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Birth Mother
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Would you like us to contact you?
If yes, how would you like us to contact you?  
If we call, should we be discreet?
Profile
Are you currently pregnant?
If yes, when is your due date? Calendar
Who lives with you?
If you are not pregnant, has the child already been born?
If you are not pregnant, are you looking into an adoption plan for someone else?
If so, what is your relationship?
If you have choosen a hospital to deliver at, what is the name of the hospital?
Additional Information
Would you like to arrange an appointment?
How did you learn about Adoption STAR?  
Please fill in how you were referred to Adoption STAR, i.e. which internet search engine, yellow pages book or company, name of referral, etc.
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Our mailing addresses and phone numbers are:

Main Office: 131 John Muir Dr. | Amherst, NY 14228 | 716-639-3900
Florida Office: 1600 S. Federal Highway, Suite 202 | Pompano Beach, FL | 33062 | 954-566-6055
Ohio Office: 7815 Cooper Rd., Suite E | Cincinnati, OH | 45242 | 513-631-3900

Regional Phone Numbers
Albany 518-391-2515 | Binghamton 607-330-2158| Rochester 585-672-5227 |
New York City 917-470-9340 | Syracuse 315-703-7511 | Poughkeepsie 845-457-4883|
Cleveland 216-201-9177 | Miami 305-433-8531

Call Toll Free 866-691-3300

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