Rights and Disclosure

I understand that I am giving my permission to have International Family Services speak without breaking confidentiality to my doctor, my hospital, my adoptive family I have chosen, a former adoption agency and other professionals as needed on my behalf.

I understand that I am giving International Family Services permission to share de-identified copies of my birth mother questionnaire and medical records with the adoptive family chosen by me or the agency.

I understand that I am working exclusively with International Family Services to place my child with the family that I have chosen or, when requested by me, the family that the agency has chosen.