May I refinance my home once I have refinanced before and received cash out?

As long as you have equity, you can refinance. If you post the details, I'm sure someone here can advise you further.

How much do you owe?
What is the property worth?
What is your credit score?
Is this your primary residence?
What type of property is it?
What is your current interest rate and how long since your last refi?
What state are you in?