Recommendation, Certification, and Order for Medical, Surgical, Dental, or Other Remedial Care

Alameda Superior Court · Frequently Used Forms

Verified current as of July 19, 2026

This form is used by the court to approve and order medical, surgical, dental, or other health treatments for children in the juvenile justice or dependency system when a parent or guardian cannot or will not consent to the care. A judge, social worker, or other court-authorized person would use this form to get official court permission to provide necessary medical treatment to a minor in state custody.