JV-172State (JC)Fillable

Ex Parte Application for Voluntary Admission to Psychiatric Residential Treatment Facility

Judicial Council of California · Juvenile

Verified current as of July 31, 2026

This form allows someone to request immediate admission to a psychiatric residential treatment facility for themselves or a minor in their care without needing a court hearing first. Parents, guardians, or young people themselves use this form to get mental health treatment quickly when they believe psychiatric residential care is necessary.

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