Orlando Location

Mon 9:00am - 6:00pm
Tue 9:00am - 6:00pm
Wed 9:00am - 6:00pm
Thu 9:00am - 6:00pm
Fri 9:00am - 1:00pm
Sat - Sun Closed
(407) 658-8595

Lake Mary Location

Mon 9:00am - 6:00pm
Tue 2:00pm - 7:00pm
Wed 9:00am - 6:00pm
Thu 11:00am - 7:00pm
Fri 9:00am - 1:00pm
Sat - Sun Closed
(407) 261-4442

Daytona Location

Mon 9:00am - 6:00pm
Tue 11:00am - 6:00 pm
Wed 9:00am - 6:00pm
Thu 11:00am - 6:00pm
Fri 9:00am - 1:00pm
Sat - Sun Closed
(386) 788-2855

Online Forms

Injury Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form – Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Auto Accident Intake Form

Download & Print Form

Sanford Patient Intake Form

Download & Print Form

Daytona Patient Intake Form

Download & Print Form

Orlando Patient Intake Form

Download & Print Form


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