition cost in addition to a $4 dispensing fee.

 

What if I want to use my insurance to pay for my prescriptions?

Please inform your provider at the beginning of your visit. If a prescription is warranted upon evaluation, your provider can electronically send your prescription to the pharmacy of your choice or provide you with a paper prescription to take with you. Here is a link to a list of local pharmacies in the area.

 

Does the pharmacy transfer prescriptions from off-campus pharmacies?

No, the Student Health Center Pharmacy generally does NOT transfer to or from other pharmacies. Special circumstances may warrant a transfer, but this will be at the sole discretion of the pharmacist. New prescriptions may be called (707) 826-5043 or faxed (707) 826-5012 directly from the provider’s office.

 

Do I need to be seen by a provider to get over-the-counter items from the pharmacy?

No, we have a variety of over-the-counter products to cover your basic healthcare needs available to all currently enrolled students; we cannot sell to staff, faculty, or the general public. We have products to relieve cold symptoms, seasonal allergies, constipation, heartburn, diarrhea, headache, etc., as well as basic first aid, pregnancy tests, and feminine products. The pharmacist will gladly help you select the proper over-the-counter product to relieve your symptoms. Please present your HSU student identification card. We do not accept any form of payment at the Student Health Center. All items will be charged to your HSU Student Center

 

Can I purchase emergency contraception at the pharmacy?

Yes, emergency contraception is available over-the-counter to currently registered students aged 17 and older. Currently we charge $20 plus tax charged to your HSU Student Center. Please present your HSU student identification card. If you would like your Family PACT to cover your emergency contraception, please call the HSU Health Center Clinic line at (707) 826-3146 for details.

 

X-ray Services

How much is an x-ray?

The x-ray process itself is free. $25 is billed to your student account to cover the reading by a radiologist. Each x-ray exam costs $25 and will be billed to your student account. No payment is necessary at the time of service.

 

Will I find out the results right away?

Your provider will take an initial look at the x-rays for a preliminary reading the same day. The x-rays will be sent to a radiologist for the “official” reading which is generally back the following day.

 

Can I get a copy of my x-ray?

Yes, the image can be burned to a disc for you upon request.

 

Should I be concerned about the amount of radiation I’m getting?

No. First, the light rays are “collimated” which means they run parallel and therefore the spread of light is minimal. Secondly, you will be wearing protective shielding. For these reasons, x-ray exposure is limited. The radiation exposure from one chest x-ray is roughly equivalent to the amount one experiences from natural surroundings in 10 days.

 

Laboratory Services

How long do lab results take?

Most results return within a week.

 

How will I get my lab results?

The lab does not give out results.  You can only get your results from a provider.  In most cases, “no news is good news,” however, you and your provider can discuss this at the time the lab was ordered.

 

Naloxone

What do I do if my Naloxone expires?

Expired Naloxone can be returned to Humboldt County Public Health or disposed of in a sharps container at any pharmacy.  Naloxone loses its impact over time as well as from too much heat or cold, or exposure to sunlight. Expired naloxone will not hurt the victim, but probably does not work as well as new naloxone. Contact Humboldt County Public Health Health Education Dept for Naloxone to learn on how to use Naloxone, or to get a free Naloxone kit, phone 707-268-2132.
 
SHWS is not equipped to handle emergency services however UPD does carry Naloxone to administer in the event of possible opioid overdose
 

Charges & Fees

How will I be billed?

All charges will be billed to your HSU Student Center that can be accessed through the campus portal myHumboldt. We do not accept any form of payment at the Student Health Center. You will usually see the charge within a few weeks of service date, and payment will be due within one month of posting. You can pay in person at the Cashier’s office on the second floor of the Student & Business Services (SBS) building or online via myHumboldt (credit card payments are subject to a 2.75% service fee).

 

Can the health center bill my insurance?

The health center does not bill insurance. Please check with your insurance company to identify providers in Humboldt County who accept your insurance.

 

Affordable Care Act

Who should be looking to buy insurance on the ACA exchanges (Covered CA)?

Those who don't have insurance now and those who currently purchase their own insurance (meaning they don't get it through an employer).

