John M. Cannon, MD ABU Certified Urologist
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  • Insurances Accepted
  • Vasectomy Reversal Info

Prescriptions/Refills

Should you need a refill on a medicine prescribed by Dr. Cannon before your next visit, please contact your pharmacy and a prescription can be sent via e-prescribing to your pharmacy if appropriate.  

Hospital Inpatient/Outpatient Care

Dr. Cannon has admitting privileges at all the hospitals in the Rochester area and most often attends at Unity Hospital (formerly Park Ridge Hospital).

​Save time: fill out forms before your visit. Click on the links below to download forms to your computer for printing.

For New Patients:                            Miscellaneous Questionaires:                         Information:
new patient registratn.pdf
File Size: 97 kb
File Type: pdf
Download File

NewPt History.pdf
File Size: 109 kb
File Type: pdf
Download File

medication list.pdf
File Size: 60 kb
File Type: pdf
Download File

transfer of records.pdf
File Size: 135 kb
File Type: pdf
Download File

FYI: You will be asked to consent to the following at your appt.
office policies.pdf
File Size: 220 kb
File Type: pdf
Download File

rhio consent form.pdf
File Size: 272 kb
File Type: pdf
Download File

privacy practices.pdf
File Size: 102 kb
File Type: pdf
Download File

Bladder Symptoms Questionnaire (LUTS)
File Size: 106 kb
File Type: pdf
Download File

women's incontinence questionnaire.pdf
File Size: 181 kb
File Type: pdf
Download File

erectile dysfunction.pdf
File Size: 92 kb
File Type: pdf
Download File

women bladder issues ages 14 to 54.pdf
File Size: 106 kb
File Type: pdf
Download File

frequent urinary infections.pdf
File Size: 93 kb
File Type: pdf
Download File

Vasectomy reversal questionaire.pdf
File Size: 42 kb
File Type: pdf
Download File

Calcium oxalate stone prev diet.pdf
File Size: 88 kb
File Type: pdf
Download File

kidney stone expel exercise.pdf
File Size: 764 kb
File Type: pdf
Download File

prostate_biopsy_info.pdf
File Size: 193 kb
File Type: pdf
Download File

bladder hypersensitivity info.pdf
File Size: 294 kb
File Type: pdf
Download File

robotic prostatectomy surgery info.pdf
File Size: 160 kb
File Type: pdf
Download File

Pre-MRI/BrachyRx low fiber diet.pdf
File Size: 96 kb
File Type: pdf
Download File


Dr. John M. Cannon Urology - 1770 Long Pond Rd. Rochester, NY 14606  - Telephone (585) 244-8110
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