Alabama Birth Parent Contact Preference and Medical History Forms (ADPH-HS-86; ADPH-HS-87)

Who can use this form

• The birth mother or birth father of an adopted child born in Alabama.
• The parent can state a wish to be contacted, to be contacted through an intermediary, or not to be contacted.
• The form is given only to the child, if the child requests a copy of the original birth certificate.

What to send with it

• The completed and signed request (HS-86).
• The completed Contact Preference and Medical History Form (HS-87).
• The child's exact date of birth, the exact city or county of birth, and the mother's name exactly as it appears on the original birth certificate.
• The $25 search fee. The form says to make checks payable to "Alabama Vital Records".
• The form prints the Adoptions Section address shown here. The office's web page addresses mail to the Center for Health Statistics, Attn: Adoptions, at the same P.O. Box.

Where to send it

Mail to

Vital Records - Adoptions Section P.O. Box 5625 Montgomery, Alabama 36103-5625

State fee

$25 non-refundable search fee. This form (Rev. 10/2009) says to make checks payable to "Alabama Vital Records"; the office's other forms and pages name "Center for Health Statistics" as the payee.

Typical processing

Not provided

Form revision

Rev. 10/2009

Source

Official government page