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Student Health and Counseling

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    • Departmental News
    • 2018
      • August
        • SHAC Open House 2018
        • Speak About It
      • September
        • Curate Your Plate
        • Suicide Prevention
      • October
        • Stomp Out Stigma of Mental Illness
        • Dear SHAC: My World Feels Like It's Crashing
        • Dear SHAC: Needing Direction
        • Dear SHAC: Concerned Friend
        • Dear SHAC: Taking Care of My Mental Health
      • November
        • Inclement Weather - UNM Weather Advisories
        • TAO: Self-Help for Stress, Anxiety and Depression
        • Diabetes Awareness Month - November 2018
      • December
        • SHAC Achieves Accreditation for Another Three Years
        • Finals Stress
        • Graduates What Is Next in Your Healthcare?
    • 2019
      • February
        • Spring Break 2019 Safety Tips
        • Student Affairs Collective Impact and Outlook 2017-2018
      • May
        • Leah Adent Student Employee of the Year
        • Condom Mint Celebration 2019
        • Measles CDC Travel Advisory
      • September
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        • Student to Student - Welcome + SHLC Opportunities
        • Barrier Necessities - Sexual Health & STI Prevention Program
      • September
        • Student to Student - Lobo Prevention Pack
        • Student to Student - Health and Wellness Fair
        • Student to Student - Enjoy Balloon Fiesta
      • October
        • SHAC Flu Shot Clinics - Thank You to Our Partners
        • Student to Student - Stay Safe this Fall
      • November
        • Student to Student - Happy November
        • Student to Student - Practice Gratitude
        • Study Abroad in Peru: Spanish Language and Peruvian Cuisine
        • Student to Student - Good Luck and Study Hard
        • Congrats to SHAC HP Fall Graduates
      • December
        • SHAC Achieves Accreditation for Another Three Years
        • SHAC Recognized at UNM Women's Basketball Game
        • Lucy Extraordinary Pack Award Goes to SHAC Clinical Team
        • Gerald W. May Outstanding Staff Award Goes to Drs. Stephanie McIver and James Wilterding
    • 2022
      • January
      • February
      • March
        • Staff Profile: Benjamin Ferguson, Health Educator
        • Student to Student - COVID Stats for Spring Break
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        • Student to Student - Graduation and Get Ready for Summer
        • Barrier Necessities Celebration
      • May
      • June
      • July
        • Lab Passes Accreditation Inspection
        • Study Abroad in Peru
        • Monkeypox
      • September
        • Student to Student - Health Advocate
        • Student to Student - Healthy Eating Habits and More
      • October
        • SHAC Flu Shot Clinics - Thanks to Our Partners
        • Student to Student - Act Like It Is Raining and Wear Your Rubbers
        • Student to Student - Housing and Food Insecurity
        • SHAC Open House 2022
        • Student to Student - SHAC and DOS Services
        • Student to Student - Occupational Therapy
      • November
      • December
    • 2023
      • February
        • James Shrum: SHAC Associate Director of Operations
        • Student to Student - Help People Lead Healthier Lives
      • March
      • April
      • May
      • June
  • Forms 
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    • Accident & Sickness Claim NM Chubb
    • Advance Health Directive
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    • No Show/Late Cancellation Petition
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    • Stimulant Prescription Contract
    • Tell Us How We're Doing
    • Respirator Medical Evaluation Questionnaire
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  • Accident & Sickness Claim NM Chubb

Accident & Sickness Claim Form State of NM - Chubb

Please click on the link below to access this form:

Accident & Sickness Claim Form State of NM - Chubb

Forms

  • All SHAC Forms
  • Accident & Sickness Claim NM Chubb
  • Advance Health Directive
  • Allergy & Immunization Mailing Label
  • Ask a Question - Counseling
  • Medical Records Release
  • No Show/Late Cancellation Petition
  • Outreach Request Form
  • Parental Consent for Minors
  • Stimulant Prescription Contract
  • Tell Us How We're Doing
  • Respirator Medical Evaluation Questionnaire

Physical Address

Student Health and Counseling
Building 73

Phone: (505) 277-3136
Fax: (505) 277-2020
shac.unm.edu

Mailing Address

Student Health and Counseling
MSC06 3870
1 University of New Mexico
Albuquerque, NM 87131-0001

   
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Where We Are

The University of New Mexico

© The University of New Mexico
Albuquerque, NM 87131, (505) 277-0111
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