BIRTH PARENTS

Adoption Support for Birth Parents

Whether you are exploring adoption, looking for support during pregnancy, or simply trying to understand your options, our team is here to provide information, guidance, and compassionate support without pressure or judgment.

  • Call: 844-522-7700
  • Text: 844-522-7700

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Why Heart to Heart

Which Describes You?

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Free, confidential support with no pressure and no obligation. Learn your options at your own pace.

Start Here

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Learn how our program works, what to expect, and how we'll walk with you from application to placement.

Start Here

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From your first phone call through long after placement, our team surrounds you with practical help and emotional support. Here's what that looks like in real terms — during your pregnancy and in the months and years that follow.

During Pregnancy

  • Help with housing, groceries, and pregnancy-related expenses
  • Transportation to medical appointments and counseling
  • Licensed counseling with no cost to you
  • Help choosing and meeting the adoptive family
  • A dedicated case manager available 24/7

After Placement

  • Ongoing counseling and emotional support
  • Help maintaining your communication plan
  • Photos and updates facilitated through our team
  • Connection to a community of birth mothers
  • A relationship with our team that doesn't end at placement

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Pregnancy Support Options

What Pregnancy Support May Include

Depending on your situation and state laws, support during pregnancy may include help with housing, groceries, transportation, medical care, counseling, and other pregnancy-related expenses.

Every situation is different. Any support provided must follow state laws and is handled carefully, respectfully, and confidentially through licensed professionals.

Housing & Utilities

Help with safe and stable living expenses during pregnancy may be available depending on your situation.

Groceries & Essentials

Support may include groceries, household items, and other basic needs during pregnancy.

Medical Care

Pregnancy-related medical care and expenses may qualify for assistance depending on your situation.

Transportation Support

Transportation to medical appointments, counseling, or pregnancy-related services may be available.

Confidential Support Licensed Agency No Pressure or Obligation

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Quick Answers

Common questions birth parents ask.

What is adoption?

Adoption is a loving choice where you make a plan for your baby's future.

Learn More

Can I choose the family?

Yes. You get to review profiles and choose the family that feels right for you.

Learn More

Is my information confidential?

Absolutely. Your privacy is protected every step of the way.

Learn More

Will I receive financial support?

Financial support is available to help you during pregnancy and beyond.

Learn More

Can I have contact after placement?

You choose the level of openness and contact that works for you.

Learn More

What are my next steps?

We'll walk with you through the process at your pace—no pressure.

Learn More

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More Resources for Birth Parents

Real stories, helpful videos, and additional resources to support you wherever you are in your journey.

Birth Mom Experiences

Hear directly from birth mothers who have been in your shoes. Their stories may help you feel less alone.

Explore This Resource

Recent Placement Stories

Read real placement stories from families and birth mothers we have had the privilege of walking alongside.

Explore This Resource

Videos for Birth Parents

Watch videos that walk you through the adoption process, answer common questions, and share real experiences.

Explore This Resource

Birth Parent Education

Educational resources to help you understand your options, your rights, and what to expect throughout the process.

Explore This Resource

Blog

Articles, guides, and honest answers to questions birth parents ask most. Written with care by our team.

Explore This Resource

Meet Our Team

Get to know the people who will be supporting you — licensed professionals with decades of combined experience.

Explore This Resource

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You don't have to do this alone.

We're here to walk beside you—every step of the way.

Call or Text Anytime

844-522-7700

Start Here

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We're Here For You

Ready When You Are

Whether you're exploring your options or ready to take the next step, our team is here — no pressure, no obligation, just support.

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Need Help?

Not sure which form to open next, or want someone to walk you through it? We're here.

Call Us - 844-522-7700

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For Birth Mothers

We're With You Every Step of the Way

From your very first call to years after placement, you'll have a dedicated team in your corner.

  • A free, confidential adoption plan built around you
  • Support with housing, groceries, and medical care
  • A case manager available to you 24/7
Talk to Someone Now

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Counselor offering guidance to a birth mother
Support You Can Count On

We're With You Every Step of the Way

Our licensed professionals provide education, guidance, and ongoing support so you never feel alone on your adoption journey.

  • Personalized guidance from experienced professionals
  • Clear communication and honest answers
  • Support before, during, and after placement
Talk to an Adoption Specialist

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Life After Placement

A Path That Keeps Going After Placement

Our support doesn't end at placement. Here's what staying connected typically looks like, one step at a time.

  1. 1Post-Placement Check-InsRegular check-ins from your case manager to see how you're doing, on your schedule.
  2. 2Communication Plan SupportHelp maintaining the level of contact and updates you agreed to with the adoptive family.
  3. 324/7 Case Manager AccessA dedicated point of contact you can reach any time, day or night.
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Support That Meets You Where You Are

Resources and Education for Every Step

Whatever stage you're at — just starting to explore your options, or ready to make an adoption plan — we have resources built for you.

  • Educational GuidesPlain-language guides that walk you through adoption, your rights, and what to expect.
  • One-on-One CounselingFree, confidential sessions with a licensed counselor whenever you need to talk.
  • Peer CommunityConnect with other birth mothers who understand exactly what you're going through.

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Open Adoption Expectations

What Open Adoption Can Look Like Over Time

Every open adoption relationship is unique. Communication plans are discussed before placement and can evolve naturally as relationships grow.

  1. Discuss

    Talk with your adoption specialist about the type of communication that feels right for you.

  2. Plan

    Before placement, birth parents and adoptive families discuss expectations for photos, updates, messages, calls, or visits.

  3. Connect

    Many families begin sharing updates after placement based on the communication plan they created together.

  4. Adjust

    Relationships and circumstances change over time. Communication plans can adapt as everyone becomes more comfortable.

  5. Grow

    Some open adoption relationships remain update-focused, while others develop deeper ongoing connections built on trust and respect.

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Every adoption journey is unique, but the path is easier when you know what to expect. From your first questions to finalization, we’ll guide you through each step with personalized support.

  1. 1. Learn

    Learn about domestic infant adoption and decide if it’s the right path for you.

  2. 2. Apply

    Complete your application so we can begin getting to know your family.

  3. 3. Home Study

    Complete your home study, education, and required documentation.

  4. 4. Match

    We’ll connect you with an expectant parent who feels right for you.

  5. 5. Welcome Home

    Welcome your child home while our team guides you through placement and finalization.

Every journey is unique, and we’ll be with you every step of the way.

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Words cannot express how I feel about each and every one of you. It takes a special person to do what you do.

— A Heart to Heart Birth Mother

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Pregnancy & Housing Support

Can Adoption Help With Housing and Utility Costs During Pregnancy?

If you're worried about how you'll cover rent, utilities, or groceries during your pregnancy, you're not alone — and you may have more options than you think.

