Juvenile

JV-219: Statement About Medicine Prescribed

Fillable PDFJudicial Council of California

This form documents information about any medicines a child is currently taking, including the medicine names, dosages, and reasons for use. Parents, guardians, or caregivers use it in juvenile court cases to provide the judge with important health information that may affect custody, welfare, or other decisions about the child's care.

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Forms that go with JV-219

JV-200RequiredCustody Order—Juvenile—Final JudgmentThe Dispositional Attachment for Restitution (JV-200) initiates the restitution process and is typically filed before or alongside the JV-219 to establish the basis for the restitution hearing.›JV-221RequiredProof of Notice of ApplicationJV-221 (Proof of Notice – Psychotropic Medication) documents that all required parties (parents, child, attorneys) have been notified of the medication request, which is required in the same proceeding.›JV-218AttachmentChild's Opinion About the MedicineJV-218 (Request to Change Court Order – Psychotropic Medication) is used to initiate or modify a psychotropic medication request, and JV-219 is typically filed as part of that process.›JV-180Often filed with itRequest to Change Court OrderJV-180 (Request to Change Court Order) may be used in conjunction when a party seeks to formally modify an existing dependency court order related to a child's medical treatment plan.›JV-220Next stepApplication For Psychotropic MedicationJV-220 (Psychotropic Medication Order) is the court order that directly follows and is based on the information provided in the JV-219, authorizing or denying the prescribed medication.›

More Juvenile forms

JV-214Request for Hearing on Waiver of Presumptive Transfer›JV-215Order After Hearing on Waiver of Presumptive Transfer›JV-216Order Delegating Judicial Authority Over Psychotropic Medication›JV-222Input on Application for Psychotropic Medication›JV-223Order on Application for Psychotropic Medication›JV-224County Report on Psychotropic Medication›
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