Forms & Handouts

Title Files File Description Policy Category Last Updated
100-02 SHCS Organizational Structure and Responsibility PDF icon General Governing Bylaws for SHCS General Governing Bylaws for SHCS Organization and Mission 2015-02-18 12:26
100-03 Management and Program Committees PDF icon SHCS Committee Chart 2015 SHCS Committee Chart 2015 General Admin 2015-02-18 12:18
100-04 Patient Rights and Responsibilities PDF icon Att 1 - Patient Rights and Responsibilitis Att 1 - Patient Rights and Responsibilitis Organization and Mission 2015-01-18 22:43
110-01 Mail at Student Health and Counseling Services Microsoft Office document icon Att 1 - Certified Mail and Return Receipt Att 1 - Certified Mail and Return Receipt General Admin 2015-01-18 23:21
110-06 Travel Policy Office spreadsheet icon Attachment 1-Travel Approval Form, Microsoft Office document icon Attachment 2-Travel Expense Report Attachment 1-Travel Approval Form, Attachment 2-Travel Expense Report General Admin 2015-01-18 23:19
110-06 Travel Policy Office spreadsheet icon Attachment 1-Travel Approval Form, Microsoft Office document icon Attachment 2-Travel Expense Report Attachment 1-Travel Approval Form, Attachment 2-Travel Expense Report General Admin 2015-01-18 23:19
110-07 Electric Vehicle File Attachment 1: Electric Vehicle Use Authorization Form Attachment 1: Electric Vehicle Use Authorization Form General Admin 2015-01-18 23:19
110-08 SHWC Physical Security Microsoft Office document icon Att 1 - Locations of Alarmed Doors and Panic Alarms, Microsoft Office document icon Att 2 - Extra Access Card System Form, Microsoft Office document icon Att 3 - Key Card Report Form, Microsoft Office document icon Att 4 - Request for After Hours Services at SHWC Att 1 - Locations of Alarmed Doors and Panic Alarms, Att 2 - Extra Access Card System Form, Att 3 - Key Card Report Form, Att 4 - Request for After Hours Services at SHWC Facility 2015-02-18 10:49
110-08 SHWC Physical Security Microsoft Office document icon Att 1 - Locations of Alarmed Doors and Panic Alarms, Microsoft Office document icon Att 2 - Extra Access Card System Form, Microsoft Office document icon Att 3 - Key Card Report Form, Microsoft Office document icon Att 4 - Request for After Hours Services at SHWC Att 1 - Locations of Alarmed Doors and Panic Alarms, Att 2 - Extra Access Card System Form, Att 3 - Key Card Report Form, Att 4 - Request for After Hours Services at SHWC Facility 2015-02-18 10:49
110-08 SHWC Physical Security Microsoft Office document icon Att 1 - Locations of Alarmed Doors and Panic Alarms, Microsoft Office document icon Att 2 - Extra Access Card System Form, Microsoft Office document icon Att 3 - Key Card Report Form, Microsoft Office document icon Att 4 - Request for After Hours Services at SHWC Att 1 - Locations of Alarmed Doors and Panic Alarms, Att 2 - Extra Access Card System Form, Att 3 - Key Card Report Form, Att 4 - Request for After Hours Services at SHWC Facility 2015-02-18 10:49
110-08 SHWC Physical Security Microsoft Office document icon Att 1 - Locations of Alarmed Doors and Panic Alarms, Microsoft Office document icon Att 2 - Extra Access Card System Form, Microsoft Office document icon Att 3 - Key Card Report Form, Microsoft Office document icon Att 4 - Request for After Hours Services at SHWC Att 1 - Locations of Alarmed Doors and Panic Alarms, Att 2 - Extra Access Card System Form, Att 3 - Key Card Report Form, Att 4 - Request for After Hours Services at SHWC Facility 2015-02-18 10:49
110-11 Student Volunteer Programs PDF icon Att 1 - Oath & Patent Form, PDF icon Att 2 - Volunteer Information Form Att 1 - Oath & Patent Form, Att 2 - Volunteer Information Form General Admin 2015-02-17 10:06
110-11 Student Volunteer Programs PDF icon Att 1 - Oath & Patent Form, PDF icon Att 2 - Volunteer Information Form Att 1 - Oath & Patent Form, Att 2 - Volunteer Information Form General Admin 2015-02-17 10:06
110-13 Absences from Work and Requests for Leaves of Absence PDF icon Att 1 UC Davis Staff Leave Request Form (SLR) Att 1 UC Davis Staff Leave Request Form (SLR) Personnel 2015-02-05 11:53
110-14 Employee Orientation Program PDF icon Att 1 UC Davis New Employee Checklist, File Att 2 SHCS New Employee Orientation & Mandatory Training Att 1 UC Davis New Employee Checklist, Att 2 SHCS New Employee Orientation & Mandatory Training Personnel 2015-02-05 13:06
110-14 Employee Orientation Program PDF icon Att 1 UC Davis New Employee Checklist, File Att 2 SHCS New Employee Orientation & Mandatory Training Att 1 UC Davis New Employee Checklist, Att 2 SHCS New Employee Orientation & Mandatory Training Personnel 2015-02-05 13:06
110-20 Website Content Management Microsoft Office document icon SHCS Website Content Inventory Form SHCS Website Content Inventory Form Information Systems 2015-02-17 15:39
