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BIRTH MOTHER INFORMATION

We understand this is a difficult decision and are here to support you. Alliance is here to answer your questions, talk about your options and listen to you and what you feel is best for your baby. Everything You Share with Us is Private and Confidential. Only fields with red asterisk are required to be filled in.

BIRTH MOTHER INFORMATION (M)

We understand this is a difficult decision and are here to support you. Alliance is here to answer your questions, talk about your options and listen to you and what you feel is best for your baby. Everything You Share with Us is Private and Confidential. Only fields with red asterisk are required to be filled in.

ADDITIONAL BIRTH PARENT FORMS

CHOOSING AN ADOPTIVE FAMILY

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BIRTH MOTHER MEDICAL HISTORY

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HOSPITAL PREFERENCES

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BIRTH FATHER INFORMATION

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BIRTH PARENT LIVING EXPENSES

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SOCIAL PROFILE INFORMATION

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Our Locations

Massachusetts Office
292 Reservoir St.
Needham, MA 02494
PH: (781) 444-7148

New Jersey Office
500 Paterson Plank Road
Union City, NJ 07087
PH: (201) 474-5603

Texas Office
4316 Canyon Dr.
Amarillo, TX 79109
PH: (254) 877-9724

 Florida Office
8950 SW 74 Court
Suite 2201-A108
Miami, FL 33156
PH: (239) 488-2550

Pennsylvania Office
1650 Market St.
Ste. 3600
Philadelphia, PA 19103
PH: (267) 518-3267

New York Office
307 West 38th St.
16th Floor
New York, NY 10018
PH: (212) 202-2812

Connecticut Office
2433 Main St.
Office 2A
Rocky Hill, CT 06067
PH: (203) 539-0147

Arkansas Office
2 Live Oaks Court
Little Rock, AR 72223
PH: (479) 244-3181

Rhode Island Office
10 Dorrance Street
Suite 700-#3300 Providence, RI 02903
(401) 240-2159

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The Alliance for Children is licensed in Massachusetts, Rhode Island, Connecticut, New York, New Jersey, Pennsylvania, Florida, Arkansas and Texas!

Additional information about applications, placements, disruptions and waiting children for the past three years is available upon request.

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We provide home study and post-placement services to families living in states in which we are licensed. However, we can provide birth parent and adoption placement services to clients in all 50 states.

Non-Discrimination: Admissions, the provisions of services, and referrals of clients shall be made without regard to race, color, religious creed, disability, ancestry, marital status, national origin (including limited English proficiency), age, gender, gender identity, gender expression, sexual orientation, or any other characteristic that is legally protected. Programs and services shall be made accessible to eligible persons with disabilities through the most practical and economically feasible methods available.

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