The Review and Adjustment process is used to determine if the support amount is in accordance with the child support guidelines and/or to determine if medical support needs to be added to the order. DHR will only review orders once every 36 months, unless a significant change such as a financial windfall or a severe medical crisis occurs. The request must be made in writing and state why you believe the order should be changed. If our review finds that your support order should be changed (modified), we will prepare the legal papers and arrange a court hearing for you. In some cases both parties may agree to a modification and a court hearing will not be necessary. If an agreement cannot be reached, the judge will make the final decision about whether an order will be changed.