Patient Information

New Patient Form

To help your first visit go smoothly, please complete our New Patient Form by choosing one of these easy options:

• Email the filled-out form to Dr. Kodi ahead of time 

  • [email protected]

• Print it and bring it with you or

• Arrive 10 minutes early to fill it out in the office

Click Below To Access Form

Insurance Disclaimer

Please be advised that patients are responsible for knowing and understanding their own insurance benefits. Our office does not assume responsibility for verifying coverage details

If you would like us to look up your insurance benefits, this service can be provided through our third-party billing company for an additional fee.

Thank you for your cooperation and understanding!