Transfer Records

Transferring to Brentwood Children's Clinic

In order to provide the best care for your child, we need to review their medical and immunization history prior to their first visit with us.  Please request medical records from your previous pediatrician several weeks before your child's first appointment. 

You can use our Authorization For Disclosure of Medical Information  or use your previous pediatricians form to have your records sent directly to us.

Transferring to another Doctor

Visit this link online.

Or:

Upon completion of an Authorization For Disclosure of Medical Information form, send by faxing to 865-212-2230 or mailing to:

Summit Medical Group

Attn: Datavant

1275 Dick Lonas Rd., Suite 200

Knoxville, TN 37909

Please allow 7-10 business days to process medical records.