I want to get a refill on my birth control do i have a right to decline a pap test and still get a prescription ?

Yes: You have the right to decline any testing or treatment but your doctor also has the right to decline the prescription if he/she feels you are not doing proper screening tests or may not be compliant with medications. These are for safety reasons regarding ocps and not just to be "mean". If you are having sex you need to have pap screening for cervical cancer, screening for std's, and a pelvic.