Accepted Insurance
Most forms of insurance are accepted.
We DO accept 
For questions about specific insurance please call (423) 479-9733
Forms
| Name | Purpose | Special Requirements |
| Medical History | Medical history of patient and brief family medical history. Required for registration. | None |
| Patient Information | Basic information about patient. Required for registration. | Patient insurance information, patient allergies, contact info for people other than parents allowed to bring patient to appointments. |
| Authorization for Release of Protected Health Information | Authorize Cleveland Pediatrics to request/release medical records from/to another physician’s office. | Address/phone/fax of physician’s office to release medical records to or request medical records from. |
| Feeding Recommendations | Informational handout on feeding recommendations for infants |
Other forms and information is avaiable on our Portal.
“Where Kids Come First”
Contact Us
Telephone: (423) 479-9733
Fax:( 423) 472-1890
Office Hours
Monday Thru Friday
Our phones are answered 8:30 A.M. to 5:00 P.M. Patients are seen by appointment only. We no longer offer walk in appointments due to Covid.
*Note: Office hours are not fixed. If no patients are scheduled, the office will close.