top of page

Medication Refill Request

Request refills must be sent 5 to 7 days before running out
Please keep in mind that we can only refill medications prescribed by our clinic.

FORMS

This form is to be completed by all patients in our practice.

This form is to be completed by current patients only.

This form is to be completed by patients when they have a change in insurance status.

Contact our office for moreย questions.

Office (225) 953-8250  -  Fax (504) 264-5590 
Contact@KhanPsychiatry.com 

7946 Goodwood Blvd, Baton Rouge, Louisiana 70806

ยฉ2018 by Khan Psychiatry

bottom of page