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Office information
We offer a number of forms in PDF format that you can download (using the free Adobe Reader software) and print out. Filling out these forms prior to your office visit can save you time.
The BRIGHT FUTURES and DEMOGRAPHICS forms are especially important and should be completed before your visit.
Demographics (family registration form)
Bright Futures forms
3 – 5 Day Bright Futures 1 Month Bright Futures 2 Month Bright Futures 4 Month Bright Futures 6 Month Bright Futures 9 Month Bright Futures 12 Month Bright Futures 15 Month Bright Futures 18 Month Bright Futures 2 Year Bright Futures 3 Year Bright Futures 4 Year Bright Futures 5 Year Bright Futures 6 Year Bright Futures 7 Year Bright Futures 8 Year Bright Futures 9 Year Bright Futures 10 Year Bright Futures 11 – 14 Year Bright Futures 15 – 17 Year Bright Futures 18 – 21 Year Bright Futures
Patient Information/Insurance
We do not accept Peach State, Ambetter, Kaiser, Amerigroup or Humana HMO
Transfer of medical records
This is how we obtain your old medical records from previous physicans’ offices.
Medical records release Permission to send records Medical records request form for treatment purposes
Please note: You do not have to have your previous doctors’ medical records with you at your initial visit.
Other forms
Medication questionnaire Medication check questionnaire

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What parents say.
“I will never go to any other doctor for my kids. Dr. Cantrell a fantastic doctor and Robin is a stellar associate. She was the first one to tell me my youngest had heart problems and walked with me through every test we’ve had to take and made sure to give me the best information and specialty doctors she can. The nurses are kind and compassionate and I have never had issues with the front office staff. You can find a doctor anywhere for your kids but you will find a real Family practice here.”
“We love dr. Cantrell. He is most honest and friendly dr. He takes time with kids and answers all your questions. He does not rush you. He is very knowledgeable doctor also. As first time mom of special needs child’s, five years ago I was scared. But he made it all alright. He gave us advices not just from doctors point of view but from father as well, which was very comforting to us as new parents. It has been amazing that he is our dr.”
“Dr. Cantrell is an awesome pediatrician. He gives great advice for parents in need of guidance and can save you money by suggesting an over the counter remedy if a prescription medicine is not needed. Staff is polite and professional, the office is super clean and kid friendly. Can say enough great things about this place. A++”
“Dr Cantrell is very knowledgable about ADHD and has helped our family tremendously with options for our child”
“My friend told me about this office, I am so happy I found this place. My soon had been going here since he has been born! They love him and he loves them! Most kids hate the experience of the doctor my child loves coming here . He is so happy to see them and show him how much he has grown!”
“This was my doctor when i was a kid and he was great. I wish i lived close by so my girls could see him too.”
“I adore Dr. Cantrell! Honestly could not be happier to have him to call and lean on when something is going on with my babies.”
“Dr. Cantrell was my pediatrician since my first week check up. Now, I drive the extra mile to have my kids see him! He is fantastic. I highly recommend him. He cares more about your children than the money. Thank you Dr. Cantrell! Go Vols!!!”