Minnesota Birth Parent Contact Preference
Official state formAdoptionFree downloadLast verified November 12, 2026
Form for a birth parent named on an adopted person's original Minnesota birth record to say whether they want contact. The Minnesota Department of Health, Office of Vital Records attaches it to the original record.
Who can use this form
- A birth parent named on the original birth record of an adopted person.
- Filing this form is not required.
- You may send a new form at any time to change your preference.
What to send with it
- The completed form with the original birth record details you know and your contact preference.
- Any information you want the adopted person to know, written on the form.
- Do not send photos or extra documents; they are not shared or returned.
- Send it by mail, email or fax as printed on the form.
Where to send it
- Mail to
- Minnesota Department of Health Office of Vital Records PO Box 64499 St. Paul, MN 55164-0499 Or email health.vitalrecords@state.mn.us, or fax 866-416-1357
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 8/1/2023
- Source
- Official government page