Medication Refills

Medications are best managed in an appointment, so that effectiveness can be assessed and possible side effects can be monitored.  The policy is to provide enough medications to last until your next follow-up appointment.

For example, if you are given a 90-day supply of medications, it is expected that you will be seen before you run out of medications.

It is your responsibility to be seen prior to running out of medications.   It is recommended that you schedule your follow-up online as soon as you seen that you have zero refills on your medications.

Given the predictability of when you will need more medications, please allow 5 full business days for medication refills to be processed.

  • Medication refills are made at the discretion of your provider and will not be authorized if an appointment is past due.
  • All refill requests are managed from Monday- Friday.
  • Medication refills are not managed during the evenings or weekends when the office is closed.

If you need medication refills before your next appointment, you may request that your pharmacy fax a refill request to (206) 707-8299.

ADHD Stimulant Medication Refills

Stimulant medications for ADHD are federally controlled substances and refills can not be called into a pharmacy under any circumstance.  A paper prescription form must be submitted to the pharmacy for a stimulant medications to be filled.

The following are general guidelines for stimulant medications:

  • Patients who are stable on their medications are typically seen at 3 – 4 month intervals.
  • Follow-up appointments may be more frequent if new medication is being evaluated, specific symptoms are being monitored, or if impairments in functioning still exist.
  • In addition to following federal law, this practice ensures that medications are working optimally and that potential adverse effects such as decreased appetite and weight loss, increased pulse or blood pressure, mood problems such as depression or irritability, sleep disruption, or unwanted changes in personality or activity level  are appropriately monitored.
  • All medication changes and dose adjustments are made during scheduled office visits.