Andrew E. Leifer, M.D., P.C
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New Patient Forms
Suboxone and Substance Use Disorder Forms
Existing Patient Charting Forms
Document Submission Form
COVID-19 In Person Office Visit Form
Printable Forms
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Telehealth Informed Consent Form
Medicare Private Contract Form
The following Existing Patient Charting Forms are available in printable PDF format:
Sleep Log
Mood Chart
Nutrition Food Log
Exercise Log
Meeting Log