Rule 5.642.Authorization to release psychotropic medication prescription information to Medical Board of California

Division 3. Juvenile Rules · Chapter 10. Medication, Mental Health, and Education · Adopted 2020 · no amendments on record · Last verified September 10, 2026

In one sentenceRule 5.642 lets a foster child, or their attorney, authorize release of prescribing information to the Medical Board when three or more psychotropic medications are sought for 90 days or more.

Full Text of Rule 5.642

Text sizeJump to: (a) (b) (c) (d) (e)

(a) Providing authorization forms

Whenever there is an Application for Psychotropic Medication (form JV-220) filed with the court under rule 5.640, the applicant must review the Physician’s Statement—Attachment (form JV-220(A)) or Physician’s Request to Continue Medication—Attachment (form JV-220(B)) to determine if the request would result in the child being prescribed three or more concurrent psychotropic medications for 90 days or more, as described in section 14028. If the request would result in the child being prescribed three or more psychotropic medications for 90 days or more, the applicant must provide blank copies of Position on Release of Information to Medical Board of California (form JV-228), Background on Release of Information to Medical Board of California (form JV-228-INFO), and Withdrawal of Release of Information to Medical Board of California (form JV-229) to the child and the child’s attorney.

(b) Signing authorization form

(1) Form JV-228 may be signed by either the child, nonminor dependent, or the attorney, with the informed consent of the child if the child is found by the court to be of sufficient age and maturity to consent. Sufficient age and maturity to consent must be presumed, subject to rebuttal by clear and convincing evidence, if the child is 12 years of age or over. If the child does not want to sign form JV-228, the child’s attorney may not sign it. The child’s attorney may sign form JV-228 with the approval of a child 12 years of age or older, if the child is under 12 years of age, or if the court finds the child not to be of sufficient age and maturity to consent.

(2) The authorization is for the release of medical records only. It is not an authorization for the release of juvenile court case files as described in section 827.

(1) The child’s attorney must review form JV-228 with the child and file it with the superior court.

(2) Within three court days of filing, the clerk of the superior court must send form JV-228 to the California Department of Social Services at the address indicated on the form.

(d) Withdrawal of authorization

At any time, the child, nonminor dependent, or attorney may withdraw the authorization to release information to the Medical Board of California.

(1) Withdrawal may be made by filing Withdrawal of Release of Information to Medical Board of California (form JV-229) or by written letter to the California Department of Social Services.

(2) The child, nonminor dependent, or attorney may sign (as specified in (b)) form JV-229.

(3) Within three court days of filing, the clerk of the superior court must send form JV-229 to the California Department of Social Services at the address indicated on the form.

(e) Notice of release of information to medical board

If the California Department of Social Services releases identifying information to the Medical Board of California, the California Department of Social Services must notify the child, nonminor dependent, or former dependent or ward, at the last known address. The California Department of Social Services must also notify the child’s, nonminor dependent’s, or former dependent’s or ward’s attorney, including in cases when jurisdiction has been terminated.

End

Plain-English Summary

This rule attaches to the one before it. Whenever an application for psychotropic medication is filed, the applicant must look at the physician’s form and work out whether granting it would put the child on three or more concurrent psychotropic medications for 90 days or more. If it would, the applicant gives the child and the child’s attorney blank copies of the release form JV-228, the background sheet JV-228-INFO, and the withdrawal form JV-229.

Who signs is carefully handled. Form JV-228 may be signed by the child or nonminor dependent, or by the attorney with the child’s informed consent where the court finds the child old and mature enough to consent. A child of 12 or over is presumed to have that maturity, and the presumption can only be rebutted by clear and convincing evidence. If the child does not want to sign, the attorney may not sign for them.

The authorization is narrow: it releases medical records, and nothing else. It is not consent to release the juvenile case file.

The attorney reviews the form with the child and files it; the clerk sends it on to the Department of Social Services within three court days. Consent can be taken back at any time, on form JV-229 or by letter, and the same three-day clock applies. And if the Department does release identifying information to the Medical Board, it must tell the child — and the child’s attorney, even where jurisdiction has since ended.

Frequently Asked Questions

When do the Medical Board release forms have to be offered?

Whenever an application for psychotropic medication would result in the child being prescribed three or more concurrent psychotropic medications for 90 days or more. The applicant must then give blank copies of forms JV-228, JV-228-INFO and JV-229 to the child and the child’s attorney.

Can the attorney sign the release instead of the child?

Only with the child’s informed consent, where the court finds the child of sufficient age and maturity — presumed for a child of 12 or older, rebuttable by clear and convincing evidence. If the child does not want to sign, the attorney may not.

What exactly does the release cover?

Medical records only. It is not an authorization to release juvenile court case files.

Can the authorization be withdrawn?

Yes, at any time, by the child, the nonminor dependent, or the attorney — using form JV-229 or a written letter to the Department of Social Services.

Amendment History

Rule 5.642 adopted effective September 1, 2020.

Source & verification. Rule text is reproduced verbatim from the Judicial Council of California. Adopted by the Judicial Council of California. Last verified September 10, 2026. · Official source

Also known as: form JV-228 release medical boardthree or more psychotropic medications 90 dayswithdrawal of release JV-229medical board prescribing information foster child