Request Forms

Send Us a Request!

Health Education and Promotion is happy to collaborate with faculty, staff, student groups, and campus organizations on several health services. See below for options and how to submit a request.

Presentations and Workshops

Our team is available to present at events or classroom settings. We can present in-person or virtually on a variety of health topics.

Presentations can range from 15 minutes to 90 minutes, depending on the topic and availability. 

If you are interested in requesting a presentation or workshop, please fill out the request form below. HE&P requires at least two weeks notice for presentations.

We offer presentations on the following topics:

  • Student Health Services overview
  • Birth control
  • Nutrition basics
  • Sleep
  • Disease management
  • Self-care
  • Stress
  • Menstruation
  • General health
  • Health advocacy
  • Substance use

Wellness Items

We're happy to provider students and other campus members with wellness items.

Students: current CSUDH students are able to request wellness items for personal use. Items include external condoms (classic and large), internal condoms, flavored condoms, lubricant, COVID test kits, stress balls, bandages, tissue packets, notepads, hand sanitizer, and magnets. Students can request up to four items at a time, once a week. Once we receive your request, our team will assemble your wellness packet and inform you when it's ready for pick up in our SHC lobby. Please fill out the form that says Student Request.

Staff: If you’re looking for wellness supplies to distribute to students, please fill out the form that says Staff/Faculty Request. Please submit requests at least 2 weeks prior to when they’re needed. If you have any questions, you can contact JoAnn Aragon Valdivia at

Request a Presentation or Workshop

We love to bring new topics to campus! If there is a topic you don't see listed, we're happy to curate something for your group. Send us a request form and someone will reach out to you within three working days.

Presentation/Workshop Request

Request Wellness Items

Coming soon.

If you have a request, please call JoAnn Aragon Valdivia at (310) 243-3195