Southeast Institute

UBH Insurance Forms
for Dr. Peterson's Clinical Practice

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If you plan to use United Behavioral Health insurance, please download and complete:

• the UBH Insurance Intake Information (PDF file); and
• the UBH Insurance Claim Form (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: