Birth Father'S Adoption Plan Page 2

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Describe your feelings and the reasons why you are placing the child for adoption:
_______________________________________________________________________
What plan, other than adoption, have you considered for this child?
__________________________________________________________________________
Explain the type of home and family you want for your child:
Have you ever worked with or been represented by a lawyer, adoption agency or facilitator
other than your current adoption attorney and/or adoption agency? If so, please list the
name, address and phone number of the person(s) or entity you worked with and the dates
you worked with them:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
HOSPITAL & BIRTH PLANS
Do you want to know the sex of the baby?
Yes
No
Do you want to see the baby in the hospital?
Yes
No
Do you want to hold the baby in the hospital?
Yes
No
Do you want counseling either before or after the birth of the baby? Yes
No
Do you want any pre- or post-birth education?
Yes
No
Would you like us to meet with your parents, siblings, or any other person to discuss your
a
doption plan and the adoption process?
Yes
No
If so, please identify _______________________________________________
2

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