Andrew E. Leifer, M.D., P.C. dba Apex Treatment Services, 1202 Bergen Parkway, Suite 211, Evergreen, CO 80439 Office: 303-674-6074 Fax Line: 303-831-9601
As a participant in buprenorphine treatment for opioid misuse and dependence. I freely and voluntarily agree to accept this treatment contract as follows:
Valium is a registered trademark of Roche Products Inc. Klonopin is a registered trademark of Roche Laboratories Inc. "Xanax is a registered trademark of Pharmacia & Upjohn Company