Request refills or medication changes after Brookhaven care

Best first step: Use the Brookhaven discharge medication list as the main reference. If a refill, medication change, portal mismatch, or support-person access issue affects safe medication use, contact the care team or pharmacy before changing how medication is taken.

• Patients can request help with Brookhaven-prescribed medication refills or medication change questions after discharge.
• Support people may help with pickup, reminders, or refill coordination, but Brookhaven may need patient authorization before sharing medication details.
• Medication changes may need provider review before a dose, timing, refill, restart, stop, or replacement can be approved.
• Portal refill options do not always mean a refill or medication change is automatically approved.
• Pharmacy information, portal information, and discharge paperwork may update at different times.
• Urgent medication safety concerns should not wait for a routine portal request or records review.

Requester	What Brookhaven may need
Patient	Identity confirmation and medication details.
Authorized support person	Patient permission, proxy access, release authorization, or confirmation from the care team.
Guardian, caregiver, or legal representative	Legal documentation, relationship confirmation, or authorization on file.
Pharmacy	Prescription clarification, refill request, prior authorization, or prescriber review.
Outside provider	Records, discharge medication information, or care coordination with appropriate authorization.

Important: Being listed as a visitor, emergency contact, caregiver, or support person does not automatically allow someone to request medication changes, receive medication details, or view medication records.

• Brookhaven may accept concerns from a support person without sharing details back.
• Proxy access may not include all medication information.
• A release may allow some medication discussion but not all record access.
• Legal authority may be needed for some representatives.
• Medication safety instructions may still be limited if they include sensitive behavioral health details.

• Check the discharge medication list.
• Check whether the medication bottle shows refills remaining.
• Call the pharmacy to confirm refill status.
• Ask who manages refills after Brookhaven care.
• Request refills before medication runs out.
• Tell the care team if the medication will run out before follow-up.

Request type	Why review may be needed
Stop medication	Some medications should not be stopped suddenly or may need taper instructions.
Restart old medication	The medication may have been stopped for side effects, interactions, or care-plan reasons.
Change dose or timing	The provider may need to check symptoms, side effects, sleep, sedation, or other medications.
Switch medication	Switching may involve tapering, monitoring, side-effect review, or follow-up planning.
Request early refill	May require review of dose, supply, missed doses, pharmacy records, or safety concerns.

• The medication was started or changed during Brookhaven care.
• The patient has not completed follow-up care.
• The request involves side effects or worsening symptoms.
• The medication was stopped, tapered, or replaced.
• The refill is early or the patient is taking a different dose than prescribed.
• The medication may interact with other medications, alcohol, cannabis, sedatives, or supplements.
• The medication requires monitoring, lab review, or follow-up appointments.
• The medication should be managed by an outpatient provider after discharge.

Mismatch	What it may mean
Portal shows old medication	The portal may show older medication history, not the final discharge plan.
Pharmacy has no prescription	The prescription may be processing, sent elsewhere, expired, or awaiting provider clarification.
Proxy cannot see medication	Medication visibility may be limited by proxy settings, privacy rules, or authorization limits.
Bottle instructions differ from discharge paperwork	Ask the pharmacy and prescriber to clarify before changing how medication is taken.
Refill button missing	The medication may not be refillable through the portal or may be managed by another provider.

• Patient full name and date of birth.
• Brookhaven discharge date or approximate stay dates.
• Medication name, dose, and instructions.
• What the discharge paperwork says.
• What the portal, pharmacy, or bottle says.
• Whether this is a refill request or change request.
• How much medication remains, if requesting a refill.
• Any missed doses, side effects, worsening symptoms, or safety concerns.
• Preferred pharmacy name, address, and phone number.
• Requester name and relationship to the patient.
• Whether the patient has authorized the requester to receive medication information.

• Ask whether provider review is needed.
• Ask whether the request should go to an outpatient provider.
• Ask whether the pharmacy needs clarification.
• Ask whether patient authorization is missing.
• Ask whether proxy access needs to be updated.
• Ask whether the medication was stopped, changed, or not meant to continue.
• Ask what to do if the patient will run out before review is complete.

Do not wait for a portal request, proxy update, records review, or routine message if the medication issue affects immediate safety, severe symptoms, allergic reaction, suspected overdose, withdrawal concern, missed critical medication, or thoughts of self-harm or harm to others.

• Call the pharmacy directly if the problem is prescription pickup, refill status, or label instructions.
• Contact the care team or follow-up prescriber directly if instructions conflict.
• Seek urgent medical help for severe, sudden, allergic, or unsafe symptoms.
• If the patient feels unsafe or may harm themselves or someone else, seek immediate help.
• If the patient is still at Brookhaven, tell the assigned nurse or nearest staff member immediately.