Final answer:
A healthcare provider can choose from three options on a refill authorization request form: authorize the refill plus additional refills, do not refill and instruct the patient to contact the office, or refill the medication with instructions not to refill again and have the patient contact the office.
Step-by-step explanation:
When dealing with a refill authorization request form, a healthcare provider typically has three options to select from:
- I authorize this refill plus additional refills
- Do not refill have patient contact my office
- Refill this medication, do not refill have patient contact my office
These options allow the provider to specify whether the medication should be refilled, if additional refills are authorized beyond the current request, and whether or not the patient should follow up with their office before the prescription is refilled, which could indicate a need for a check-up or reevaluation of the medication's efficacy and appropriateness.