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JV-217-INFOOptional

Guide to Psychotropic Medication Forms

California · Judicial Council of California · Effective January 1, 2019

This guide explains several forms used in juvenile court to ask for or continue giving medicine that affects mood or behavior to a child in care. It lists which forms are required and which are optional for different people to use.

The court describes it as: Explains the different forms used to ask for an order to give (or continue to give) psychotropic medications to a child who is a ward or dependent of the juvenile court and living in out-of-home placement or foster care.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Motions

Stage: Motions

This guide is used when someone needs to ask the court for an order about giving or continuing psychotropic medication to a child who is a ward or dependent of the juvenile court and living in out-of-home care.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

What is this form guide for?
This guide explains the different forms used to ask for an order to give or continue giving psychotropic medications to a child in out-of-home placement or foster care.
Are these forms always needed?
No, the guide notes exceptions, such as if the child lives in a facility not considered foster care or if there is a previous court order giving authority to the parent or guardian.
Who can fill out the forms?
The parent, guardian, child, caregiver, CASA, or Indian tribe can use some of these forms to give input to the court.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2019.

Related forms

  • JV-218

    Child's Opinion About the Medicine

    This form lets a child tell a judge what they think about a medicine a doctor wants them to take. It asks questions about whether the child knows about the medicine, if they want more information, and their overall opinion about taking it.

    OptionalFillable PDF1 translation
  • JV-219

    Statement About Medicine Prescribed

    This form asks a parent, guardian, or caregiver to give the court information about a child's current behavior, other treatments, and their thoughts on any medicine prescribed for the child. It asks about the medicine's benefits, side effects, and follow-up care.

    OptionalFillable PDF1 translation
  • JV-220

    Application For Psychotropic Medication

    This form is used to give the court basic information about a child and their living situation when asking for medication that affects mental health. It collects details about the child, where they live, and information from medical and social service staff.

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  • JV-220(A)

    Physician's Statement—Attachment

    This form is a statement from a doctor that is attached to an application. It asks the court for permission to start, change, or continue medication that affects a child's mental health.

    MandatoryFillable PDF
  • JV-220(B)

    Physician's Request to Continue Medication—Attachment

    This form is used by a doctor to ask the court for permission to keep giving a child a certain type of medicine. It is a shorter version of another form and can only be used by the same doctor who filled out the most recent related form.

    MandatoryFillable PDF
  • JV-221

    Proof of Notice of Application

    This form is used to prove to the court that all necessary people were given notice about an application for psychotropic medication. It asks the person filling it out to list who was notified and how they were notified.

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  • JV-222

    Input on Application for Psychotropic Medication

    This form is used by a parent, guardian, attorney, or tribe member to tell the court if they disagree with a recommended medication for a child, or to give the court other information about the child or medication.

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  • JV-223

    Order on Application for Psychotropic Medication

    This form is an official court order that records the judge's decision about whether a child can continue or start taking certain medications. It details the court's findings and the specific orders regarding the medication.

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