Student Health Forms
All Commuter and Resident forms can be located by logging into the secure health portal at:
You will need your Molloy email and password to log into the secure Molloy Health Portal to submit the required documents.
|Required Immunization||Commuter Student||Resident Student|
|MMR (2 measles, 1 mumps, 1 rubella)||✔||✔|
|Current Physical & Health History||✔|
|Meningococcal ACWY within the last five years OR proof of a complete 2-3 dose Meningitis B series||✔ (May be waived by completing Meningitis Response question)||✔|
|Tuberculosis Screening Questionnaire (International Students MUST have a Tuberculosis Screening Test)||✔|
For Resident and International Students Only:
- Current physical exam must be within the last 12 months (Downloadable Physical Evaluation form located in the secure Molloy Health portal or Explore section of this page.)
- International Students are required to upload a current Tuberculosis screening test within the last 6 months.
All students under 18 years of age: please have a parent or guardian fill out the Minor Parental Guardian Consent form and upload the completed form to the secure health portal under Document Upload. (Downloadable form located in the secure Molloy Health portal or Explore section of this page.)
Molloy By the numbers
Money magazine's # 1”Value All-Star” in the nation
comprehensive degree-granting institution
Molloy’s undergraduate student-faculty ratio
means our students are key
Our tuition is 15% lower than other
private, 4-year colleges on L.I.
Of seniors participate in a co-op, practicum
clinical assignment or internship