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Permission is only required of those still living. If the individual (adoptee or birth parents) is deceased, information can be released, although proof of death is required. | Permission is only required of those still living. If the individual (adoptee or birth parents) is deceased, information can be released, although proof of death is required. | ||
Form for [https://forms.in.gov/Download.aspx?id=5405 Identifying Information Consent Form (47896)] | Form for [https://forms.in.gov/Download.aspx?id=5405 Identifying Information Consent Form (47896)] (Download) | ||
Non-Identifying Information can also be provided: [https://forms.in.gov/Download.aspx?id=5406 Non-identifying Information Consent Form (47897)] | Non-Identifying Information can also be provided: [https://forms.in.gov/Download.aspx?id=5406 Non-identifying Information Consent Form (47897)] (Download) | ||
For more information: [http://www.in.gov/isdh/20371.htm Indiana State Department of Health]. | For more information: [http://www.in.gov/isdh/20371.htm Indiana State Department of Health]. | ||
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The Office of the State Registrar can conduct a search for medical information for the adoptee: [http://www.in.gov/icpr/webfile/formsdiv/09966.pdf State form SF47261]. | The Office of the State Registrar can conduct a search for medical information for the adoptee: [http://www.in.gov/icpr/webfile/formsdiv/09966.pdf State form SF47261]. | ||
Mail a copy of signature identification and this completed form to the address below: <br>Indiana State Department of Health <br>Indiana Adoption Medical History Registry P.O. BOX 7125 <br>INDIANAPOLIS, IN 46206-7125<br>Allow 4 to 6 weeks for processing of your request. | Mail a copy of signature identification and this completed form to the address below: <br>Indiana State Department of Health <br>Indiana Adoption Medical History Registry P.O. BOX 7125 <br>INDIANAPOLIS, IN 46206-7125<br>Allow 4 to 6 weeks for processing of your request. | ||
== Additional Helps == | == Additional Helps == | ||