 

How will the exchange work?

You do it all online. Each state has its own website (California = Covered California). You go to the website (www.coveredca.com), provide some basic information (like where you live and how old you are) and you'll get a list of plans available in your area.

 

What if I need help going through the process?

Call the Covered CA line (800-300-1506). There are trained people there called assisters and navigators who can walk you through the process.

 

What kind of benefits will I get?

  • outpatient care
  • emergency services
  • hospital care
  • mental health and substance abuse care
  • rehabilitation
  • lab work
  • prescription medicines
  • wellness services
  • pediatric care
  • maternity and newborn care

Plans will also give you some services that PREVENT illness for free. You will not be charged a co-pay or deductible for these. Birth control that requires a prescription will also be available for free. Here are some of the free services:

  • blood pressure screening
  • cholesterol screening
  • colo-rectal cancer screening
  • depression screening
  • diabetes screening
  • diet counseling
  • HIV screening
  • vaccines for adults
  • tobacco use screening
  • mammograms for women
  • cervical cancer screening for women
  • osteoporosis screening for women

 

Do I really need it?

If you already have health insurance, such as through your job, you may not need to sign up. But you must have a certain amount of health insurance - otherwise you risk being fined. This fine will get bigger over the next few years.

 

What will my options be?

You will be able to pick from plans that have different premiums, co-pays, deductibles, and coverage. Different plans will work with different providers. Make sure your provider is "in network" if you want to keep seeing him/her. Also, check the plan to make sure your medicines will be covered.

 

How do I sign up?

www.coveredca.com

You may also go to www.healthcare.gov to learn about plans in your area - you may also call 800-318-2596. These resources can also help you find out if you can get financial help with your plan or perhaps a tax credit.

 

What else can I do to decrease costs?

You may get lower costs if you don't smoke and if you try to keep a healthy weight.

 

Can I be turned down by a plan?

You can't be turned away or charged more because of a condition you already have. You can't be charged more for a plan if you're a woman. There are no lifetime or yearly spending limits on your care.

 

Are you on your parents’ plan and under 26?

You may not need to sign up. Talk with your parents about health insurance options.

 

What information will I need to sign up on the website?

Be ready with your social security number, income information and policy numbers of health insurance plans currently covering your family members. The sooner you sign up, the sooner your coverage will begin.

 

What is the Affordable Care Act (ACA)?

The Affordable Care Act, also known as the health care law, was created to expand access to affordable health care coverage to all Americans, lower costs, and improve quality and care coordination.

 

What's the Health Insurance Marketplace?

The Marketplace is a new way to shop for and purchase private health insurance (for example, health coverage other than VA health care programs) that fits your budget and meets your needs. People who purchase insurance through the Marketplace may be able to lower the costs of health insurance coverage by paying lower monthly premiums. (www.healthcare.gov)

 

What happens if I do not have health coverage?

You do not have to make a payment if you have coverage that meets a minimum standard (called "minimum essential coverage"). If you have access to affordable coverage but remain uninsured starting in 2014, you may have to make payment when filing your taxes. This payment will either be a flat fee or a percentage of your taxable household income, depending on which amount is higher. This payment will be phased-in according to the schedule below:

  • $95 or 1% of your taxable income in 2014
  • $325 or 2% of your taxable income in 2015
  • $695 or 2.5% of your taxable income in 2016

Exemptions from the payment will be granted under certain circumstances. For more information on these exemptions, visit www.healthcare.gov.

 

If I'm enrolled in a VA health care program, do I meet the requirement for health care coverage?

Yes. If you are enrolled in any of VA's programs below, you have coverage under the standards of the health care law:

  • Veteran's health care program
  • Civilian Health and Medical program (CHAMPVA)
  • Spina bifida health care program

Where can I get more information about veterans and the ACA?

Visit the VA's website at www.va.gov/aca or call 1-877-222-VETS (8387) M-F 8:30am to 10pm, or Sat 11am-3pm EST. For information on the Marketplace, visit www.healthcare.gov.

