Independent Adoption Center

Request Information on Our Open Adoption Program

IAC's trained staff can help guide you through all your options and answer all of your questions.

• All birthmother and birthfather services are FREE

• You will choose the family for your baby

To learn more call our toll free number 1-800-877-OPEN (6736) or fill out the form below.

*Required fields are marked with a red asterisk.

Describe your situation:

*First Name: *Last Name:

*E-mail:

*City: *State:

Fill this out if you would like a free adoption guide (It will be mailed in a plain, confidential envelope)

Street Address: ZIP:

Fill this out if you would like someone to call to talk about your options:

Phone: ( ) -

How did you hear about us?

If you were referred to us by someone, please name them here:

Referred by:

If you found us through a search engine, please type in the word or phrase you searched for:

Search Word(s):

Due Date/Months Pregnant:

Comments/Suggestions (Optional)