  • Rent and utility assistance where state law allows
  • Groceries and essential household items
  • Transportation to medical and counseling appointments
  • Licensed counseling at no cost to you
Find Out What You Qualify For

GA Appreciation Forms

For Adoptive Families

Ways to Show Your Appreciation

Small gestures mean a lot. Here are a few ways adoptive families choose to say thank you to their child's birth mother.

Send a CardA note for a birthday or anniversary
Share Photo UpdatesPer your communication plan
Write a LetterShare a memory or milestone
Send a Thoughtful GiftAsk your case manager for ideas

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All Application Forms

Open any form to get started or continue where you left off. You can return to this page anytime.

Section 1

Getting Started

Basic information so we can get to know you and support you best.

Primary Application Information

Basic information to get your application started.

Open Form

Release of Information

Authorizes us to share information on your behalf.

Open Form

Rights and Responsibilities

Your rights throughout the adoption process.

Open Form
Section 2

Medical & Pregnancy Information

Your health and pregnancy background so we can provide the best support.

Social Medical History – Mother

Your health background and pregnancy details.

Open Form

Social Medical History – Father

Birth father’s health background where available.

Open Form
Section 3

Preferences & Planning

Help us understand what matters most as you consider your options.

Info About the Birth Father

Information about the birth father for our records.

Open Form

Financial Worksheet

Helps us understand how we can support you financially.

Open Form

You are not alone. We are honored to walk this journey with you.

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We're here for you, every step of the way.

Our caring and experienced team is here to walk alongside you. You'll always work with the same person who will take the time to listen, answer your questions, and support you—without pressure or judgment.

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Compassionate Support

We're here to help you feel supported and empowered.

Your Privacy Matters

Your information is always kept confidential and secure.

No Pressure, Ever

You are in control of your decisions, always.

Support Beyond Placement

We walk with you before, during, and after placement.

Whenever you're ready, we're here. Call or text anytime.

Text: 844-522-7700  •  Call: 844-522-7700

501(c)(3) Nonprofit Licensed Adoption Agency 25+ Years of Service All 50 States Served

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Common Questions

Quick Answers to Common Questions

Honest answers to the questions people ask us most. Tap any question to read more.

To create a podcast, you'll need a microphone, headphones, and a computer or laptop. Additionally, you may want to invest in a pop filter, a microphone stand, and soundproofing materials to improve the quality of your recordings.

When choosing a podcast topic, consider your interests and expertise. Look for topics that you're passionate about and that you think your audience will enjoy. It's also important to consider the market demand for your chosen topic and to research your competition.

The structure of your podcast episodes will depend on your chosen topic and format. However, most podcasts typically begin with an introduction that includes an overview of the episode's topic and any necessary disclaimers. The main content of the episode follows, and the episode usually concludes with a summary or call to action.

To record your podcast, use a microphone and recording software such as Audacity, GarageBand, or Adobe Audition. Once you've recorded your episode, edit it to remove any mistakes or unwanted background noise. You can also add music, sound effects, and transitions to enhance your podcast's production value.

To publish your podcast, you'll need a hosting platform such as Podbean, Buzzsprout, or Libsyn. Once your podcast is live, promote it on social media, through email marketing, and by reaching out to influencers in your industry. Consider guesting on other podcasts to reach new audiences and grow your listenership.

A distorted or muffled sound can be caused by several technical issues, such as low-quality microphones, improper microphone placement, or poor room acoustics. Ensure that you're using a high-quality microphone and that it's placed close to your mouth. Additionally, record in a quiet room with minimal echoes or background noise.

Audio syncing issues can occur when the audio and video tracks in your podcast are not aligned properly. To fix this issue, you can use video editing software such as Adobe Premiere or Final Cut Pro to adjust the timing of your audio and video tracks manually.

If your recording software crashes during a recording session, try restarting the software and checking for any updates. If the issue persists, try using a different recording software or restarting your computer.

Inconsistent volume levels can be caused by variations in microphone technique, distance from the microphone, or differences in audio levels between guests. To fix this issue, ensure that all guests are using similar microphones and are positioned at a similar distance from the microphone. Additionally, normalize your audio levels in post-production to create consistent volume levels throughout your podcast.

Audio dropouts occur when there's a disruption in the audio signal, resulting in a momentary loss of sound. To prevent audio dropouts, ensure that all cables and connections are secure and in good condition. Additionally, consider using a backup recording device to capture audio in case of any technical issues.

There are several software options for editing your podcast, including Audacity, GarageBand, Adobe Audition, and Hindenburg Journalist. These software programs offer a range of editing tools, such as noise reduction, compression, and EQ adjustments, to help you enhance the quality of your podcast.

In post-production, you can structure your podcast episode by arranging your audio clips and segments into a logical sequence. This might include adding an introduction, an outro, and transitions between segments. You can also add music and sound effects to enhance the production value of your podcast.

To edit a podcast effectively, it's important to listen to your audio carefully and make precise edits. Use noise reduction and EQ tools to enhance the clarity of your audio, and remove any unnecessary pauses or verbal tics. Additionally, try to maintain a consistent volume level throughout your podcast episode.

To create a professional-sounding podcast, ensure that you have high-quality audio equipment and use software tools to enhance the quality of your audio. Additionally, structure your podcast episodes in a logical sequence and incorporate music and sound effects to add depth and variety.

The amount of time it takes to edit a podcast episode will depend on several factors, such as the length of the episode, the complexity of the audio, and your level of experience with audio editing software. On average, it can take anywhere from 1-3 hours to edit a 30-60 minute podcast episode.

To promote your podcast, consider leveraging social media platforms such as Facebook, Twitter, and Instagram to share updates about new episodes and engage with your audience. Additionally, reach out to influencers or other podcast hosts in your industry to collaborate on guest episodes or cross-promotions.

To improve your podcast's visibility on search engines, optimize your podcast's title, description, and episode titles with relevant keywords. Additionally, consider creating a dedicated website for your podcast to host show notes, episode transcripts, and other supplemental content.

Email marketing can be a powerful tool for growing your podcast's audience. Consider offering exclusive content or discounts to subscribers and sending regular newsletters that highlight new episodes or behind-the-scenes content.

There are several ways to monetize your podcast, such as through sponsorships, affiliate marketing, or selling merchandise. Additionally, consider offering premium content or subscription-based models to provide additional value to your listeners.

To measure the success of your podcast promotion efforts, track your download and subscriber numbers over time. Additionally, monitor engagement on social media platforms and monitor your website analytics to see which marketing channels are driving the most traffic to your podcast.

Before launching a podcast, it's important to consider legal issues such as copyright infringement, defamation, and privacy violations. Ensure that you have the necessary licenses and permissions to use any copyrighted materials and that you're not making any false statements that could be considered defamatory.

