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Patient Forms

Patient forms are available for downloading. Print & complete these forms at home and bring them with you to your visit.

We are transitioning to an electronic medical record and additional information might be required to be entered into the computer, please prepare for additional time to enter information into the medical record.

Thank you.

Meet Dr. Ghaffari

Dr. Sam Ghaffari
Sam Ghaffari, DO, FAAPMR
President, Eastside Sport & NeuroRehab Specialists

Medical Director, Dekalb Medical Inpatient Rehab Center

Regional Medical Director, US Physiatry

Volunteer Clinical Faculty, Philadelphia College of Osteopathic Medicine

Attending Physiatrist, Emory Eastside Medical Center

Ph: 770.674.4888
Fx: 770.674.4887

www.EastSideNeuroRehab.com
www.USPhysiatry.com