If you would like to update your name, personal information, responsible party, or up to two (2) insurance plans, please click here*. Please print the form when completed and mail to us at the below address.
Our mailing address is:
Blue Ridge Radiology, P.C. ATTN: Patient Updates 3053 West State Street Bristol, TN 37620
(*Requires Adobe Acrobat Reader - see icon below to download)