In most cases, you don't need any licenses or permits to start a podcast. However, if you plan to use copyrighted music or sound effects, you may need to obtain a license from the appropriate copyright owner.

To protect your intellectual property as a podcast creator, consider trademarking your podcast name and logo, and filing for copyright protection for your original content. Additionally, consider using non-disclosure agreements (NDAs) or confidentiality clauses in any contracts or agreements with guests or collaborators.

To monetize your podcast without infringing on others' intellectual property, consider creating original content and offering sponsorships or advertising opportunities to relevant businesses or organizations. Additionally, ensure that any guest appearances or collaborations are properly credited and that you have the necessary permissions to use any copyrighted materials.

As a podcast creator, you may be eligible to deduct certain expenses related to your podcast production from your taxes. These might include expenses related to equipment, software, hosting, and marketing. Additionally, consider consulting with a tax professional to ensure that you're following all applicable tax laws and regulations.

Your privacy matters. Depending on your state laws and personal situation, adoption can often remain confidential. Our team can explain how privacy, communication preferences, and legal protections may apply to your specific circumstances.

Open adoption allows different levels of communication and connection between birth parents, adoptive families, and children after placement. Every relationship is different. Some people exchange photos and updates, while others maintain more direct communication over time.

That is completely okay. Many women begin by simply gathering information and exploring their options. Speaking with someone does not commit you to adoption. Our goal is to provide information, support, and a safe place to ask questions without pressure or judgment.

Yes. You can review waiting family profiles, ask questions, speak with families, and choose the family that feels right for you and your child. Some women know exactly what they are looking for, while others want more guidance and support during the process.

Depending on your state laws and situation, support may be available for certain pregnancy-related expenses such as housing, transportation, medical care, groceries, counseling, and other essential needs. We can explain what support may be available where you live.

Every state has different adoption laws, timelines, and consent requirements. You have the right to ask questions, understand your options, and make informed decisions throughout the process. We encourage every birth parent to fully understand their rights before making any legal decisions.

Support does not necessarily end after placement. Many birth parents continue counseling, communication planning, and emotional support services after adoption. Open adoption relationships may also continue in ways that feel healthy and comfortable for everyone involved.

You don’t have to make any decisions today. The first step is simply learning about your options and talking with an adoption specialist. We’ll answer your questions, explain how the process works, and help you create an adoption plan if and when you’re ready.
Learn About the Adoption Process →

Yes. If you decide adoption is the right choice, you’ll have the opportunity to review waiting family profiles and choose the family you feel is the best fit for your child. You remain in control of many important decisions throughout the process.
Meet Waiting Families →

Yes. Until legal adoption consents are signed according to your state’s laws, you remain your baby’s legal parent. We’ll make sure you understand your rights, explain each step of the process, and support you in making the decision that’s right for you.
Learn About Your Rights →

No. Our services are provided at no cost to you. Depending on your situation and state laws, you may also be eligible for pregnancy-related assistance while creating your adoption plan. We’ll explain what may be available based on your circumstances.
Learn About Pregnancy-Related Assistance →

Many adoptions today include ongoing contact through open adoption. Together, you and the adoptive family can discuss the type of communication that feels right for everyone. Every adoption relationship is unique and built around mutual agreement.
Learn About Open Adoption →

You can contact us anytime by phone, text, or through our online form. Whether you’re just beginning to explore adoption or need immediate support, our caring team is here to answer your questions with compassion and without pressure.
Contact an Adoption Specialist →


Legal requirements vary by state, but you should always understand your rights before signing any documents. Independent legal representation may be available to review paperwork and answer questions.

You do not have to rush. Taking time to gather information, ask questions, and consider your options can help you make the decision that feels right for you.

Yes. Our team is available to answer questions, explain options, and provide support throughout the process. Talking with someone does not obligate you to choose adoption.

The timing varies by state and individual circumstances. Before signing any documents, you should understand what they mean, what your rights are, and what happens next. Your adoption specialist and attorney can guide you through each step.

Yes. Adoption is one option, but it is not the only option. You have the right to explore parenting resources, support services, and other options before making a decision.

No. Important decisions should be made with clear information, adequate time, and full understanding. You should never feel pressured to sign documents or move forward before you are ready.

Your privacy is important. Information shared with your adoption specialist or counselor is handled with care and in accordance with applicable privacy laws and professional standards.

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Many adoptions today include ongoing contact through open adoption. The amount and type of communication varies for every family and is based on the agreement between you and the adoptive family. Some families exchange letters and photos, while others stay connected through phone calls, video chats, or visits.

Open adoption relationships naturally grow and change over time. As circumstances evolve, communication may increase, decrease, or shift in ways that work for everyone involved. Healthy relationships are built through trust, respect, and ongoing communication.

No. Healing looks different for every birth mother. Some women find comfort in counseling, faith, support groups, family, creative outlets, work, or caring for other children. Give yourself permission to grieve, celebrate progress, and heal at your own pace.

Every birth mother’s experience is different. It’s normal to experience a wide range of emotions after placement, including grief, relief, hope, or uncertainty. Healing isn’t linear, and you don’t have to go through it alone. Support, counseling, and trusted relationships can make a meaningful difference.

Many adoptive families talk openly with their children about adoption from an early age. When children grow up understanding their adoption story, they often develop a deeper appreciation for the love and thoughtful decision behind your adoption plan.

Yes. Our relationship doesn’t necessarily end after placement. We’re here to answer questions, connect you with resources, and continue offering compassionate support as you move forward in your healing journey.

Depending on your situation and state laws, support for housing and certain living expenses may be available while you are considering adoption.

Support may be available for groceries, household items, and other pregnancy-related needs depending on your circumstances and applicable state laws.

Transportation assistance may be available for medical appointments, counseling sessions, legal meetings, and other approved pregnancy-related services.

Yes. Financial assistance related to pregnancy and adoption is regulated by state law and must be coordinated through licensed adoption professionals.

Yes. Your information is kept confidential and shared only as necessary to provide services and support.

In some situations, assistance with essential utilities may be available when permitted by state law and coordinated through licensed adoption professionals.

Pregnancy-related medical expenses, including prenatal care, prescriptions, and other approved services, may qualify for assistance based on your situation and state requirements.

Not necessarily. Every situation is unique. Our team can explain how the process works and what options may be available to you.

No. Exploring adoption and learning about available support does not remove your rights or prevent you from choosing to parent.

You remain in control of your adoption plan. Laws vary by state, and our team can explain your rights and options throughout the process.

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Yes. Open adoption is flexible. Communication plans are based on what feels comfortable for everyone involved and can include updates, messages, calls, or visits.

