New Patient Paperwork

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

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
1:00pm - 6:30pm


Tuesday
1:00pm - 6:30pm


Wednesday
1:00pm - 6:30pm


Thursday
1:00pm - 6:30pm


Friday
Closed


Saturday
Closed

Injury Center of the Glades
241 SE 1st Street
Belle Glade, FL 33430
Phone: (561) 996-9936
Fax: (561) 996-9934