A A A

Counseling Inquiry Form

"*" indicates required fields

Your full name:*

Email address:*

Contact number during business hours:*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Role in adoption:

Adopted Person

Birth Parent

Adoptive Parent

Relative of Adopted Person or Birth Parent

Other

If "other" please describe:

I am interested in/Reason for contact:*

Is this a Cradle Adoption?:*

Yes

Unsure

If a Cradle facilitated adoption and if known, please enter the following information from the time of the adoption:

Name of Adopted Person:

DOB of Adopted Person:

Name(s) of Adoptive Parents:

Name of Birth Mother:

DOB of Birth Mother:

If Birth Parent or Adopted Person is deceased, list date of death and name at time of death:

I would like to receive:

Cradle e-Newsletter

CAPTCHA

This field is for validation purposes and should be left unchanged.

Unplanned Pregnancy?

Call our 24-hour toll-free number to speak to a Cradle counselor

800-CRADLE4 (800-272-3534)

Text CRADLE to 66746

Email Us | Chat Us

Adoptive Families & General Inquiries

Have a General Inquiry?

Call 847-475-5800

Looking to adopt?

Schedule a Call with our Cradle staff to learn how our adoption agency can support you.

Need Post Adoption Support?

Schedule a Call

Join Our List

Want to stay connected with The Cradle? Enter your email address to receive updates.

The Cradle

I’m Pregnant

Adoption Services

Counseling & Education

A A A

I'm Pregnant

Adoption Services

Counseling, Education & Training

I'm Pregnant

Adoption Services

Counseling, Education & Training

Counseling Inquiry Form

If a Cradle facilitated adoption and if known, please enter the following information from the time of the adoption:

Unplanned Pregnancy?

Adoptive Families & General Inquiries

Join Our List