Medication Refills
All medication refills should be requested through this website.
(Requests made to a pharmacy may not be received by our office.)
Medications are best managed in an appointment where effectiveness can be assessed, and possible side effects can be monitored. We aim to provide enough medication to last until time for the next follow-up appointment. If medications are running low, you may need to contact our office and schedule an appointment with Dr. Portteus or Julia.
Please allow 3 full business days for medication refills to be processed. Medication refills are made at the discretion of the doctor and may not be authorized if an appointment is past due. A charge may be incurred if a refill is provided when an appointment is past due. All refill requests are managed at the main office from Monday - Friday. Medication refills are not managed during the evenings or weekends when the office is closed. Optional same-day expedited refills may be available for an additional charge on a limited basis, and this can be elected or declined on the refill request form. Expedited request received after 2:00 pm may be processed the next business day.
Patients who need medication refills before time for their next appointment may request a refill as detailed below.
To Request A Refill
Complete the form below and be prepared to include the following information:
Patient's name/ Parent's name (if applicable)
Patient's date of birth
Medication requested
Dose of Medication
Pharmacy Information
For controlled substance: acknowledge $25 refill fee will be charged if the 3 month appointment window is past due and you would like a limited supply of medication sent before next appointment.
Acknowledge 3 business days are needed for medication to be processed. If medications are needed sooner, you may elect optional expedite service and acknowledge additional $35 fee for expedited same-day refill service.
See below for additional information on the Portteus Psychiatry Group Policy and Practice for refills of such medications.
ADD/ADHD Stimulant Medication Refills & other controlled substances
Stimulant medications for ADD/ADHD and benzodiazepines for anxiety are controlled substances and refills are tracked and monitored by the state.
The American Academy of Child and Adolescent Psychiatry and the American Academy of Pediatrics recommend close monitoring of patients taking stimulants. Dr. Portteus follows this guideline with the following practices:
Patients who are stable on their medications are typically seen at 3-month intervals.
If stable and not recommended for additional follow-up, patients prescribed stimulants for ADHD are usually able to receive three monthly refill prescriptions (or one 90 day prescription if allowed by insurance) during their appointment to last until needing to be seen again by the doctor. Provider may issue a one month supply and allow patient to request two additional refills within the three month period for no additional charge.
Follow-up appointments may be more frequent if new medication is being evaluated, specific symptoms are being monitored, or factors impacting school/work performance, behavior, or mood are being addressed.
Dr. Portteus and Julia follow this practice to ensure 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.
Patients taking benzodiazepine anxiety medications are also seen at 3 month intervals and prescription refills are closely monitored.
Refill requests beyond the 3-month appointment window will incur an additional $25 dollar charge and will only be filled at the provider’s discretion. The provider will typically request that an appointment is scheduled before processing a refill request. A small quantity of medication will be provided, when approved, to last until an appointment can be offered. It is recommended to schedule and maintain regular appointments to avoid extra fees.
Appointment balances must be paid and in good standing for medication refills to be sent. Outstanding balances can be paid by accessing the Client Portal on this website.
All medication changes and dose adjustments are made during scheduled office visits.