Adoption/Birth Record Request Form
Thank you for reaching out to us regarding adoption and/or birth records. We hold records from the House of Providence Orphanage, St. Vincent's Asylum for Girls, and St. Mary's Hospital. Many of these records are confidential and may include health records protected under federal HIPAA laws. Catholic Charities is able to research information on you/your relative(s) if legally able. We are able to provide more detailed information if the individual the records are regarding is still alive and consents to the distribution of this information. Please fill out the form below with as much information as you have and we will contact you if we are able to find any information that would be of service to assisting you. Thank you!

Please note: Catholic Charities organized and coordinated adoptions in the past until about 10 years ago. As of September 2019, Catholic Charities is unable to release any information on these adoptions. Any requests regarding these adoptions must go through the New York State Adoption Information Registry. Thank you.

Catholic Charities does not hold birth certificates or legal documents regarding adoption. These documents are held at the New York State Adoption Information Registry.
Your First and Last Name *
Your answer
Phone number *
Your answer
Email address *
Your answer
Are you the individual whom this request is regarding? *
If not, please state your relationship to the individual whom this request is regarding.
Your answer
First and Last Name of individual you would like us to look into, if not yourself.
Your answer
Birthdate of the individual whom this request is regarding.
Your answer
Does this individual have any other known first or last/pseudo names?
Your answer
Do you have the full names of the adoptive parents, if applicable? If so, please provide them below.
Your answer
Do you have the full names or any information on the birth parents, if applicable? If so, please provide them below.
Your answer
What information are you specifically looking to find?
Your answer
Please use this space to include any other details or information that you may have that were not asked about throughout this form.
Your answer
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