6 Steps to a successful Safe Delivery Surrender:
In Order to be Surrendered, the Baby:
must be less than 72 hours old,
must show no signs of abuse or neglect, and
can only be surrendered by a biological parent
Make Sure the Mother Understands the Surrender is Permanent and the Baby will be Placed for Adoption
– Offer her the opportunity to talk the Adoption Agency
Give her the Safe Delivery FACT Sheet (DHS Pub 867)
Ask her to Sign the Voluntary Release for Adoption of a Surrendered Newborn by Parent (DHS 4820)
– She may decline, but she must be asked!
Ask her to Provide Medical Background Information on the Voluntary Medical Background Form for a Surrendered Newborn (DHS 4819)
– She may decline, but she must be asked
– If the mother does not write in the requested information herself, but provides it orally, document the information and note it was provided to you verbally.
Specifically ASK her to Identify the Father of the Baby
– She may decline or may not know who he is, but she must be asked! Document this in the ESP observations.
Contact a Licensed Adoption Agency for Placement of the Baby.
Documentation needed by the Court and Child Placing Agency:
- Medical Records or report on the child.
- Birth Verification showing how the child’s name will be registered with vital records.
- Voluntary Release for Adoption of a Surrendered Newborn by Parent.
- Voluntary Medical Background Form for a Surrendered Newborn.