Southeast Institute

BCBS Insurance Forms
for Dr. Peterson's Clinical Practice

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If you plan to use Blue Cross/Blue Shield insurance for mental health services, please download and complete:

• the BCBS Health Insurance Intake Information (PDF file); and
• the appropriate insurance claim form:
  • BCBS (PDF file); or
  • BCBS-State (PDF file)

To access the forms provided on this page, you will need to be able to read Adobe PDF files. To do so, you will need Adobe Reader installed on your computer. If you do not have Adobe Reader, you can download it for free from Adobe by clicking on this icon: