Sorry to post the whole file but maybe that's the root of the problem. Thanks for the input.
<?php
while (list($name, $value) = each($HTTP_POST_VARS)) {
echo "$name = $value<br>\n";
}
"$InjuredYear-$InjuredMonth-$InjuredDay" = $DateInjured;
/* Connecting, selecting DB */
$link = mysql_connect("localhost", "user", "pwd") or die("Could not connect: " . mysql_error());
print "Connected successfully<br>";
mysql_select_db("esa_db")or die("Could not select database: " . mysql_error());
/* Insert values from page */
$query = "INSERT INTO contact (LastName, FirstName, StreetAddress, City, State, Zip, Phone, WorkPhone, Email, InjuredRelation, InjuredName, InjuredAge, Attorney, AccidentDESC, FoundSite, Questions)
VALUES('$LastName', '$FirstName', '$StreetAddress', '$City', '$State', '$Zip', '$Phone', '$WorkPhone', '$Email', '$InjuredRelation', '$InjuredName', '$InjuredAge', '$Attorney', '$AccidentDESC', '$FoundSite', '$Questions')";
/* Insert values from page */
$query = "INSERT INTO detail (CityInjured, StateInjured, DateInjured)
VALUES('$CityInjured', '$StateInjured', '$DateInjured')";
/* Closing connection */
mysql_close($link);
?>