[from "Questions and Answers About the Affordable Care Act" (Prescriber's Letter, September 2013; and from "VA Health Care and the Affordable Care Act: Frequently Asked Questions" (June 2013)]

 

Forms/Medical Records

What health center forms do I need to complete before starting at HSU?

To prevent delays in receiving medical care and to avoid a hold on your registration, please complete the following forms:
1. The Registration & Consent Form 
2. Complete the immunization form through the Secure Message Portal AND fax or mail a copy of your immunization record to the Student Health Center.
3. Complete the Medical Record Release Form if you have medical records to transfer from another healthcare facility to the Student Health Center.

 

How do I get a note to withdraw from one or more classes?

Are there any limits to confidentiality at the Student Health Center?

Yes, there are a few permitted or required by law. Our medical staff are “mandated reporters” and are required by law to report injuries caused by weapons, possible sexual assault, domestic or child abuse, or if you are in danger of injuring yourself or others. If you wish to discuss your situation with someone who is not a “mandated reporter”, we can connect you with certain staff members who have no mandated reporting requirement. Also, if a clinician feels that your health or safety, or those of others, are immediately at risk, they may consult anyone who may be of help, including police, with or without your permission.

 

When will Emergency Contacts be called?

Emergency Contacts will be called when Student Health Center staff become aware that the student is experiencing a major medical or psychiatric emergency; one in which their life, safety or long term health appear to be at risk. They may also be contacted as explained above, even without the student’s permission, if the student’s situation puts themselves or others in dire risk. However, they will be contacted for less dangerous or severe medical or psychiatric problems only at the student’s request.

 

Can parents or guardians gain access to information about students’ health problems or care at the Student Health Center?

Since the vast majority of students are 18 or older, they have legal status as adults, and therefore under Federal law have control over what medical information about them can be released to whom. Thus, documented consent from the student is necessary for any information to be released to anyone, including parents and guardians, with a few exceptions as discussed above. We will certainly be willing to listen to parents’ concerns, but what we can tell you is quite limited without a student’s permission. For students under the age of 18, parents or guardians may request and receive information, though information about birth control, pregnancy, treatment of sexually transmitted diseases cannot be discussed even with parents under California state laws, without the student’s documented permission. Such permission can be given in writing or verbally to Health Center staff. In instances of sexual assault or psychiatric problems, parents will not be contacted if the treating clinician determines that it would harm the student to do so.

 

What is the Secure Message Portal and just how “secure” is it?

The Secure Message Portal is a feature of our computerized Medical Record System, which allows us to communicate with patients in a medically confidential fashion, as required by Federal law. It is password-protected to maintain this confidentiality. Not only can messages be sent, but copies of lab reports and important forms reside in the Secure Message Portal. Don’t share your password with anybody, unless you’re OK about them seeing your confidential info!

 

Immunizations/Holds on Registration

Why do I have a hold on my registration?

If you do not provide your immunization records in the 2 step process described here, you will be allowed to register and attend your first semester; however, a registration HOLD will be placed on your account if these records are not received before it is time for you to register for your second semester. The registration HOLD will be removed only after the records are received at the Student Health Center. If you have questions, please contact us at (707) 826-5036.

 

What if I can’t find my immunization records?

If you can’t find your immunization records, you can do any of the following:

  • Obtain a blood test (titer) to show that you are immune to Measles, Rubella, and Hep B. You can get a titer at the Student Health Center for a small fee.
     
  • Complete an immunization waiver. 
    IMPORTANT NOTICE! If a measles or mumps outbreak should occur on campus, students who lack verification of MMR immunity (including those who have waived vaccination) may be asked to remain off campus until the outbreak is declared over by campus health officials. This could take up to several weeks.

 

Where can I get vaccinations?

Parents & Family Members

What types of services are offered at the health center?

Our accredited health center provides basic services at no cost to the student. These services include doctor/nurse visits and referrals. Additional charges may apply for augmented services, such as x-rays, lab work and pharmaceuticals. These charges are applied to the student’s account as we do not accept cash or credit cards. See “Charges/Fees”

 

My student already has health insurance; do we still need to pay the health fee?

Yes. The Health Services fee is a mandatory fee, paid as part of tuition, which provides services to all enrolled students.

