Forms & Resources from the Psychotropic Medication in Foster Care eLearning

eLearning%20Photo.JPG

The JV-220 Psychotropic Medication Approval

By law, a child who is a ward or dependent of Juvenile Court or in foster care may not receive psychotropic medication without a court order. The Judicial Council of California has created a series of forms used to request psychotropic medication approval from the Court. These forms make up the “JV-220 Process.”

  • JV-217-INFO is a Guide that provides brief descriptions of all the forms related to the Application for Psychotropic Medication. It is sent along with notifications of a pending Application.

Required Forms:

  • JV-220 – Application for Psychotropic Medication
  • JV-220(A) – Physician’s Statement - Attachment
  • JV-220(B) – Physician’s Request to Continue Medication - Attachment
  • JV-221 – Proof of Notice of Application
  • JV-223 – Order on Application for Psychotropic Medication
  • JV-224 – County Report on Psychotropic Medication

Optional Forms:

  • JV-218 – Child’s Opinion About the Medicine
  • JV-219 – Statement About Medicine Prescribed
  • JV-222 – Input on Application for Psychotropic Medication

Forms for Investigating Potential Over-Prescription

  • JV-228-INFO - Background on Release of Information to Medical Board of California
  • JV-228 – Position on Release of Information to Medical Board of California
  • JV-229 – Withdrawl of Release of Information to Medical Board of California
  • JV-287 – Confidential Information

California Rules of Court
The California Rules of Court provide the statewide procedure used to seek authorization for administering psychotropic medication to children in out-of-home placements as well as the forms used in the process.

  • Rule 5.640 - Psychotropic Medications
  • Rule 5.642 - Authorization to release psychotropic medication prescription information to Medical Board of California

Contact Us

Permanency Services and Support Unit
744 P Street, MS 08-13-556
Sacramento, CA 95814
(916) 657-1858
QIPsychotropic@dss.ca.gov