The form has Youth Information, Prescriber Information, Clinical Information and Medication Request sections.
Required: all fields in the Medication Request are required for processing.
Page 2: not to be sent without page 1.
Labs: annual screening labs are required for all youth taking antipsychotic and/or mood stabilizer medications.
Type of request: New, Increase, Renewal (consent to expire), New to DCFS, continuing med, One time emergency med (for acute sx), or On med or dosage w/o consent.
| Question | Answer |
|---|---|
| Form Name | CFS 431-A |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 145 |
| Avg. time to fill out | 25 min |
| Edition | Rev 05/2024 |
| Where to send | Fax completed form to 312-814-7015 |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | CFS 431-A, CFS 431A, DCFS 431-A, Psychotropic Medication Request Form, DCFS psychotropic medication request |
| Official source | CFS 431-A (Rev 05/2024), Illinois Department of Children & Family Services |
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