Illinois Adoption Registry and Medical Information Exchange (IARMIE) Application (VR161 / IL482-1014)
Official state formAdoptionForm VR161 / IL482-1014Free downloadLast verified November 10, 2026
Base application to register, or update a registration, with the Illinois Adoption Registry and Medical Information Exchange. It is mailed to the Division of Vital Records with the other registry forms listed on its second page.
Who can use this form
- An adult adopted or surrendered person.
- A birth parent.
- An adoptive parent or legal guardian of an adopted or surrendered person.
- A surviving relative of a deceased birth parent.
- A surviving relative of a deceased adopted or surrendered person.
What to send with it
- The Registration Identification form for your situation. Birth parents send the Birth Parent Preference Packet instead.
- A photocopy of photo identification.
- An Information Exchange Authorization or a Denial of Information Exchange form.
- A completed Medical Questionnaire or the $15 registration fee payable to IDPH.
- Certified birth, death, marriage or guardianship records, depending on who is registering.
- Updates to an earlier registration must also include identification.
Where to send it
- Mail to
- Illinois Department of Public Health Division of Vital Records - IARMIE 110 West Lawrence Avenue Springfield, Illinois 62704-2610
- State fee
- $15 registration fee, waived when a completed Medical Questionnaire is filed.
- Typical processing
- Not provided
- Form revision
- rev.08/26
- Source
- Official government page