Andrew E. Leifer, M.D., P.C
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    • Printable Forms
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    • Telehealth Informed Consent Form
  • Medicare Private Contract Form
For Suboxone treatment, Please print and complete the following Forms:

Suboxone Patient Treatment Contract

After Hours Contact

Pharmacy Consent

For Substance Use Disorder treatment, please print and complete the following forms:

After Hours Contact

Treatment Contract for Substance Use Disorder   


This site is for information only and is not intended as a substitution for psychiatric treatment.

ANDREW LEIFER M.D., P.C.  2015
303-674-6074