When a California dependent or ward's psychotropic medication authorization needs renewing with no change in drug or dose, the prescribing physician can use this shorter attachment instead of JV-220(A). It asks the juvenile court to continue the same medications at the same maximum doses, with an updated assessment of the child's mental health, response to medication, diagnoses, medical history and labs.
Only the prescribing physician who completed the most recent JV-220(A) can complete and sign it. The social worker or probation officer completes the JV-220 application.
Download the current version from the source each time; forms change without notice.
Physician's Request to Continue Medication—Attachment
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Only when the request is to continue the same psychotropic medication at the same maximum dosage the child is currently taking, and the same physician who completed the most recent JV-220(A) is making it. If either is not true, use JV-220(A).
A face-to-face evaluation date, the child's current height and weight, an assessment of overall mental health and response to medication, DSM-5 diagnoses, relevant medical history and labs, whether the child and caregiver were informed, planned therapeutic services, and each medication's schedule and maximum daily dose.
The prescribing physician completes and signs it, then gives it to the child's social worker or probation officer, who files it with the Application for Psychotropic Medication (JV-220). Form JV-217-INFO explains the full set of psychotropic medication forms.