Andrew E. Leifer, M.D., P.C. 1202 Bergen Parkway, Suite 211,
dba Apex Treatment Services Evergreen, CO 80439
Office: 303-674-6074 Fax Line: 303-831-9601
As a participant in substance treatment, I freely and voluntarily agree to accept this treatment contract as follows:
Physician Signature Copyright © March 1. 2011 Andrew E. Leifer, M.D., P.C. All Rights Reserved