Indiana Birth Parent Contact Preference (State Form 56535)
Official state formAdoptionForm State Form 56535Free downloadLast verified November 10, 2026
Completed by a birth parent to state whether and how an adopted child may contact them, and whether their identifying information may be released. It is mailed to the Adoption Matching Program at the Indiana Department of Health, Division of Vital Records.
Who can use this form
- The birth parent or birth parents of an adopted child.
- The form must be signed and dated to be valid.
- A new Contact Preference Form replaces the one on file.
What to send with it
- The signed and dated form with one contact option selected.
- A photocopy of a valid government, state, or military identification. The address must match the address on the form.
- The name of the intermediary, if you choose contact through an intermediary.
Where to send it
- Mail to
- Indiana Department of Health Division of Vital Records B-4 Adoption Matching Program 2 North Meridian Street Indianapolis, IN 46204
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- R / 1-24
- Source
- Official government page