110-23 Remote Access to Restricted Information File Att 1 - Remote Access Request Form, File Att 2 - Remote Access Confidentiality Agreement Att 1 - Remote Access Request Form, Att 2 - Remote Access Confidentiality Agreement Information Systems 2015-01-18 23:22
110-23 Remote Access to Restricted Information File Att 1 - Remote Access Request Form, File Att 2 - Remote Access Confidentiality Agreement Att 1 - Remote Access Request Form, Att 2 - Remote Access Confidentiality Agreement Information Systems 2015-01-18 23:22
110-27 Clinical Teaching Activities Office spreadsheet icon Attachment 1 – Medical/Clinical Disciplines Check List, Office spreadsheet icon Attachment 2 - Predoctoral Psychology Intern/Postdoctoral Psychology Resident Check List, Microsoft Office document icon Attachment 3 – Scope of Practice (CAPS Clinic Trainees) Working at SH&WC Attachment 1 – Medical/Clinical Disciplines Check List, Attachment 2 - Predoctoral Psychology Intern/Postdoctoral Psychology Resident Check List, Attachment 3 – Scope of Practice (CAPS Clinic Trainees) Working at SH&WC Research and Teaching 2015-01-28 10:24
110-27 Clinical Teaching Activities Office spreadsheet icon Attachment 1 – Medical/Clinical Disciplines Check List, Office spreadsheet icon Attachment 2 - Predoctoral Psychology Intern/Postdoctoral Psychology Resident Check List, Microsoft Office document icon Attachment 3 – Scope of Practice (CAPS Clinic Trainees) Working at SH&WC Attachment 1 – Medical/Clinical Disciplines Check List, Attachment 2 - Predoctoral Psychology Intern/Postdoctoral Psychology Resident Check List, Attachment 3 – Scope of Practice (CAPS Clinic Trainees) Working at SH&WC Research and Teaching 2015-01-28 10:24
110-27 Clinical Teaching Activities Office spreadsheet icon Attachment 1 – Medical/Clinical Disciplines Check List, Office spreadsheet icon Attachment 2 - Predoctoral Psychology Intern/Postdoctoral Psychology Resident Check List, Microsoft Office document icon Attachment 3 – Scope of Practice (CAPS Clinic Trainees) Working at SH&WC Attachment 1 – Medical/Clinical Disciplines Check List, Attachment 2 - Predoctoral Psychology Intern/Postdoctoral Psychology Resident Check List, Attachment 3 – Scope of Practice (CAPS Clinic Trainees) Working at SH&WC Research and Teaching 2015-01-28 10:24
120-01 Status and Eligibility Microsoft Office document icon Attachment 1: Eligibility Table Attachment 1: Eligibility Table Eligibility 2015-01-18 23:10
120-07 Disabled Student Campus Parking and Transportation Microsoft Office document icon Att 1 - Temporary Parking Request, PDF icon Att 2 - Application for Disabled Person Placard or Plates, Microsoft Office document icon Att 3 - Disabled Student Grid Att 1 - Temporary Parking Request, Att 2 - Application for Disabled Person Placard or Plates, Att 3 - Disabled Student Grid General Admin 2015-01-18 23:08
120-07 Disabled Student Campus Parking and Transportation Microsoft Office document icon Att 1 - Temporary Parking Request, PDF icon Att 2 - Application for Disabled Person Placard or Plates, Microsoft Office document icon Att 3 - Disabled Student Grid Att 1 - Temporary Parking Request, Att 2 - Application for Disabled Person Placard or Plates, Att 3 - Disabled Student Grid General Admin 2015-01-18 23:08
120-07 Disabled Student Campus Parking and Transportation Microsoft Office document icon Att 1 - Temporary Parking Request, PDF icon Att 2 - Application for Disabled Person Placard or Plates, Microsoft Office document icon Att 3 - Disabled Student Grid Att 1 - Temporary Parking Request, Att 2 - Application for Disabled Person Placard or Plates, Att 3 - Disabled Student Grid General Admin 2015-01-18 23:08
120-10 Referral Tracking Microsoft Office document icon 120-10 Att 1 Referral declined letter, Microsoft Office document icon 120-10 Att 2 Second request for records letter 120-10 Att 1 Referral declined letter, 120-10 Att 2 Second request for records letter General Admin 2015-01-28 11:00
120-10 Referral Tracking Microsoft Office document icon 120-10 Att 1 Referral declined letter, Microsoft Office document icon 120-10 Att 2 Second request for records letter 120-10 Att 1 Referral declined letter, 120-10 Att 2 Second request for records letter General Admin 2015-01-28 11:00
120-17 Cancelled Clinics File Attachment 1: Primary Care Staffing Contingency Plan Attachment 1: Primary Care Staffing Contingency Plan General Admin 2015-01-18 23:03
120-19 Professional School Student Clearance File Att 1 SHCS Professional School Student Clearance Procedures, File Att 2 N-95 Respirator Clearance Protocol, File Att 3 Rabies Titer Results Procedure Att 1 SHCS Professional School Student Clearance Procedures, Att 2 N-95 Respirator Clearance Protocol, Att 3 Rabies Titer Results Procedure General Admin 2015-01-28 16:07

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