Staffed by registered nurses with training in allergy and asthma care, the Allergy Clinic at the CSU Health Network also provides weekly consultation visits with local allergy/asthma specialist physicians. If you have asthma or chronic allergies, we encourage you to make an appointment with a primary care provider in the Medical Clinic when you begin your studies at CSU. Your primary care provider, in conjunction with your allergist and the CSU Health Network allergy nurses, can assist you with management of your condition, medications refills, and prescription assistance through the pharmaceutical companies if you qualify.

Services provided:

• Educational support including instruction in the correct use of medications and inhalers, nasal saline washes, and environmental controls.
• Immunotherapy injections (allergy shots) during posted hours. You pay an injection fee per semester based on the frequency of injections given.
• Pulmonary function testing, as ordered by a provider.
• Appointments with an allergy and asthma physician specialist are available one half day each week during the academic year.
• Nebulizer treatments for acute exacerbations of asthma.
• Emergency management of acute allergic or anaphylactic reactions when needed.

Allergy Injection Prices

Single injection: $15
Multiple injections: $20

OR

Semester Injection Fee
-For one injection/visit: $90
-For multiple injections/visits: $120

Allergy Clinic Hours

Tuesday: 2 p.m.-4 p.m.
Wednesday: 8 a.m.-10 a.m.
Thursday: 8 a.m.-10 a.m and 2 p.m.-4 p.m.

Appointments are now available!
In an effort to improve access and efficiency of our clinic, we encourage you to make an appointment for your allergy injections. Appointments can be scheduled for the entire semester, and you will receive an email reminder prior to each visit. Appointments may be scheduled in person or by phone.

These times are reserved for allergy injections, and priority will be given to students who have appointments. Students who walk in without appointments may have to wait longer. Students who arrive in the clinic and request an allergy shot at times other than the above Allergy Clinic hours will be accommodated, but will need to wait with other walk-in patients in the Triage Clinic; it may take as long as an hour or more to be seen during busy times.

For appointments or questions, please call the Allergy Clinic at (970) 491-5058.

Primary care behavioral health embeds counseling within medical services, ideally allowing immediate access to a mental health provider during a medical visit. The behavioral consultants are psychologists, social workers, and counselors and function as members of the medical teams. Since up to 70% of primary care visits may be related to problems related to psychosocial or lifestyle issues, mental health professionals work with primary care providers in the Hartshorn building to assess and treat psychological and behavioral problems. Some of the concerns that can be addressed by behavioral health providers include:

• sleep issues
• stress
• sexual concerns
• chronic pain
• medication and medical treatment compliance issues
• mild eating disorder issues
• unhealthy lifestyle issues
• hesitation to engage in mental health treatment
• communication, assertion, and conflict resolution skills

To receive the best care possible, particularly for chronic mental health and medical conditions, care coordination is essential. Beginning with the development of the Culture Care nurse several years ago, the CSU Health Network has invested staff and resources in care coordination. The Culture Care nurse helps international students with their transition to the American health care system and works closely with other agencies on campus. The university case managers, housed in the Division of Student Affairs, are a key liaison with care coordination services at the CSU Health Network.

Dental Services at the CSU Health Network are staffed by a full-time dentist, part-time dental hygienists and dental assistants who provide affordable, convenient, quality care to students and their spouses and domestic partners. Services are provided at reduced rates compared to community providers. Services include preventive, diagnostic, restorative and adjunctive treatment. Computerized x-rays are available, as well as screenings for oral cancer. Some tooth whitening services are also available.

Dental Services include:

Preventive Services (Dental Hygiene):

• Cleanings, Scaling & Curettage
• Home care instruction and education

Diagnostic Services:

• Routine & urgent exams
• Urgent treatment

Restorative Dentistry:

• Fillings: Composite (tooth colored) and Amalgam (silver)
• Limited Crown & Bridge

Adjunctive Services:

• Night Guards, simple TMJ therapy
• Simple/moderate surgeries
• Oral Cancer Screening
• Teeth Whitening
• Cosmetic Bonding
• Invisalign Orthodontic Treatment

Referrals

• For more complex needs, to qualified, caring professionals in the community

For an appointment, call (970) 491-1710.

