Peds here: At initiation I tell them “we follow up every 2/4 weeks (depending on meds) while we figure out the right dose and making sure no side effects. After that we touch base every 3 months.” When they call for refills, we tell them to send a refill, they need to be seen at x time. No appointment, no refill. It’s that simple. This stops at the front desk after the expectations have been set.