Authorization to Release Health and Mental Health Information

Judicial Council of California · Juvenile

Verified current as of July 16, 2026

This form allows a parent, guardian, or child to give permission for doctors and mental health providers to share the child's medical and mental health records with the court and other people involved in a juvenile case. Judges, social workers, attorneys, and parents use this form in child custody, dependency, and juvenile delinquency cases to access important health information needed to make decisions about the child's care and safety.