Student Health Center

Welcome to the CSUSB Student Health Center (SHC). We offer services to students with the goal of promoting good health and wellness to keep students on the road to academic and professional success.

Our medical services include primary care, immunizations, nursing care and health education. We are also conveniently equipped with a pharmacy and laboratory.

In The News

Health Center

Important Information Update:  Tuberculosis (TB)

A public forum regarding tuberculosis and testing was presented by San Bernardino County Department of Public Health (County) officials and the CSUSB Student Health Center on Thursday, September 12th from 10 am-11am.  The forum took place in the University’s Meeting Center building (formerly the Commons), Panorama Room.

Was the email dated September 11th from CSUSB’s VP of Student Affairs the official notification from county?
No. If you are identified as having been exposed, you will receive separate notification from County.

How long will it take to get notified by County?
individuals the week of September 9th, by either phone, email, text or USPS mail. Here’s a list of what you can do in the meantime:
1.      Answer your phone if it rings
2.      Make sure your voice mailbox is set up 
3.      Check your voicemail and text messages
4.      Check your email messages
5.      Check for USPS mail at any address you have provided the campus

The San Bernardino County Department of Public Health is in the process of individually notifying those who were exposed. Individuals contacted by Public Health need to be screened for TB infection. Those who do not receive notification from Public Health are not considered to be at risk for exposure and do not need to be tested.

What email address will the notification from County come from?
The email sender is: DPH.Communicable Disease_TB Exposure
What email address will County use to contact people?
Your CSUSB email address.
I don’t normally check my email, shouldn’t they call and text me also?
No. Please check your email.  
When did the emails from County go out to those identified as contacts to the index case?
Look for an email dated between 9/10/19 to 9/12/19

Here is some additional information about TB:
What is TB?

“TB” is the abbreviation for an infection called Tuberculosis.  Tuberculosis is a bacterial infection caused by Mycobacterium tuberculosis.  
Not everyone with TB gets sick.  The bacteria can lay dormant and not cause symptoms.  This is called Latent TB Infection (LTBI).  Treatment at the latent stage decreases the chance of ever developing the disease.  
If not treated at the latent stage, it can progress to TB disease.  This infection usually attacks the lungs, but it can affect other parts of the body, such as the lymph nodes, spine, brain and kidneys.  If not treated, active TB infection can be fatal. 
How does TB spread?
TB is spread through the air. When someone with active TB disease in the lungs or throat speaks or coughs, the bacteria gets into the air and can linger there for several hours afterwards.  Someone breathing this air can become infected with TB.  
People with active TB disease are most likely to spread the infection to people they spend time with every day.  It spreads through close, day-to-day, regular contact.  Someone is unlikely to get infected after brief exposure. 
TB is NOT spread by:
Surface contact
Touch (shaking hands)
Sharing toothbrush, foods or drink
Sharing clothing, bedding
Toilet seats
Who is at risk for TB?
Close contacts of someone who is known to have active TB disease
People from countries that have high rates of TB
People who work or live in high risk facilities such as hospitals, prisons, nursing homes, homeless shelters.
People who are homeless, HIV infected or inject drugs into their veins.
What happens after exposure to TB?
After getting exposed to the TB bacteria, a couple of scenarios can happen.
Some people may develop active TB soon (within weeks). 
In others, the bacteria lays dormant.  This is the latent phase of infection.  There’s a 5-10% chance of developing an active infection without treatment.  The highest chance for developing the infection is within the first 1-2 years after getting the bacteria.  This chance decreases if you take treatment for Latent Tuberculosis Infection.
What are the symptoms of TB?
The symptoms depend on where in the body the bacteria is growing.
If the bacteria infects the lungs, it can cause:
1.      A bad cough lasting more than 3 weeks
2.      Cough that brings up blood and/or phlegm
3.      Fever and chills
4.      Fatigue
5.      Weight loss
6.      Night sweats
What should I do if I have symptoms of TB?

See your primary care provider as soon as possible to get checked.  
Who is at risk for developing active TB?

The risk for developing active infection is much higher if someone’s immune system is weak.  People at the extremes of age (either very young or very old) often have weak immune systems. Medical conditions that cause a weakened immune system include:
Drug/substance use
Organ transplant
Chronic steroid treatment for conditions such as organ transplant 
Kidney disease
Certain cancers
Treatments for autoimmune diseases such as Crohn’s, Lupus, Rheumatoid Arthritis.
What should I do if I think I was exposed?

See your primary care provider for tuberculosis testing.
How do I get tested for TB?
You can have a skin test or a blood test.  If either is positive, it only tells you if you have the bacteria in your body, but doesn’t tell you if you have latent or active TB. 
Further testing with a chest XRAY or a sputum sample may be needed to make the determination.
What does it mean if I test positive for the skin test but have a normal (negative) Chest XRAY?
You most likely have Latent Tuberculosis Infection (LTBI.)  A person with LTBI cannot spread TB to others and is not contagious.  Only people with active TB disease can spread TB to other people. 
If you have LTBI you should consider treatment for this to prevent developing active TB disease.
Is there a vaccine against TB?
The vaccine against TB is called Bacille Calmette-Guerin (BCG.) It does not always protect against TB.  It is not widely used in the U.S. but it is used in many other countries where TB is more common.
Can I get a TB skin test if I have had the BCG vaccine?

Yes.  People who have received the BCG vaccine can receive a TB skin test.