The Immunizations Clinic at the CSU Health Network administers immunizations required for admission, as well as those recommended for maintaining good health and for international travel. There are charges for immunizations, which are typically lower than charges in most private clinics. The following services are offered:

• Immunizations are given on a walk-in basis, with no appointment required (except for Yellow Fever).
• Testing for tuberculosis (TB) is available on a walk-in basis every day except Thursday.
• Information and handouts are available for all immunizations.
• Advice is provided about registration holds and releases for required immunizations.
• Special vaccination clinics (such as for pandemic influenza and meningococcal disease vaccine) are coordinated by the Immunizations Clinic staff.
• Official copies of immunization records are provided upon request.
• Immunizations required or recommended for international travel are available. See the Travel Clinic section of our website for details.

The Immunizations Clinic is located on the west end of the Hartshorn building. Hours of operation are Monday through Friday, 9 a.m. to 4 p.m.

Immunizations Requirement & Information

Meningitis/Meningococcal Disease

NOTE: Incoming and transfer CSU students should complete their Health History and Tuberculosis Screening Forms on the online CSU Health Network Health History Portal If there is difficulty completing the information through the portal, read these directions, and print and submit the forms to the address indicated on the forms.

If a student answers yes to one or more of the questions on the Tuberculosis Screening Form, they must have a Tuberculosis Skin Test (PPD) and complete the Tuberculosis Test Form. The form is to then be submitted to the address on the form.

The laboratory at the CSU Health Network is CLIA certified and provides clinical diagnostic testing with orders from medical providers. Off-site providers can fax laboratory orders to (970) 491-3560, or you can bring orders to the lab from your outside provider, and the lab will fax your results to your provider.

Most in house lab tests are done with same day turnaround; results of tests sent to outside labs are often available from your medical provider the next day. The lab staff includes medical technologists and trained phlebotomists and all equipment used to collect samples is sterile. Some of the tests performed in house by the lab include:

• Hematology (Complete blood counts, mono tests)
• STD testing (Chlamydia, Gonorrhea, Syphilis, other STD tests such as HIV and Herpes are sent out to other labs)
• Glucose testing
• Urine testing (urinalysis, urine pregnancy testing, Chlamydia testing)
• Microbiology (Throat cultures, both same day and overnight; urine cultures, skin and wound cultures)
• Many other tests can be obtained and sent to outside labs

Massage therapy is offered by licensed massage therapists through the Physical Therapy Services at the CSU Health Network. Massage can be beneficial for injury recovery, therapeutic or relaxation purposes. Through manipulation of soft tissue, massage therapy can enhance function as well as ease pain and tension associated with injuries or stress.

Services offered:

• Swedish massage
• Deep-tissue massage
• Sports injury massage
• Trigger point therapy

Staffed by seven board-certified physicians and six nurse practitioners with training and expertise in college health, the CSU Health Network Medical Clinic provides care for illnesses and injuries, as well as health maintenance and physical exams. Several registered nurses also staff the clinic.

Appointments are encouraged, but walk-in visits are available for fractures, lacerations, acute illnesses and other urgent concerns. If you have a chronic health condition, we encourage you to make an appointment with a medical provider when you begin school to establish a relationship.

Services include:

• Evaluation and treatment of acute and chronic mental and physical illnesses
• Evaluation and treatment of injuries
• Treatment of wounds/burns
• Physical examinations
• Screening tests and preventive care
• Wellness counseling
• STI evaluation and treatment
• Treatment of allergies and asthma
• Referrals to specialists
• Minor procedures such as ingrown toenail removals, skin biopsies, wart treatments, mole removals
• Splinting
• Laceration repairs

Within the Medical Clinic, men can receive care by providers with expertise in men's health. STI testing, as well as care for other men's health issues, is provided in a safe and confidential setting.

Disordered Eating Nutrition Consultation at the CSU Health Network is a low-cost service that helps CSU students establish healthy dietary practices. Staffed by an experienced registered dietitian with experience treating eating disorders, individual counseling sessions are offered for disordered eating (bulimia, anorexia nervosa, binging and purging, use of laxatives or diet pills). To schedule an appointment: call (970) 491-5058.

