51³Ô¹Ï

Important Forms

Please find a list of forms below that may be useful for you to become in compliance with your immunization and Health Record requirements at 51³Ô¹Ï.

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 . Log in using your single on. 
  • Email to wellness@farmingdale.edu
  • 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 51³Ô¹Ï- Attn: Health and Wellness Center, 2350 Broadhollow Road, Farmingdale, NY 11735.

Insurance Related Information

  • As of 2020, 51³Ô¹Ï is no longer offering a school sponsored insurance plan.
  • Visit for information on New York State offered insurance plans.

Important Links

Health & Wellness center

934-420-2009
wellness@farmingdale.edu

Hours 

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