Refill Eligibility

• Patients taking stimulant medications must be seen for scheduled medication management visits every 30-90 days, depending on stability and clinical need.

• If you miss or cancel your appointment and do not reschedule within 7 days, your provider may offer a bridging refill - a short-term prescription to help you stay on track until you're seen again. 

Administration Fee for Refill Requests

• Beginning July 11, 2025, a $35 administrative fee will be applied to:

  • Bridging refills for missed appointments

  • Refill requests made outside of the scheduled visits 

  • Stable adult patients who don't require monthly visits but still request refills without follow-up.​

  • This fee is NOT covered by insurance and must be paid before the prescription is sent to your pharmacy.

• We will always let you know when this fee applies, and we'll do our best to help you plan ahead.​

Children & Monthly Visits

• Children prescribed stimulant medications will need to be seen every month to ensure safety, growth monitoring, and emotional check-ins. 

• We know life is busy, and we'll always do our best to make these visits accessible and supportive.

When Refill Patterns Become Disruptive

• If there are multiple missed appointments, frequent emergency refill requests, or difficulty staying in follow-up, your provider will pause and review the treatment plan.

• This is never to punish, but to ensure care remains safe and effective.

Controlled Substance Agreement

• All patients prescribed stimulants will review and sign a Controlled Substance Agreement, which includes:

  • Using one consistent pharmacy and prescriber

  • No early refills or dose changes without discussion

  • Pill counts or random screens as needed

• This agreement keeps everyone on the same page and helps us care for you with integrity.

Telehealth + Flexibility

• We know that transportation, illness, or finances can get in the way.

• Telehealth visits are always an option—just let us know what you need, and we’ll work together to keep you connected and cared for.

Our Heart Behind the Policy​

• This policy isn’t about punishment—it’s about partnership.

• We want your care to feel steady, respectful, and human. If something comes up, we’ll always try to work with you. Just keep us in the loop​