Patient Forms

Please note, we are required to update the Patient Registration Sheet annually for every child in our practice.  If you would like to fill it out before your appointment you can download it below and bring it with you to your appointment. Or, you can email it to us at QualityCare@BandBPeds.com. Note that patients over 18 years of age require a different form and must be filled out by the patient.  

If your child needs a sports form filled out so they can play sports, we have included the Knox County form below. The parent and patient will need to fill out both pages of the History Section before the doctor will review it and fill out their portion. The doctors will only fill out forms for a patient who has had a well-child check (physical) in our office within the past year. Once you have completed the History Section, please send them to us by:

• mail (4741 N. Broadway Ste B, Knoxville, TN  37918)
• fax (865.687.0157)
• email (QualityCare@BandBPeds.com)
• in person at our office between 8am and 5pm Monday - Friday.

Once the doctor has filled out the form, we will call you to let you know it's ready.