Support for Adopted Adults

Are you the adopted adult? *

Yes

No

Are you a professional enquiring on behalf of an adopted adult? *

Yes

No

Professionals name and contact details ( if appropriate)

Full adopted name *

Home address

Postcode *

Contact number *

Email address *

Full birth name *

Date of birth *

Date of adoption order

Which court was involved in the order ( if known )

Which Adoption Agency was involved in the order ( if known )

Birth Parents details ( if known )

Any other information

What help or support do you need? *

Adoption Counts is a new, collaborative adoption agency, bringing together the professional expertise of the following five local authorities.