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JV-228-INFOOptional

Background on Release of Information to Medical Board of California

California · Judicial Council of California · Effective January 1, 2025

This form provides background information about releasing your medical details to the Medical Board of California. It explains that the board may review your care if you were prescribed three or more certain medications for a long time.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used when a person has been prescribed three or more psychotropic medications at the same time for 90 days or longer, which prompts the Medical Board of California to review the care provided by the doctor.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

What is this form about?
This form explains why the Medical Board of California might ask for your medical information. It is related to a review of care when certain medications are prescribed to youth in foster care.
Do I have to give my information to the board?
No, you do not have to release any information to the board, and you can choose not to share your information.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2025.

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