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Safe Delivery Publications

Emergency Service Providers

Voluntary Medical Background Form DHS 4819

If the surrendering parent wishes to provide information about their medical background, this information would assist with the newborn's care.
View Voluntary Medical Background Form - DHS-4819

Forma Voluntaria de Antecedentes Medicos para un Recien Nacido Entregado - DHS-4819-SP

La Forma Voluntaria de Antecedentes Médicos para un Recién Nacido Entregado es llenada por el Proveedor de Servicios de Emergencia.
Forma Voluntaria de Antecedentes Medicos para un Recien Nacido Entregado - DHS-4819-SP

Voluntary Release for Adoption DHS 4820

The Voluntary Release for Adoption of a Surrendered Newborn by Parent form is a written affirmation that the surrendering parent voluntary released their parental rights to their newborn child.
Voluntary Release for Adoption - DHS-4820

Adoption Agencies

Adoption Agency Directory

Michigan private adoption agencies that will provide placement for a surrendered newborn in an approved adoptive home.
Adoption Agency Directory