No. Some open adoptions include in-person visits, while others focus on photos, updates, emails, or phone calls. Every adoption plan is different.

Many open adoptions include sharing photos and updates so birth parents can stay connected to important milestones and life events.

Yes. Open adoption relationships often evolve naturally. Communication plans may change as children grow and relationships develop.

That’s okay. Many birth parents are unsure at first. Your adoption specialist can help you explore different options and create a plan that feels right for you.

Yes. Many birth parents choose to meet or speak with prospective adoptive families before making a decision. This helps everyone build trust and determine if the match feels right.

Yes, post-adoption contact agreements in Utah allow for ongoing communication between birth parents and the adoptive family, with details agreed upon before finalization. Women often ask what control they have when they “put my child up for adoption.” In a Utah adoption, you control what kind of open adoption you will have.

Laws regarding open adoption agreements vary by state. Your adoption specialist can explain how openness works in your situation and location.

Yes, post-adoption contact agreements in Utah allow for ongoing communication between birth parents and the adoptive family, with details agreed upon before finalization. Women often ask what control they have when they “put my child up for adoption.” In a Utah adoption, you control what kind of open adoption you will have.

Open adoption exists on a spectrum. Some birth parents prefer regular communication, while others choose limited contact. Your preferences and comfort level matter.

Yes, post-adoption contact agreements in Utah allow for ongoing communication between birth parents and the adoptive family, with details agreed upon before finalization. Women often ask what control they have when they “put my child up for adoption.” In a Utah adoption, you control what kind of open adoption you will have.

Yes, Utah supports open adoption. Birth mothers have a significant role, and post-adoption contact agreements can be established, detailing visitation, supervision, and information sharing. “Placing my baby for adoption,” does not mean never having contact with your child.

Absolutely. We are here to talk with you about your options and for placing a child for adoption in Utah. Feel free to call and get more information.

Yes. If you choose adoption, you can review adoptive family profiles and select the family that feels right for you and your child. You decide which qualities matter most and who you would like to consider.

Most adoptive family profiles include photos, videos, information about family life, parenting goals, values, careers, hobbies, relationships, and reasons for pursuing adoption.

Birth parents can initiate the adoption process by contacting Heart to Heart Adoptions. Our team provides comprehensive support, addressing legal, emotional, and financial aspects. These, however, are the basic steps to placing a child for adoption in Utah. 

  • Step 1: Visit your doctor for confirmation of pregnancy and receive prenatal care. 
  • Step 2: Connect with Heart to Heart Adoptions, where professionals answer questions, provide support, and guide through the process. 
  • Step 3: Create an adoption plan, decide the level of openness, and choose the right adoptive family. 
  • Step 4: Choose an adoptive family by reviewing profiles, having phone calls, or in-person meetings. 
  • Step 5: Hospital plan and consent to adoption are worked on, allowing time for birth parents to say hello to the baby before signing consent papers. 
  • Step 6: Post-placement support is provided, including counseling, support groups, and ongoing guidance.

Yes. Many birth parents choose to communicate with prospective adoptive families through messages, phone calls, video meetings, or other agreed-upon methods before deciding whether a family is the right fit.

No. There is no requirement to select a family immediately. You can take time to review profiles, ask questions, and consider your options before making any decisions.

Yes. Many birth parents choose families who live in different states. Heart to Heart works with families nationwide and can help coordinate communication and the adoption process regardless of location.

Adoption costs in Utah are similar to the national average, ranging from $20,000 to $50,000 and higher. Our adoption agency is committed to transparency, providing you with the exact cost of adoption. We do not have hidden fees. We will discuss the cost with you.

If a family does not feel like the right match, you can continue reviewing other profiles. The goal is to find a family you feel comfortable with and confident about.

You can discuss your preferences for future communication before placement. Many birth parents and adoptive families agree on updates, photos, messages, phone calls, or other forms of ongoing contact.

In many situations, yes. Some birth parents choose to meet prospective adoptive families before placement, while others prefer phone calls or video conversations. Your adoption specialist can help arrange communication that feels comfortable for everyone involved.

That’s completely okay. Many birth parents begin the process without a specific idea of what they want. Your adoption specialist can help you identify the qualities and values that matter most to you.

No. Reviewing family profiles does not commit you to adoption. Many women explore profiles as part of gathering information and learning about their options.

Prospective adoptive parents often ask how to adopt a child in Utah. The first step is to undergo a home study. The home study for Utah adoptions includes: 

  • Criminal background checks, FBI fingerprinting, and more. 
  • Current health statements to ensure physical and mental fitness. 
  • Provide current financial statements to demonstrate stability for the child’s basic needs. 
  • Address various emotional aspects, including: 
    • Uniting with your spouse on adoption goals and expectations. 
    • Dealing with any lingering grief from infertility. 
    • Releasing expectations related to having a biological child. 
    • Learning about maintaining post-adoption relationships with the child’s birth family. 
    • Emotionally preparing for the Utah adoption process and raising adopted children. 
    • Maintaining a commitment to the adoption process despite potential challenges. 
  • Prospective adoptive parents meeting Utah’s qualifications can contact Heart to Heart Adoptions at 844-522-7700 or request free adoption information online.

The adoption timeline varies and is influenced by factors such as adoptive family openness and adoption opportunities. Finalization typically occurs about six months after placement. 

To begin your adoption journey with Heart to Heart Adoptions, complete our application or call us directly. We offer 24/7 availability for birth mothers, ensuring continuous support.

Yes. If you choose adoption, you can review waiting family profiles and discuss your preferences with your adoption specialist. The matching process is designed to help identify families who align with what matters most to you and your adoption plan.

Support may be available for housing, groceries, transportation, medical care, counseling, and other pregnancy-related expenses depending on your situation and state law.

Yes. Many birth parents speak with prospective adoptive families through phone calls, video meetings, messaging, or in-person meetings before deciding on a match.

Yes. Heart to Heart Adoptions is a licensed, nonprofit adoption agency in Utah (License #F23-99563). We are a 501(c)(3) organization and have been serving birth mothers and adoptive families for over 25 years.

Yes. Open adoption can include updates, photos, messages, calls, or visits based on the communication plan everyone creates together.

Yes. Open adoption can include updates, photos, messages, calls, or visits based on the communication plan everyone creates together.

Your rights depend on your state and where you are in the adoption process. Your adoption specialist and attorney will explain your rights and timelines clearly before any legal documents are signed.

No. There is no cost to birth mothers at any point. The adoptive family covers all agency fees. You may also qualify for help with housing, food, medical care, and transportation during your pregnancy.

Independent legal representation may be available to help explain your rights and review legal documents throughout the process.