 

Can the health center bill my insurance?

The health center does not bill insurance. Please check with your insurance company to identify providers in Humboldt County who accept your insurance.

 

Can parents discuss students' medical problems or care with Student Health Center providers?

Since students 18 years or older are adults under the law, they have control over what and with whom their health care can be discussed. In all but the most dire situations (such as those in which the student's life or well being are under serious threat), we will need to have verbal or written permission from the student before providers can discuss their health care with anyone who is not another health professional involved in their care.

 

Since my student has access to the services at the Student Health Center, do you recommend I cancel his/her health insurance?

No. We recommend that students maintain health insurance coverage for emergency or specialty care services.

 

My student does not have health insurance. Do you sell student health insurance?

HSU does not require nor sell insurance. However, it is important for students to have insurance coverage for emergency and specialty care services. Many CSU students and their families may be eligible for financial assistance in purchasing health insurance. In California, the exchange for health insurance is called Covered California, an online marketplace for affordable health insurance. Individuals and families may qualify for financial assistance in paying the costs of health insurance coverage. More information can be found at www.coveredca.com or www.calstate.edu/coveredca/about.

 

Can family members use the Student Health Center?

No, only enrolled students may use the health center.

 

What immunization records are required and how are they submitted?

The CSU system requires new and readmitted students born on or after January 1, 1957 to present proof of immunity to measles and rubella, or be immunized. Students under the age of 19 also need to show proof of immunity to the Hepatitis B virus prior to their second semester at HSU. Submissions are done by fax (707-826-5042), mailed or dropped off (not emailed). Please note that, even if immunization records were provided to Admissions as part of the transcripts, the immunizations records need to be filed separately with the health center. A hold will be placed on your student’s ability to register for classes unless the health center receives copies of their immunization records.

 

Does the Student Health Center offer after-hour and/or weekend services?

The Student Health Center is open on weekdays. For After-Hours care, there is a nursing advice line (Fonemed) which can be accessed by calling (877) 256-3534. This service is free to students. A similar service is available for the HSU Counseling Department (707) 826-3236.

 

What happens if there is a medical emergency?

For any serious medical emergencies the student should call 911. If a student is seen at the Student Health Center and it is determined that they have a condition that requires emergency care, we will help coordinate their transfer to a local hospital Emergency Department. Students can also visit Redwood Urgent Care in Eureka, or one of the local Emergency Departments.

 

Does the Student Health Center offer services during the summer months?

No, the Student Health Center is only open during the academic school year (click here for hours).

 

Can my student use health services at other CSU campuses?

Yes, students who are eligible for health services at HSU are also eligible for basic services at all other CSU campuses at no additional cost.

 

Where is the closest Kaiser facility?

The closest Kaiser facility is four hours (225 miles) south of Arcata in the city of Santa Rosa. Kaiser will cover only emergency department visits in Humboldt County. You may call Kaiser for authorization to be seen at Redwood Urgent Care in Eureka instead of going to the ER for a non-life threatening and non-emergent medical condition.

 

Where is the closest pharmacy?

The health center has its own pharmacy and prescriptions may be filled there or at an outside pharmacy (two are within walking distance). Our pharmacy will also fill prescriptions from outside physicians. Pharmacy charges are applied to the student’s account.

 

Does the health center follow chronic medical conditions?

Ongoing care is beyond our scope of practice so students with these types of needs will be referred to local primary care providers or specialists. Please discuss long-term care with your Primary Care Provider, and research providers in the Humboldt County area who handle your student’s special needs.

 

Does the health center accept Family PACT (the “teal card”)?

Yes. However, as Family PACT services and rules on eligibility frequently change, check with a member of our staff or your Primary Care Provider to see what changes may apply to your student.

 

How does the Affordable Care Act (ACA) affect services at the health center?

The health center will continue to offer its basic and augmented services to students. However, some augmented services that will be billed by the health center, such as immunizations, physical therapy, lab work and x-rays, may be provided at no cost by your Primary Care Provider. Whenever possible, the health center recommends the student see their Primary Care Provider to utilize their ACA benefits.