New Patient Paperwork

Academy Injury & Health Center offers our patient form online so it can be completed at the convenience of your own home or office.

  • (Online Form) Patient Intake Form

    Click to Complete

Monday
7:00am - 12:30pm
2:30pm - 6:30pm


Tuesday
8:00am - 12:30pm
2:30pm - 6:30pm


Wednesday
8:00am - 12:30pm
2:30pm - 6:30pm


Thursday
8:00am - 12:30pm
2:30pm - 6:30pm


Friday
7:00am - 11:00am


Saturday
8:00am - 11:00am


Sunday
Closed

Academy Injury & Health Center

2808 Southampton Rd
Philadelphia, PA 19154

(215) 637-1212