Yes. Utah law supports your right to choose the adoptive family. Heart to Heart gives you access to 100+ approved family profiles. You can review them, ask questions, and meet families before making your decision. There is no deadline

We offer housing assistance, medical care, living expense coverage, 24/7 counseling, legal representation, transportation help, and post-placement support. Your case manager is available day and night throughout the entire process.

Open adoption means you and the adoptive family agree to stay in contact after placement — through letters, photos, calls, or visits. The level of openness is set before placement and can grow over time. Utah courts can enforce open adoption agreements.

No. Heart to Heart works with birth mothers at any stage of pregnancy, including the third trimester and after birth. We can build a plan in days, help with emergency housing, and still give you the chance to choose your baby’s family.

Every adoption journey is different, but most begin with a conversation about your options, questions, and goals. If you choose to move forward, you can create an adoption plan, explore waiting family profiles, and decide what level of communication or openness feels right for you. Our team helps guide you through each step at your pace.

It starts with a call or text. You tell us your situation, and we explain your options without pressure. If you decide to move forward, a case manager helps you build an adoption plan, choose a family, and get support throughout your pregnancy. There is no commitment just for calling.

Yes. Creating an adoption plan does not lock you into a decision. You can take more time, ask questions, explore different options, or change parts of your plan as your circumstances evolve.

No. Many birth parents spend time reviewing profiles, learning about families, and discussing their preferences with an adoption specialist before moving forward. There is no requirement to make a quick decision.

Yes. You can change your mind at any point during pregnancy, right up until you sign consent papers after birth. Calling Heart to Heart or exploring adoption does not commit you to anything. Your right to parent your child remains fully intact until you sign.

In many cases, yes. Phone calls, video meetings, messages, or in-person meetings may be arranged if everyone is comfortable. Your adoption specialist can help facilitate communication throughout the process.

Support may include counseling, medical-care coordination, transportation assistance, housing support, groceries, and other pregnancy-related expenses when permitted by state law and your specific situation.

Utah law requires a minimum wait of 24 hours after birth before signing relinquishment papers. You cannot sign before the baby is born. Once you do sign in Utah, consent is irrevocable. This is why counseling and preparation before that day are so important.

You create a hospital plan based on your wishes. This may include who is present during labor and delivery, time spent with your baby, and how you would like interactions with the adoptive family handled.

The adoptive family covers your legal fees through the agency. Your attorney represents only you. You receive independent legal representation throughout the entire process at no cost to you.

Yes. Many adoptions today include ongoing communication after placement. Open adoption plans vary and may include photos, updates, messages, phone calls, or visits depending on what everyone agrees is appropriate.

Support often continues after placement through counseling, emotional support, adoption specialists, and post-placement resources. Every birth parent’s experience is unique, and support plans can be tailored to individual needs.

Heart to Heart can help cover rent, food, utilities, medical care, transportation, and other pregnancy-related costs. Utah law permits adoptive families to pay these expenses. There is no cost to you, and all payments are documented and compliant with SB154.

That is completely okay. Adoption is one option, but it is not the only option. You can talk with an adoption specialist, ask questions, and learn about your choices without pressure or obligation.

Yes. Post-placement counseling is free and ongoing. You can call or text your case manager any time after placement. We also offer follow-up counseling sessions, connection to support groups, and peer support from other birth mothers who have been through placement.

Yes, grief is a completely normal part of the adoption experience. Many birth mothers feel a mix of peace, sadness, love, and loss. These feelings often show up all at once. Heart to Heart will help you through these stages as long as you need it. As I write these answers, Jodi called me into her office where she was speaking with a woman who place a baby nearly two years ago. The birth mother wanted me to see the pictures she recently got from the adoptive family. Jodi is helping her navigate between the joy of seeing her child, a sense of loss, and a feeling of peace.

Yes, if you chose an open or semi-open adoption. The contract agreement you decided upon before placement should outline the kind of communications you want.

That is very common. The hardest emotions often surface weeks or months after placement, once the immediate support fades. Heart to Heart stays with you. You can reach out at any point after placement. As I said in the question about is grief normal. We often have women contact us because they want to talk about the emotions that involve peace and sadness at the same time.

Yes. Heart to Heart can connect you with birth mother peer support groups. Mostly these are informal groups who have gone through the same thing as you and are willing to talk about it or just go to a movie together. Peer support is one of the most powerful tools for healing. Ask your case manager about current group options.

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We have a low-risk policy.  If you have a failed placement, only 10% of your adoption fees are at risk. There are no add–ons or surprise fees at the end.

There are three types of expenses that are associated with our adoptions.
The first is the ADOPTION FEE. The full agency fee for all situations is $48,000. Based on certain situations and family income, some active families may apply and be approved for a subsidy. Additionally, the fee for specific special needs situations fee may be lowered.

The second expense is MEDICAL COSTS.  Some of our birth mothers do not have medical insurance. The adoptive family assumes all of the medical expenses that are not otherwise covered.  This includes doctor visits, emergency room visits, hospital costs, and pediatrician costs. The medical expenses can vary by state and hospital. Most families will pay between $3,000 – $10,000 for a full medical situation.

The third fee is the LEGAL FEES. The majority of the time, the legal fees for placement are built directly into the full agency fee. In rare state-to-state circumstances, additional legal fees may apply. If this is the case, you will know those additional legal costs prior to being matched.

Almost all babies that have Native American heritage require additional legal work. The birth mother is required to go before a judge and state she understands the laws regarding the Indian Child Welfare Act and that she is choosing to place her child outside of the tribe. This is usually an additional cost of $4,500.

The fee for a HOME STUDY in Utah is $1000, which includes post-placement visits.

We will discuss your adoption budget with you before you become active with our agency.

We will discuss all fees associated with each situation with you before we show your profile to any potential match situations.



Wait times vary significantly depending on each unique situation. At Heart to Heart Adoptions, we understand that the anticipation of adopting a child can come with uncertainties about wait times. Factors such as specific preferences can influence how long prospective adoptive families may wait for a match, typically between six to 18 months.

Prospective adoptive families may experience slightly longer wait times if they have specific preferences in some or all of the following categories.

  • Want a specific gender.
  • Want a specific race.
  • Cannot pay for medical costs.
  • Are single.
  • Are older.
  • Have multiple biological children.
  • Reside in states with complex adoption laws.

We have even had families get matched and have a placement within days of becoming active. The important thing to remember is that the baby that is right for your family will come in his or her own time.


You have three main options: parenting with support, placing your baby for adoption, or ending the pregnancy. Heart to Heart can walk you through what each path looks like practically and emotionally, with free counseling and no pressure to choose any particular option.

The Adoptive Pre-Placement Evaluation, generally called a “Home Study,” is to help prepare you for adoption and ensure that you meet agency and state requirements.

If you already have a current home study, we will assure you that it is in compliance with Heart to Heart Adoption’s standards.

