Skip to main content
  • A-Z Index
    • A
    • B
    • C
    • D
    • E
    • F
    • G
    • H
    • I
    • J
    • K
    • L
    • M
    • N
    • O
    • P
    • Q
    • R
    • S
    • T
    • U
    • V
    • W
    • X
    • Y
    • Z
  • quicklinks
    • Directories
    • Academic Departments
    • Staff & Faculty
    • Students
    • Campus Info
    • Calendars & Events
    • Humboldt Brand
    • Employment
    • Maps
    • Facility Rental
    • Cares Reporting
    • Ombuds Services
    • Tools
    • myHumboldt
    • Account Settings
    • Reset Your Password
    • myHousing
    • Technology Assistance
    • Course Info
    • Catalog
    • Class Schedule
    • Course Rotations
    • Major Academic Plans (MAPs)
    • Registration
    • Student Services
    • Associated Students
    • Bookstore
    • Financial Aid
    • Library
    • Registrar
    • Tuition & Fee Payment
    • Through Student Center
    • Electronic Payments
    • Student Financial Services
  • myHumboldt

Cal Poly Humboldt Cal Poly Humboldt

Student Health & Wellbeing Services

Search form

  • Information Toggle submenu for Information
    • Appointments & Hours of Operation
    • Charges and Fees
    • Emergencies & After-Hours Care
    • Frequently Asked Questions
    • Health Insurance/Family PACT
    • Immunization Requirements
    • Information for Parents & Family Members
    • Medi-Cal Insurance Information
    • Meet the SHWS Staff
    • Organizational Chart
    • Patient Rights and Responsibilities
    • Pharmacy
    • Policy on ADHD Treatment
    • Policy on Limits to Care & ESAs
  • ResourcesToggle submenu for Resources
    • Apps to improve your wellbeing
    • Basic Needs Website
    • DACA Related Student Resources
    • Fentanyl and Narcan
    • Health & Wellbeing Links (resources)
    • Key Emotional and Mental Health Resources
    • Mental Health Screening (Self-Assessment)
    • Open Postions
    • Racial Trauma and Systemic Racism Resources
    • Red Folder, CSU (Assisting Students in Distress)
    • Resources for SHWS Staff
    • SH&WS Strategic Planning, Data, & Reports
    • Stop Rape: Response and Prevention
    • TimelyCare (on demand / after hours health care)
  • Forms / Records RequestsToggle submenu for Forms / Records Requests
    • CAPS (Counseling): Evaluate Us!
    • CAPS Records Requests
    • Student Health Services: Evaluate Us!
    • Medical Forms & Records Requests
  • Health Portal
  • Give

Staff Resources

Staff Leave Request Form (for Student Health personnel and SHWS administrators)

CAPS Absence Request Form (for CAPS Faculty and Staff)

CARE Reports and Referrals (for Medical and CAPS Clinicians)

Policies and Procedures Manual (Student Health)

Incident Report Form 

Incident Report Response Form

Hazard Identification Form

Minimum Staffing Requirements (Student Health)

PowerDMS

Humboldt Zoom

SB24 Opt Out Form (CSUEU and UAPD members)

SHWS Tech Help

Cal Poly Humboldt Cal Poly Humboldt

Student Health & Wellbeing Services
1 Harpst Street
Arcata, CA 95521
Phone: (707) 826-3146
Fax: (707) 826-5042
health@humboldt.edu

Web Accessibility