Post Adoption Support | Background Report | Adoption Services

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Counseling Inquiry Form

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Your full name:*

Email address:*

Contact number during business hours:*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Role in adoption:

Adopted Person

Birth Parent

Adoptive Parent

Relative of Adopted Person or Birth Parent

Other

If "other" please describe:

I am interested in/Reason for contact:*

Is this a Cradle Adoption?:*

Yes

Unsure

If a Cradle facilitated adoption and if known, please enter the following information from the time of the adoption:

Name of Adopted Person:

DOB of Adopted Person:

Name(s) of Adoptive Parents:

Name of Birth Mother:

DOB of Birth Mother:

If Birth Parent or Adopted Person is deceased, list date of death and name at time of death:

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Unplanned Pregnancy?

Call our 24-hour toll-free number to speak to a Cradle counselor

800-CRADLE4 (800-272-3534)

Text CRADLE to 66746

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Adoptive Families & General Inquiries

Have a General Inquiry?

Call 847-475-5800

Looking to adopt?

Schedule a Call with a Counselor

Need Post Adoption Support?

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The Cradle

I’m Pregnant

Adoption Services

Counseling & Education

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I'm Pregnant

Adoption Services

Counseling, Education & Training

I'm Pregnant

Adoption Services

Counseling, Education & Training

Counseling Inquiry Form

If a Cradle facilitated adoption and if known, please enter the following information from the time of the adoption:

Unplanned Pregnancy?

Adoptive Families & General Inquiries

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