The home study consists of one or more interviews, as well as written information provided by you and others. You may ask your social worker questions at any time during the home study process. The written material includes medical background, information about your marriage and family, parenting styles, and finances. Reference letters will also be requested from 3 individuals, including 1 related family member and 2 non-family member references.

We accept completed adoptive home studies from other sources that adhere to similar professional adoption standards, such as Heart to Heart Adoptions. In addition, if we complete an adoptive home study for you, we are happy to forward it to other adoption agencies with which you may be working.



No. We help women facing unplanned pregnancy no matter what they decide. Our counselors walk you through parenting, adoption, and other options honestly. Many women who have called Heart to Heart have ultimately chosen to parent — and we supported that decision fully.

Utah offers SNAP food assistance, WIC nutrition support, subsidized housing, Head Start early childhood programs, parenting classes, and social services support. A Heart to Heart counselor can help you find what is available in your area and connect you with the right resources.

Yes, we do place with single parents.  However, most of our birth families are looking for a two-parent family. Please call our office if you are a single parent and hoping to adopt at 844-522-7700.

Open adoption means the openness of communication and contact between birth parents and adoptive families following placement. Heart to Heart helps to facilitate and maintain a healthy relationship between the birth parents and the adoptive family for the best long-term interest of the child. We take into consideration both parties’ desires and seek adoptive families who are willing to have as much contact and communication as the birth parents desire over time. That may mean becoming more open with communication and contact as time goes by.

Closed adoption means the birth family and adoptive family do not have any direct contact. There is a myth that closed adoptions are safer. In actuality, closed adoptions are based on fear and control. Heart to Heart does not advocate for adoptive families who prefer closed adoptions.

Most adoptions fall somewhere in between open and closed. This is called a semi-open adoption. In this situation, neither the adoptive family nor the birth parent has the other’s direct contact information.  In these situations, Heart to Heart Adoptions acts as a facilitator by receiving information from one party and forwarding it to the other, ensuring the respectful exchange of information between parties while maintaining privacy and confidentiality.

Communication in adoption can take various forms, including sharing pictures, letters, emails, engaging in conference calls facilitated by a third party, or utilizing our social media portal, Our Hearts Connect.

It’s important to recognize that relationships in adoption evolve over time. What starts as one type of arrangement may transition into something entirely different. Heart to Heart supports families in navigating these changes, encouraging ongoing communication and openness to best address the child’s evolving needs and curiosity about their history.


Yes. Counseling is free, confidential, and available before you make any decision. You can call simply to understand your options. There is no obligation and no pressure to choose adoption or any other path. We are here to help you think clearly.

There is no single deadline. It depends on which option you are considering. Abortion timelines are set by Utah law. Adoption can be arranged at any point during pregnancy or after birth. Parenting is always available. A counselor can help you understand the timing for each option.

Although we will do all we can to place a child with your family, we cannot guarantee placement.

Many factors influence the selection process that includes, but are not limited to, the number of approved applicants, the number of children available for adoption, the birth parents, and your preferences.  However, we will present your profile as often as we can to birth parents that match your criteria. Obviously the broader your criteria, the more often you will be presented.

We will ask permission and let you know each time we present your profile. Once your profile is selected by a birth mother, we generally arrange for a conference call between you and the birth parents. If you both are pleased with each other, we consider you matched.

When you are matched, you begin to share the financial responsibility for the birth mother with the agency. At that time, you will work with our financial department to fully understand all financial obligations associated with that situation. We generally charge half the overall fee at the match, and the other half at the time of placement.


We primarily advertise our adoption services to potential birth mothers on the Internet.

We also have many expectant mothers who are referred to us by previous clients.


Our agency works with a diverse group of expectant mothers, ranging in age from 14 to 44 and representing various races and backgrounds. Each woman brings a unique personality and story to the adoption process.

What unites these expectant mothers is their profound love for their child and their courageous efforts to provide the best possible future for their babies.

On average, our expectant mothers are around 26 to 28 years old, with many already parenting other children or facing challenges such as having children removed from their care. A significant number of these mothers approach us during crisis situations, dealing with issues like homelessness, abuse, lack of family support, substance use, or mental health concerns.

Prospective adoptive families often inquire about the expectant mothers’ plans during pregnancy and specific timelines. However, it’s crucial to understand that these women, many of whom are navigating this process for the first time, may not have all the answers upfront. Flexibility and acceptance of evolving circumstances are key as we support them through their journey.

Our agency is dedicated to providing comprehensive support and resources to these expectant mothers, helping them navigate challenges and make informed decisions for themselves and their babies.


Yes. Heart to Heart works with birth mothers at any stage of pregnancy. We can build a plan in days, provide emergency housing and financial support, fast-track family selection, and prepare legal paperwork quickly. It is never too late to call.

The hospital time is a time of great stress for the birth mother, and she needs great flexibility. We talk with each birth mother beforehand about her desires for the hospital. This includes:

  • Who does she want in the room during labor?
  • Who does she want in the room during delivery?
  • Does she want to hold the baby right after birth?
  • Who will get the second hospital band? (The band that allows admittance into the nursery. The birth mother will get the first.)
  • How much time does she want to spend with the baby in the hospital?
  • How much does she want to visit with the adoptive family in the hospital?

We will tell you the birth mother’s wishes before you go to the hospital.  However, it is very important to remember that the birth mother’s wishes will probably change once she enters the hospital.  It is important to be flexible.

Remember, most birth mothers have never done this before.  It is impossible for your birth mother to predict how she will feel or react to any given situation.

Your case manager will be in contact with you and guide you throughout this process.


Call us immediately. Heart to Heart can have a case manager at the hospital within hours. A placement can still be arranged, and you will still have the chance to choose the family and receive full legal support. You do not have to sign anything until you are ready.

When engaging with an expectant mother for the first time, it’s crucial to approach the conversation with empathy and sensitivity. Talk with your case manager about anything specific you should know about what might be good or bad to discuss.

Here are some guidelines on how to navigate this initial interaction:

1. Understand Their Preferences: Prior to meeting or talking with the expectant mother, it’s helpful to consult with the staff member who has been working closely with her. This ensures you’re aware of topics that may be sensitive or meaningful to her.

2. Start with Positive and Neutral Topics: Begin the conversation by asking about her pregnancy and how she’s feeling. Inquire about her interests, future plans, and connections with friends and family. These are generally safe topics that can help establish rapport and build trust.

3. Express Genuine Care: It’s essential for the expectant mother to feel that you genuinely care about her well-being, not just about the baby. Express empathy, listen actively, and show understanding of her situation and emotions.

4. Navigate Sensitive Topics Thoughtfully: While discussing other children or the birth father may be important, approach these topics with sensitivity. Be mindful of her comfort level and readiness to discuss such matters, and avoid pushing for details if she seems hesitant.

