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Email Us NowBirth Mothers who need someone to talk to, email us now.
24-Hour-a-Day Pregnancy Hotline
410-683-2100

Birth Mother Intake Form

One of the beginning steps in creating an adoption plan is to complete an intake.

Please complete and bring all forms to your first session. These forms are required for your first session. Thank you.

CLICK HERE FOR INTAKE FORM

This is the intake necessary to assist in the creation of your adoption plan.  To complete the intake, you will click on the words “PDF form here” and download the intake form.

The information from this intake is strictly confidential.  Adoptive families are not given any of your identifying information. They are only given information on your medical history so they can be better informed regarding the potential medical issues of the baby to be adopted.

Please complete the form with as much information as possible.  We have loving families who are open and willing to adopt a child from all types of backgrounds and medical conditions.

If you do not have a way to mail this intake form back to Adoption Makes Family, you are welcome to call us and request a self-addressed, stamped envelope.  You are also welcome to scan the intake and send it to us at dr.kirschner@adoptionmakesfamily.org

Once we have received your intake form, we will set up a time for you to meet with a social worker at a time and location that is convenient for you.  You will then be able to ask more of your questions and start the process of identifying a family who will be the adoptive family for your baby.

Adoption Makes Family is Just a Phone Call Away if You Have Questions

Adoption Makes Family is a non-profit (501-C3) licensed adoption agency based in Maryland. Our adoption counselors are available 24 hours a day, 7 days a week for your convenience. If you would like our advice or just need to talk, please give us a call at any time.

24-Hour Hotline 410-683-2100

Or you may reach us at the text button located at the top left hand corner of your screen.

Our caring and compassionate counselors are professionals with experience helping families make the right decisions for them and their children.

Remember, you are not alone. Adoption Makes Family is here to help!

Adoption Makes Family is for the adoptive family as well, providing adoption services to a family choosing to embark on their own adoption journey. Adoption Makes Family is located just north of Baltimore, Maryland, serving birth parents throughout the state and adoptive families across the country.
10635 York Road
Cockeysville
Maryland
21030
USA
Adoption Makes Family was founded to meet the needs of birth parents and adoptive parents in a manner that is sensitive, compassionate, and personal. We are a non-profit (501-C3), licensed adoption agency based in Maryland. Our highly trained staff is prepared to meet the needs of birth parents and adoptive parents, as well as children in need of a loving home.
10635 York Road
Cockeysville
MD
21030
USA