Medication Refills
We understand that there may be times when patients will need
refills of medications. We will attempt to accommodate refill
requests. We reserve the right to deny refill requests. Please read
the Instructions for Medication Refills prior to filling out form.

Please note that all messages left after hours or on weekends
will be checked on the following business day.
Instructions for
Medication Refills

Please have your
pharmacy fax medication
refill request to our office.

If you need medication
called into a different
pharmacy, please leave
number, your date of birth,
pharmacy phone number
specific medications,
medication dosing, and
reason on our voice mail
or online request form.

If you need refill of
medications that requires
a controlled substance
prescription, please leave
your name, your contact
number, and specific
medication on our voice
mail or online request
form.
Instructions for Prior
Authorization of
Medications

Unfortunately, not all
insurance companies will
approve some of the
medications used by
psychiatrists. Medications
that commonly require
Please understand that we
may not be able to get the
approval right away.

Please have your
pharmacy fax the prior
authorization request to
our office to initiate the
process.
Patient's name:
Your name:
(if different from patient)
Your email address:
Your phone number:
Patient's date of birth:
Pharmacy phone:
Reason:
Specific medication refill needs:
Frank Chen, MD, PA uses Secure Socket Layer (SSL) technology to encrypt
information provided on this page.
Frank Chen, MD, PA
Brainflo, PA - Florence Kim, MD
Michael Barber, MD, PA
2180 North Loop West
Suite 450
Houston, TX 77018
Ph: 832-384-1560
Fax: 832-384-1585