Birth Father Questionnaire

giving up my child for adoption
This form is confidential and does not obligate you to relinquish your child for adoption. It is designed to provide a birth parent’s health history, genetic and social background information. The purpose is to provide prospective adoptive parents accurate and complete information about your health history so that it can become a part of the child’s family health history. In cases where a child begins to ask questions about his or her biological parents, this form can be used to provide the child with information about your interests, talents, appearance, medical and genetic history. For these reasons, please be as thorough as possible in answering all of the questions.

We will help you each step of the way. If you have questions, please Call or text us at 1.800.923.6784 any time. Our caring coordinators can answer all your adoption questions.






Free Adoption Kit



Pregnancy Calculator



Peer Support

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