Forms & Payment

Medical Insurance Plans & Payment Options

We participate in most major medical insurance plans in the region including:

Accountable Health Partners (AHP); Aetna; Cigna; Empire Plan; Excellus Rochester, Preferred Provider Organization (PPO); Fidelis; GHI/Emblem Health; Medicare Part B; Monroe Plan; MVP Healthcare; New York State Medicaid; New York State Workers’ Compensation.

Please contact the office to obtain further information about your particular insurance plan if it is not listed.

You are responsible for payment for no-fault or private insurance, and in cases involving litigation. Please be aware that your insurance may not always cover the entire bill, and that you may have to pay deductibles or residual percentages. If your situation has been designated a Worker's Compensation case, you must bring all pertinent information for billing.

LIABILITY & WORKERS' COMPENSATION -- We ask that bills be paid promptly, even though you may be involved in a liability action against someone else. You are the person who has received treatment, and payment of the bill is your responsibility. We ask prompt payment for this reason, and because lawsuits may go on for a lengthy period of time.

In all Worker's Compensation cases, you must bring information for billing that includes the employer's name, your injury date, the insurance company name and address, and your WCB and carrier case number.

HIPAA Policy

Notice of Privacy Practices

New Patient Questionnaire & Office Forms

* New Patient Questionnaire *
Please take a few minutes to print out and then complete this three-page "New Patient Questionnaire" prior to your visit. Please be sure to bring the pages with you and present them to our representative when registering. This should help give you time to gather needed medical information at home, as well as expedite the 'check-in' process upon your arrival.

** Medical Record Release Form - (PHI Request) **
A request form for release of your personal health information (PHI), often referred to as a 'medical record release'. Please follow the instructions as listed on the form, and do not hesitate to contact the office at (585) 394-0116 if you have any questions or concerns.

** Workers' Compensation Information Form **
Patients with work-related injuries should take a moment to fill out this information sheet prior to their office visit. Please follow the instructions as listed on the form, and do not hesitate to contact the office at (585) 394-0116 if you have any questions or concerns.

Employment Opportunities at Canandaigua Orthopaedic Associates

Contact Information

Canandaigua Orthopaedic Assoc., PC 229 Parrish Street, Suite 100 Canandaigua, NY USA 14424 View map Phone (585) 394-1960 Fax (585) 393-9232
Directly across from FF Thompson Hospital on Parrish Street -- in the Lakeside Professional Park building. Enter in Front, and proceed to the lower level. Canandaigua, NY USA 14424 View map Phone (585) 394-1960 Fax (585) 393-9232

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This website is provided by the American Academy of Orthopaedic Surgeons as a service to its members. All materials on this Web site have been created, developed or assembled by the member physician, who is solely responsible for its content and any permissions necessary to properly place the materials on this website. The AAOS does not review this information nor does it exercise editorial control over it and consequently AAOS is not liable for any damage that may be caused by this information.