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1-800-CALL MOSSContact Us
We Welcome Our Patients With Strong Safety Measures, Virtual Appointments and More. Visit our Safe Care Page for Key Information.

    Appointment Request

    Getting started is quick and easy. Just fill out the form below, and a referral representative will get back to you to set up an appointment with one of Einstein's physicians. Questions? Call 1-800-EINSTEIN.

    Our physician offices remain ready to provide safe and convenient care including telephone and virtual appointments, when applicable.

    Please note: This form does not guarantee an appointment.

    *First Name:
    *Last Name:
    Address 1:
    Address 2:
    City:
    State:
    *Zip:
    *Date of birth: (mm/dd/yyyy)
    RadDatePicker
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    Open the calendar popup.
    Gender:
    *Reason for visit:
    *Insurance company and plan name:
    *Are you an Einstein employee?
    *Phone:
    Email:

    A representative will contact you within 1-2 business days to help you find a physician or specialist.



    Top-ranked rehabilitation hospital in Pennsylvania and top 10 in the U.S.

    MossRehab (main hospital)

    60 Township Line Road, Elkins Park, PA 19027
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