JV-175State (JC)Fillable

Review of Voluntary Admission of Child to Psychiatric Residential Treatment Facility

Judicial Council of California · Juvenile

Verified current as of July 31, 2026

This form is used to document and review a child's voluntary admission to a psychiatric residential treatment facility to ensure the placement is appropriate and necessary. Parents, guardians, social workers, and court officials use this form to monitor the child's mental health treatment and make decisions about whether to continue, modify, or end the psychiatric residential placement.

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