5. Find Common Ground: Share your own interests and experiences as well. Finding common ground can foster a sense of connection and mutual understanding, contributing to a more meaningful and supportive relationship.

By approaching the conversation with respect, empathy, and a focus on building a genuine connection, you can create a positive and supportive environment for the expectant mother during this critical time.


Yes. Your right to choose the adoptive family does not expire based on timing. Even with limited time, Heart to Heart will show you profiles of waiting families and help you find the right match as quickly as possible.

When considering an appropriate gift or gesture to express gratitude to birth parents, it’s important to approach the situation with thoughtfulness and sensitivity. Here are some suggestions:

1. Small Tokens of Appreciation Pre-Placement: Before the placement occurs, it’s appropriate to give very small tokens of appreciation or greeting. These could include heartfelt notes, flowers, or small tokens that convey gratitude without being extravagant.

2. Sentimental Gift and Card Post-Placement: After placement, when the relationship has developed further, consider giving a more sentimental gift along with a heartfelt card expressing your gratitude. This could be a personalized keepsake, a meaningful book, or a gift that reflects their interests or hobbies.

3. Avoid Large or Expensive Gifts: It’s essential to avoid giving large or expensive gifts that may be perceived as coercion or undue influence. The focus should be on genuine appreciation and maintaining a respectful relationship.

4. Consider Handmade or Thoughtful Gifts: Handmade gifts or items that hold sentimental value can be especially meaningful. For example, a scrapbook documenting special moments or a personalized piece of artwork can convey heartfelt gratitude.

5. Include Personal Touches: Regardless of the gift chosen, adding personal touches such as handwritten notes, photographs, or shared memories can enhance the sentiment and show that the gift was chosen with care.

6. Respect Their Wishes: Always consider the birth parents’ preferences and wishes regarding gifts and gestures. Some may prefer simple acknowledgments, while others may appreciate more elaborate gestures. Respect their boundaries and comfort levels.

By approaching the gesture of gratitude with sincerity, thoughtfulness, and respect for the birth parents’ wishes, you can convey your appreciation in a meaningful and appropriate way.


Emergency housing, immediate financial assistance, 24/7 case manager access, fast-track legal paperwork, and same-day hospital support are all available. Heart to Heart responds quickly to late pregnancy situations. Call 844-522-7700 anytime.

Yes. Heart to Heart has experience with NICU placements and works with families who are prepared for babies with special medical needs. We coordinate with medical staff and help you navigate the additional steps that come with a premature birth.

Finalization is a significant milestone in the adoption process, marking the legal completion of the adoption and the transfer of parental rights from the adoption agency to the adoptive parents. Here’s a closer look at what finalization entails and how it is handled: 

1. Timeline and Process: Finalization typically occurs after a successful supervisory period, which is usually around 6 months but can vary based on state laws and specific circumstances. During this time, the adoption agency monitors the placement to ensure it is in the best interest of the child.

 2. Legal Guardianship: Once finalization is complete, the adoption agency relinquishes legal guardianship of the child, and the adoptive parents become the child’s legal parents with all associated rights and responsibilities. 

3. Responsibility for Legal Fees: Adoptive parents are responsible for any legal fees associated with the finalization process. It’s important to budget for these costs and consider selecting independent legal counsel for the adoption proceedings. 

4. Choosing Legal Representation: We encourage adoptive parents to find an attorney or agency specialized in adoption within 30 days of placement to handle the finalization process. While we can provide recommendations in some areas, the choice of legal representation ultimately rests with the adoptive parents. Finalization is an exciting and significant step that formalizes the bond between adoptive parents and their child, granting legal recognition to the family unit created through adoption.

Adoption is a lifelong journey. Finalization marks the completion of the legal aspects of adoption, but it’s just the beginning of your family’s adoption story.

You’ll continue to nurture your relationship with the birth family and navigate various challenges as your child grows and develops.


Heart to Heart Adoptions can help cover rent, food, utilities, medical care, transportation, and other pregnancy-related expenses. There is no cost to you. You may also qualify for help after placement. Call us to find out what you are eligible for. There are legal limits to what we can do.

At Heart to Heart Adoptions, we believe in openness and honesty when it comes to adoption. We encourage families to discuss adoption and the child’s birth family from infancy onward, making it a natural and ongoing conversation as the child matures.

Every child and family is unique, so it’s important to tailor your approach to match the child’s age and level of understanding. You can find support and guidance from adoptive family social media groups, where experiences are shared, and through books that address adoption-related topics.

If you have specific concerns or questions about navigating conversations about adoption with your child, please don’t hesitate to reach out to us. We’re here to support you every step of the way.


At Heart to Heart Adoptions, we believe in openness and honesty when it comes to adoption. We encourage families to discuss adoption and the child’s birth family from infancy onward, making it a natural and ongoing conversation as the child matures.

Every child and family is unique, so it’s important to tailor your approach to match the child’s age and level of understanding. You can find support and guidance from adoptive family social media groups, where experiences are shared, and through books that address adoption-related topics.

If you have specific concerns or questions about navigating conversations about adoption with your child, please don’t hesitate to reach out to us. We’re here to support you every step of the way.


Don’t worry about the distance. We’re here available in Moab, Cache Valle, or St. George. We can talk by phone or text, and we come to you if needed. Call or text us anytime.

Many of the families who come to us seeking adoption have faced challenges with infertility. Coping with infertility involves navigating a significant loss, which can often go unrecognized or undiscussed, adding to the emotional difficulty.

Adoption is a wonderful option for those unable to have children biologically. However, it’s crucial to address the grief and loss associated with infertility before pursuing adoption. Adoption is about building a family, not replacing a desired child. It’s also important to note that the adoption process itself can be emotional and stressful.

We advise families to pause fertility treatments or pregnancy attempts while pursuing adoption to focus fully on the adoption journey. Moving from infertility to adoption often involves experiencing stages of grief and loss, including denial, anger, bargaining, sadness, and acceptance.

It’s essential for both partners to openly discuss and process these emotions, recognizing that everyone moves through grief at their own pace. Both parents must feel emotionally ready to embrace adoption. Adoption should never be pursued solely to please a spouse.

If you’re unsure about your feelings or need support during this transition, consider joining an infertility support group, speaking with other couples who have gone through similar experiences, consulting with a counselor, or exploring books on the topic.


Yes. Counseling at Heart to Heart is free and available before you make any decision. You can talk through all your options with no pressure and no obligation to move forward with anything.

Yes. All calls, texts, and counseling sessions are completely confidential. We will not contact anyone in your life without your permission. Heart to Heart has a full-time staff member dedicated to compliance and privacy protection.

