New Patient Paperwork

Utah Injury Clinic 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.

Monday
9:00am - 11:00am
2:00pm - 4:30pm


Tuesday
9:00am - 12:00pm


Wednesday
9:00am - 11:00am
2:00pm - 6:00pm


Thursday
9:00am - 11:00am
2:00pm - 6:00pm


Friday
9:00am - 11:00am


Saturday
On Call


Sunday
On Call

Utah Injury Clinic
5526 South Van Winkle Expressway Suite B
Salt Lake City, UT 84117
(801) 747-2886