For more information, please visit the following links:
CDC Tuberculosis Website
CDC Tuberculosis FAQs

What is TB?  - Khan Academy

The Importance of Latent TB Infection Testing and Treatment – Kim Do, Los Angeles County TB Control Program


Important Measles Update:

As you may have heard, measles outbreaks are occurring nationwide, within our own state, and nearby in Los Angeles county.

To learn more about the infection and how to avoid catching it, please follow the links and watch the videos below.

The single best way to prevent catching the measles is to get vaccinated. The vaccine is safe and effective.

If you have questions about the measles or the vaccine, make an appointment to be seen at the Student Health Center, and bring your vaccine record to that appointment or call 909-537-5241.

Watch Measles Video in EnglishWatch Measles video in Spanish

Measles Infographic (English)                              

Measles Infographic (Spanish) 

Here's a link to a Measles fact sheet from the Center for Disease Control.

Immunization Requirements

For information on how to clear immunization holds, please contact the Student Health Center at (909) 537-5241.  For more information, please see our Immunizations page.

All students must meet the immunization standards required by the California State University Office of the Chancellor.

Students born after January 1, 1957 are required to be immunized for Measles (Rubeola) and Rubella (German Measles). Immunization for Hepatitis B is required for all first-time freshmen 18 years old or younger. The Hepatitis B vaccine is given in a series of three shots and takes six months to complete.

Students enrolled in a California high school after July 1, 1999 have already satisfied this requirement. If you were not enrolled in a California public high school after July 1, 1999, you must provide verification of prior immunization or receive the immunization by the end of your first quarter. If you're immune because you have had the disease, you may provide proof or have a blood test done. Verification or immunization for Hepatitis B must be completed before the end of your second quarter.

Students will be unable to register for classes until each requirement is met.
Immunizations available at a cost, through the Student Health Center include Measles, Mumps, Rubella, Hepatitis B, Tetanus, Diphtheria, Pertussis, Influenza, Human Papilloma Virus and Meningococcal meningitis vaccines. For the price of a specific vaccine, please contact the health center.

Mission Statement

The Student Health Center at California State University, San Bernardino (CSUSB) is committed to providing high quality, low cost, accessible care and health promotion services to assist students in meeting their educational goals.

Services We Provide

The Student Health Center provides first aid and basic out-patient care services. We have a full time staff Monday through Friday to care for your needs. First aid is always available during clinic hours to anyone on campus. Please dial 911 for emergencies from anywhere on campus for assistance. We are staffed with Doctors, Physician Assistants, Nurse Practitioners, Nurses, Medical Assistants, and a Pharmacy. Our center has contracted with local lab and X-ray services for our students. Our psychiatric services are limited to psychiatric medication evaluation and management.  For counseling or therapy services please contact Counseling and Psychological Services. They also have a full time staff of Marriage and Family Therapists, licensed Psychologists and supervised interns.

Health services are also offered at the CSUSB Palm Desert Campus in the R.D. and Joan Dale Hubbard Student Health and Psychological Counseling Center located in HS-119.

As an enrolled student at CSUSB, you pay a Student Health Fee and are eligible for health and counseling services at the Student Health Center and Counseling & Psychological Services office. Your Student Health Fee supports and finances the operation of the Health Center. Although basic health care is provided, treatment for major illnesses and injury (e.g., motor vehicle accidents), as well as certain conditions requiring a specialist or hospitalization, are beyond the scope of service. Students are referred to an outside provider for these illnesses or injuries and it is the student's responsibility to pay the costs associated with the referral. It is important to carry health insurance. Faculty and staff are not eligible for services except in case of emergency.

Please call ahead to schedule an appointment and with any inquiries you may have. There is NO fee for routine office visits

Typical types of clinic services offered:

  • Physicals: nursing, sports, teaching, pre-employment
  • Birth control: pill, ring, implant, IUCs, depo
  • Emergency contraception, Sexually Transmitted Infection testing, pap smears
  • Vaccines: Hepatitis B, MMR (Measles, Mumps, Rubella), TDAP (Tetanus, Diphtheria, and Pertussis), HPV, flu shots
  • TB skin test: 2 appointments required

Privacy Practices

We are committed to preserving the privacy of your personal health information.  The Student Health Center is a covered entity under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).  HIPAA is United States legislation that provides data privacy and security provisions for safeguarding medical information.  We are required by Federal regulations and California law to protect the privacy of your medical information and to provide you with this notice:
This NOTICE OF PRIVACY PRACTICES describes how medical information about you may be used and disclosed and how you get access to this information.

Please read it carefully.

Concerns or Comments

Student concerns may be addressed to Carolyn O’Keefe, Psy.D., Interim Director, Student Health Center and sent via e-mail to: A suggestion box is available in the waiting room and the contents addressed per the Quality Improvement committee. A patient satisfaction survey is conducted annually. Trends are analyzed and adjustments made as needed. A patient may appeal to the Title IX director, campus Ombudsman, or the Associate Vice President of Student Affairs. This reporting policy is posted on the patient Rights and Responsibilities poster displayed in the Health Center.


One of the most important things we do to earn your trust is to participate voluntarily in the quality assessment program of the Accreditation for Ambulatory Health Care (AAAHC). Our accreditation tells you that AAAHC's independent team of health care professionals has taken a close look at us and has found that we meet their rigorous, nationally recognized standards for quality health care services.