JV-174State (JC)Fillable

Order on Application for Voluntary Admission to Psychiatric Residential Treatment Facility

Judicial Council of California · Juvenile

Verified current as of July 31, 2026

This form is used to approve or deny a minor's application to voluntarily enter a psychiatric residential treatment facility for mental health care. Judges, mental health professionals, and parents or guardians use this form to document the court's decision on psychiatric admission for minors seeking inpatient mental health treatment.

This form has fillable fields — you can complete it directly in the viewer on the right.
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