Other student nutrition services available on campus:

• A Registered Dietician with Residential Dining Services can discuss individual nutrition needs and concerns, assist with meal planning and provide dining center tours. A support group for vegetarians is offered. Check out their Nutrition Calculator that assesses their residential dining center menu ingredients and calories. On campus nutrition presentations are available upon request.
• CSU Kendall Anderson Nutrition Center offers nominally priced services to students. They include:
  • Nutrition counseling with a Registered Dietitian
  • Body composition assessment
  • Resting metabolic rate
  • Cooking classes and demonstrations
  • Healthy You-Mindful Eating and Weight Management
  • Diet analysis
  • Recipe analysis
  • Diabetes programs
  • Presentations on and off campus
  PDF of CSU Kendall Anderson Nutrition Center Services
• Request a nutrition presentation from the CSU Health Network

Of all the information relayed to the brain, 80 percent is visual in origin. Regular eye exams are an invaluable tool in detecting vision problems, eye disease and general health problems even before you become aware of a problem. CSU Health Network Optometry Services can help you achieve your optimum ocular health.

CSU Health Network Optometry Services offers professional exams and diagnostic care for CSU students and their domestic partners or spouses.

Optometry services are provided by a board-certified therapeutic optometrist licensed to treat eye diseases such as conjunctivitis, pink eye, dry eyes, as well as other conditions causing ocular pain or vision problems. Our optometrist specializes in contact lens fitting and contact lens induced problems. She is also experienced in co-managing refractive surgeries such as Lasik.

Although insurance purchased through CSU does not cover optometry fees, charges may be put on your student account. Any questions regarding billing or insurance can be answered when you call the optometry clinic.

For appointments and information, call (970) 491-7121.

Appointments available Tuesdays through Fridays.

Staffed by registered pharmacists and a certified pharmacy technician, the CSU Health Network Pharmacy stocks prescription and over the counter medications. Medications can be prescribed by CSU Health Network providers or providers off site. The pharmacy works with most health insurance prescription cards; co-pays and other charges can be charged to your student account. The pharmacists provide counseling about medication use and interactions and most medications are sold at reduced prices. Special order prescriptions are often available the next day.

To order a refill of your prescription, call (970) 491-1402.

Outside providers can fax prescriptions to (970) 491-4874.

At Physical Therapy Services, our licensed physical therapists and movement experts can evaluate your injury or ailment and prescribe treatment programs customized for you. In many cases, physical therapy can be used to decrease pain, restore function and prevent the recurrence of musculoskeletal disorders.

Services include:

• Treatment for overuse injuries
• Treatment for Temperomandibular Joint Dysfunction (TMJ)
• Orthotic Devices
• Plyometrics
• Pre- and post-surgical care with an emphasis on orthopedic rehabilitation
• Ergonomic recommendations
• Pain relief and management
• Treatment for chronic headaches
• Balance and vestibular therapies
• Treatment for acute and chronic injuries-sprains, strains, neck and low back pain, joint and muscle dysfunction
• Pool and weight training therapy (Campus Recreation Center)

For an appointment, call (970) 491-1735.

The CSU Health Network Psychiatry Services is staffed by board certified psychiatrists as well as psychiatric nurse practitioners and a registered nurse. The psychiatric staff works closely with the counseling staff and the primary care medical staff to evaluate and treat your mental health needs.

If you have received psychiatric care in the past, your medications can be prescribed by the psychiatric staff at the CSU Health Network while you are attending CSU. If you plan to transfer your care to us, please obtain copies of your previous records - the Medical Records Department can assist you with this.

The registered nurse who works with the psychiatric providers can work with you to obtain free or low cost prescription medications from the pharmaceutical companies if you qualify by income and insurance status.

ADHD EVALUATION
CSU Health Network psychiatric and medical providers follow state-of the art recommendations for the diagnosis and treatment of Attention Deficit/Hyperactivity Disorder.

According to our treatment protocol, your first visit will be with a registered nurse (491-1734) who will give you a self-reporting screening test to complete. You will need to sign a Release of Information so that a similar screening test can be sent to your parents or another person you are close to. This helps to gather information about your childhood and current situation.

You will be required to attend four different “Study Gym” classes to maximize your study skills and academic potential. Documentation of attendance at these classes is mandatory.

After the nurse receives documentation of screening tests and Study Gym attendance, you will be scheduled with a psychiatric provider for a clinical interview. Your psychiatric provider will share his or her diagnostic impressions and treatment plan with you.

