Forms & Payment

Accepts new patients

Medicare Medicaid Workers' compensation Other
Yes Yes Yes Yes

Medical insurance plans and payment options

Beech Street Accelerated Payment Program, Beech Street PPO, Beech Street W/Comp, Fortified Group Health, Fortified W/Comp, Galaxy Health Network PPO, Galaxy Health Savings Card, Great West Open Access, Great West POS, Great West PPO, Integrated Health Plan Group Health PPO, Integrated Health Plan W/Comp, MultiPlan / PHCS PPO, Three Rivers PPO, USA Managed Care PPO, USA W/Comp, AZ Foundation EPO, AZ Foundation for Medical Care, AZ Foundation for Medical Care POS, AZ Foundation for Medicare Select, MMSI / Mayo, Blue Choice, Blue Cross of AZ, Blue Cross of AZ PPO, Blue Cross Select, Blue Cross of AZ HMO, GEHA (Federal BCBS), Blue Cross Third Party Administrators (TPA), CCN Community Care Network, CCN Non-State Fund W/Comp, CCN State Comp W/Comp, Mailhandlers (under First Health network), Coventry Health and Life Insurance (First Health), HNA, CIGNA HMO, CIGNA Medicare HMO, CIGNA Network, CIGNA Open Access HMO, CIGNA Open Access Network, CIGNA Open Access Plus, CIGNA Open Access POS, CIGNA POS, CIGNA PPO / PPO+ / Indemnity & EPO, Claris Pointe PPO, UnitedHealthcare Benesight, UnitedHealthcare Golden Rule, UnitedHealthcare Empire Plan, UnitedHealthcare Definity, Aetna (except Aetna Medicare HMO), Aetna W/Comp, APIPA, APIPA Personal Care Plus / Medicare Advantage, Banner Employee Health Plan, HealthNet HMO, HealthNet POS, HealthNet PPO, HealthNet Senior HMO, Humana Choice Care PPO, Humana Medicare PPO Network, Humana Gold Choice, Lifewise PPO, Today's Options PPO, Medicare, SCF Preferred Connection Network, BCBS (out of state PRIME), CMDP (foster children / AHCCCS), CMDP (refugees / AHCCCS), Champus Retired, Evercare with Medicare Prime, Industrial Insurance Carriers, National Association for Letter Carriers, Secure Horizon Direct FFS, Tricare for Life

Flexible payment plans are available. Please contact the office for further information.

HIPAA Policy

Notice of Privacy Policies

Office information from Canyon Orthopaedic Surgeons, Ltd

Acknowledgement of Receipt of Notice of Privacy Policies

Authorization to Release Protected Health Information

Brochure

New Patient Information

Patient Follow Up Form

Patient History Form

Records Release and Assignment of Benefits

Contact Information

Southwest Office 10450 West McDowell Road Suite 102 Avondale, AZ 85392 View map Phone 623-846-7614 Fax 623-846-0993
Northwest Office 6760 West Thunderbird Road Suite E110 Peoria, AZ USA 85381 View map Phone 623-846-7614 Fax 623-846-0419

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