Forms & Payment

Accepting New Patients

Medicare Medicaid Workers' compensation Other
Yes Yes Yes Yes

Medical insurance plans and payment options

We participate in most major medical insurance plans in the region including those listed above and Blue Choice, Blue Shield, Finger Lakes Health Plan, MVP (Preferred Care), Monroe Plan, and Child Health Plus.

You are responsible for payment for no-fault or private insurance, and in cases involving litigation. However, we will make exceptions and submit for surgical services and fracture care. 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. This includes information identifying your employer, insurance carrier, case numbers, and the date of injury.

LIABILITY & WORKERS'S 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 form with you and present it 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.

Employment Opportunities at Canandaigua Orthopaedic Associates

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) 394-3312 if you have any questions or concerns.

Contact Information

Canandaigua Orthopaedic Associates, PC 360 Parrish Street, Second Floor Canandaigua, NY USA 14424 View map Phone (585) 394-1960 Fax (585) 394-6302

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