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 9:00am - 1:00pm
Sun Closed
(386) 788-2855

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 9:00am - 1:00pm
Sun Closed
(407) 261-4442

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

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!

Auto Accident Intake Form

Lake Mary Patient Intake Form

Daytona Patient Intake Form

Orlando Patient Intake Form