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Oregon Certificate of Receipt of Birth Parent Medical History (CF-247)

Official state formAdoptionForm CF-247Free downloadLast verified November 10, 2026

Shows that the adoption registry or agency received a birth parent's medical history. The parent completes their section, the registry or agency completes its section, and the parent then sends it to the Center for Health Statistics with a no-contact Contact Preference Form.

Who can use this form

  • The birth mother or birth father completes the parent section and the address section
  • The ODHS Adoption Search and Registry or the private adoption agency completes its section and mails the form back to the parent

What to send with it

  • First send this form to the Adoption Search and Registry or the adoption agency, with form CF 246R
  • When it comes back, send it with the Contact Preference Form (45-29) and fee to the Oregon Center for Health Statistics, PO Box 14050, Portland, OR 97293

Where to send it

Mail to
ODHS Adoption Search and Registry 500 Summer St NE, E-71 Salem, OR 97301
State fee
Not provided
Typical processing
Not provided
Form revision
04/25
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Oregon Certificate of Receipt of Birth Parent Medical History (CF-247) | Oregon Form