Ex Parte Application for Voluntary Admission to Psychiatric Residential Treatment Facility
California · Judicial Council of California · Effective January 1, 2024
This form is used to ask the court for an order that allows a person to voluntarily admit a child or nonminor to a psychiatric residential treatment facility. It asks for details about the child's mental disorder, the proposed facility, and who is requesting the admission.
Where this fits in a case
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This form must be used to request an order authorizing voluntary admission into a psychiatric residential treatment facility. It must be filed within 48 hours of being informed of the request, or on the first court day after 48 hours if the courts are closed.
Either party may file.
Official instructions
How-to guides published by the court for this form.
Common questions
- Who fills out this form?
- The form is used when a social worker or probation officer requests a court order, or when a parent, guardian, or Indian custodian is seeking the admission.
- What is this form for?
- It is an application to get a court order that allows a voluntary admission to a psychiatric residential treatment facility.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2024.
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