Brad Johns, MD | Psychiatrist Atlanta logo for print

Psychopharmacology & Psychotherapy
Atlanta, GA

Phone: 404-495-5006
Fax: 404-829-2298

Request a Prescription Refill

Patient Information
Patient Name:
Date of Birth:
Home Phone:
Cell Phone:
Preferred Contact Method: Home Phone
Cell Phone
Email Address:
Prescription Information
Name of Your Pharmacy:
Your Pharmacy's Phone Number:
Name of Medication:
Medication Dosage: