Important Forms

Below please find a list of forms that may be useful to you in being in compliance with your immunization and Health Record requirements at Farmingdale State College.

Most commonly needed forms

There are a variety of ways you can submit your paper work.

  • Upload your documents directly to your patient portal by clicking here. Log in using your single on. 
  • Email to
  • Drop off in person at the Health and Wellness Center.  If the office is closed, you can deposit your forms in a secure mailbox located at the front and rear entrances of the Health and Wellness building.
  • Fax: (934) 420-2137
  • Mail: to Farmingdale State College- Attn: Health and Wellness Center, 2350 Broadhollow Road, Farmingdale, NY 11735.

Insurance Related Information

  • As of 2020, Farmingdale State College is no longer offering a school sponsored insurance plan.
  • Visit for information on New York State offered insurance plans.

Important Links

Health & Wellness center



Monday 9:00am - 4:00pm
Tuesday 9:00am - 4:00pm
Wednesday 9:00am - 4:00pm
Thursday 9:00am - 4:00pm
Friday 9:00am - 4:00pm
Last Modified 5/8/24