Medication options for ADHD include stimulants (Adderall and Ritalin like medications) and other medications. Before stimulants are prescribed, you will need to have an observed urine drug test at a lab with a negative result. Using marijuana may contribute to ADHD symptoms and we require abstinence from marijuana use.

The CSU Health Network is committed to helping you achieve your academic goals at CSU by proper diagnosis, treatment and overall support.

The Radiology Department at the CSU Health Network uses state of the art computerized radiography (CR) that produces digital images. A referral from a Hartshorn medical provider or your personal medical provider is required. Patients are x-rayed by licensed radiologic technologists and all x-rays are electronically transmitted to consulting radiologists for interpretation. Our procedure costs are lower or competitive with other imaging centers. Special procedures such as CT's, MRIs, ultrasounds and mammograms are not performed at the Health Network. If your CSU medical provider orders a special procedure, the Health Network referral coordinator will schedule an appointment for you at a local facility.

X-RAY exams performed at the CSUHN:

• Chest
• Extremities
• Spines
• Headwork
• Abdominal

The Sports Medicine and Orthopedic Clinics are located in the Physical Therapy Services of the CSU Health Network and staffed by consulting physicians from the community. Consultations are available about three half days per week by referral from a Health network provider. Services include:

• Splinting and casting
• Management of orthopedic and sport's related injuries
• Steroid injections
• Evaluation and treatment of hand/wrist injuries and pain
• Surgical consultations

Staffed by registered nurses trained in quick evaluation, the CSU Health Network Triage Clinic provides same day access for urgent medical conditions. Depending on your medical concern, the triage nurse may complete care, make you a future appointment, or refer you to the on call physician or nurse practitioner to be seen immediately.

The hours for triage are Monday through Friday from 7:30 a.m. to 4:30 p.m.

Are you planning to travel soon? Before you pack your bags, make an appointment with the CSU Health Network Travel Clinic, which is staffed by clinicians who specialize in Travel Medicine. They are prepared to discuss safe travel tips, required and recommended immunizations, medications for prevention of malaria, and how to avoid common travel hazards. There is no charge for travel appointments for fee paying students; faculty, staff and traveling companions will incur a charge for a travel consultation. There are additional charges for prescriptions and immunizations.

For more information or to schedule an appointment for a travel consultation, please call (970) 491-7124.

To prepare for your appointment:

• Schedule your appointment as soon as possible. Some vaccines are given in a series and it may take several months to achieve adequate immunity.
• Bring your detailed itinerary.
• Bring immunization records if other than previously submitted to the CSU Health Network.
• Travel consultations for groups can sometimes be arranged. Please contact us for further information.

Available Immunizations

• Hepatitis A
• Hepatitis B
• Combination Hepatitis A & B
• Influenza
• Measles/Mumps/Rubella
• Meningococcal
• Polio
• Rabies
• Tetanus/diphtheria
• Typhoid (oral and injectable vaccine available)
• Varicella (chickenpox)
• Yellow Fever

The Women's Clinic provides gynecologic exams and consultations for students and their spouses and domestic partners. The primary focus of the clinic includes well woman exams, provision of contraception, evaluation and treatment of sexually transmitted illness and other related services. Counseling is provided for a multitude of health issues and concerns related to women's health. The clinic is staffed by one family practice trained physician and three nurse practitioners, all of whom have worked for many years in women's healthcare.

The clinic is located on the second floor of the Hartshorn building and is staffed by women to provide a welcoming atmosphere for our clients. The separate location of the clinic helps with the confidentiality of sensitive issues. The scope of services available in the clinic is very broad and includes many office gynecologic procedures, evaluation of menstrual disorders and vaginal and urinary tract problems. Appointment times are usually available within one week or less for most complaints. Same day services are also available.

Services include:

• Well woman examinations, pap smears
• Breast examinations
• STI testing, counseling, and treatment
• Pregnancy testing
• Birth control counseling and provision including: Implanon insertion and removal, IUD insertion and removal, Oral contraceptives, Diaphragm fittings, Depo provera (brand name or generic)
• Treatment and evaluation of abnormal pap smears including colposcopy with or without biopsy as indicated
• Liquid nitrogen treatment