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University Elite

Forms

Please find and download the correct form below by clicking the red form icon to the left of the form name specified by your doctor.



Patient Self Referral Flyer


Download Flyer Here

Adult Intake Form

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


Complete Form Here

Form PHQ-9

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form PCL-5

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form GAD-7

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form “Sentence-Completion-Child“

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: AIMS

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: FULL-Vanderbilt-Assessment

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: MMSE-Mini-Mental-State-Examination

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: MOCA

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: Alcohol-Use-Disorders-Identification-Test

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: Alcohol-Smoking-and-Substance-Involment-Screening-Test

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: Sentence-Completion-Test-Adult

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Form: Vanderbilt-for-Patients-Teachers

Please download & complete the form as instructed by your doctor, then upload the completed form using the upload section to the right.


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Upload Forms Here

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What Makes Us Special?


University Elite is focused equally on patient education and treatment options. Instead of simply “throwing a med at the symptoms,” we focus on understanding the “why” behind your specific situation and symptoms. Then we take the necessary time to help our patients understand “the why.” This is the reason that our patients are equal partners in choosing their treatment approach.


Phone: 406-404-6815



Our Insurance Policy


Please note that to provide personalized service and full confidentiality, University Elite does not contract with any insurance providers. All services are paid for in full by the client when reserving each session. 

If requested, your doctor will be happy to provide you with a reimbursement form or “superbill” which you can present to your insurance provider in order to seek partial reimbursement for psychiatric or psychotherapeutic services rendered.


Insurance Policy…


…If you plan to use insurance benefits, it is recommended that you check with your insurance provider prior to your first appointment to understand the full details of your out-of-network mental health benefits. University Elite Doctors are considered “out-of-network” providers for insurance plans. These plans vary widely and typically reimburse patients anywhere from 25% to 90% of the total cost of each session. You may want to ask your insurance carrier to what extent they reimburse for psychiatric services by an out-of-network doctor.



Copyright © University Elite/Dr Hans R Watson