Yes. Open adoption is common, and you can agree with the adoptive family on what feels comfortable.

Call or text us anytime. Heart to Heart Adoptions has staff available 24 hours a day, seven days a week. Call 844-522-7700 or text 844-522-7700. Someone will answer: days, nights, weekends, and holidays. If we don’t answer immediately, it is because we are on the phone with someone else. Text or call back immediately.

Yes. You won’t get “paid” to place your baby, but you shouldn’t have to struggle. We help with housing, clothing, food, transportation, and more.

Every adoption journey is unique, so timelines vary based on factors like your preferences, completed home study, and when you’re matched with an expectant parent. We’ll help you understand what to expect at every stage of the process.

A birth mother in Utah must wait at least 24 hours after birth before signing relinquishment papers. Consent cannot be given before the baby is born. It must be signed in front of a judge or authorized official, voluntarily, and without coercion.

The cost of adoption depends on several factors, but we’ll provide clear information about agency fees, expected expenses, financial resources, and available grants so you can plan with confidence.

A home study is a required part of every domestic adoption. It includes education, interviews, background checks, and a home visit to help prepare your family and ensure you’re ready to adopt.

Absolutely. You’ll be able to view family profiles, ask questions, and find someone who feels right.

Yes, under certain conditions. Birth father consent is required if he is married to the birth mother, has established legal paternity, or has filed with Utah’s putative father registry and provided financial support. If none of these apply, his consent is generally not required.

Yes. Most domestic infant adoptions today include some level of openness. Together with the expectant parent, you’ll determine the type of relationship and ongoing contact that feels right for everyone involved.

Yes. Many single individuals successfully adopt. Requirements vary by state, but our team can help you understand eligibility, answer your questions, and guide you through the process.

Under Utah law, there is help for pregnancy-related expenses, including housing and support after the birth. SB154 requires full disclosure of all payments. Heart to Heart documents and complies with all requirements.

After you’re matched with an expectant parent, we’ll continue guiding you through communication, hospital planning, placement, post-placement requirements, and legal finalization until your adoption is complete.

Yes. Every birth mother working with Heart to Heart Adoptions is given her own independent attorney. This is legal representation away from the agency and away from the adoptive family. Your attorney represents only your interests throughout the process.

Every family’s timeline is different, and factors like your preferences and openness affect how quickly a match happens. Most Heart to Heart families complete their adoption within a year, though some journeys take longer. Your specialist will help you understand what to expect at each stage.

Your family profile is typically created after your home study is underway or completed. We’ll help you develop a profile that authentically shares your family’s story with expectant parents considering adoption.

Yes. Most adoptions today involve some level of openness. We’ll discuss your preferences and help facilitate an adoption plan that reflects the comfort level of everyone involved.

Once you’re matched, you’ll work closely with your adoption specialist to prepare for placement, communicate according to the adoption plan, and navigate the legal steps leading to finalization.

Finalization is the court hearing that makes your adoption legally permanent. It typically takes place three to six months after placement, once any required post-placement supervision is complete — the exact timing varies by state. Your adoption attorney and specialist will guide you through this final step.

Absolutely. From your first conversation through finalization, your dedicated adoption specialist will answer questions, provide resources, and support you every step of the way.

As many as you want. Heart to Heart has over 100 pre-approved waiting families, with detailed profiles that include photos, personal letters, and information about their home, values, and lifestyle. New families join regularly. Your case manager can help you search.

Yes. The federal adoption tax credit allows eligible families to claim qualified adoption expenses on their taxes, which can significantly offset the cost of adoption. Credit amounts and income limits are adjusted each year, so check with a tax professional or the IRS for current figures.

Yes. You can meet your chosen family by phone, video call, or in person before placement. Many birth mothers find this reassuring. If you prefer not to meet beforehand, that is equally valid. The choice is yours.

Many families combine several resources: the federal adoption tax credit, employer adoption benefits, adoption grants like the Heart to Heart Adoption Grant, and fundraising or savings plans. Your adoption specialist can point you toward assistance options during your consultation.

Talk to your case manager. Heart to Heart works with families from across the country, so the pool is large. We keep looking until we find families that match what you are looking for. You will not be pressured to choose someone who doesn’t feel right.

Adoption fees are paid in stages throughout the adoption process rather than all at once. Your adoption specialist will explain the payment schedule, review estimated costs, and answer your questions before any financial commitments are due.
Adoption fees are paid in stages throughout the adoption process rather than all at once. Your adoption specialist will explain the payment schedule, review estimated costs, and answer your questions before any financial commitments are due.

Yes. Open, semi-open, and closed adoption are all available in Utah. With open adoption, you and the adoptive family agree on ongoing contact — letters, photos, calls, or visits. Utah courts can enforce these agreements to protect your rights.

Yes. Utah law supports your right to make this choice based on your own wishes and values. Heart to Heart and Utah’s SB154 legislation both honor and protect your right to choose the family that feels right, with no pressure and no deadline.

Some medical and legal expenses are separate from the agency fee and vary based on each adoption. Depending on the circumstances, certain medical costs may be covered by insurance or other available resources. Your adoption specialist will discuss any anticipated expenses before you move forward.

Yes. Heart to Heart Adoptions offers an Adoption Grant program for qualifying families. Grant availability and eligibility are based on financial need and available funding. Your adoption specialist can explain the application process and answer any questions.

If an adoption opportunity does not move forward before placement, Heart to Heart Adoptions has policies designed to help protect families and explain how previously paid agency fees may apply to a future adoption opportunity. Your adoption specialist will review these policies with you before you move forward.

Yes. Heart to Heart provides free, confidential counseling for birth mothers at any point. You can talk to someone before, during, or after placement. There is no charge and no obligation. You do not need to be committed to adoption to call. You can simply talk.

Yes. Everything you share with a Heart to Heart counselor is completely private. We will not contact your family, your partner, or anyone else without your explicit permission. Confidentiality is protected throughout every interaction.

No. You can call before you have made any decision at all. Many women call just to understand their options. A counselor will listen, answer your questions honestly, and support whatever you decide. And you may decide to parent your baby. If that is the right option for you, we are here to support you and help you find the help you need.

An adoption counselor can help you process your emotions, understand all your options, prepare for difficult conversations with family, plan for your hospital experience, and find support after placement. They answer your questions honestly and without pressure

Yes. Heart to Heart Adoption has staff available 24 hours a day, seven days a week. This includes nights, weekends, and holidays. If someone doesn’t answer, they are on a phone call with another caller, but will call you back as soon as possible. Call 844-522-7700 or text 844-522-7700 anytime.

An adoption home study is a required evaluation completed by a licensed social worker. It includes interviews, education, background checks, documentation, and a home visit to help prepare your family for adoption and ensure a child will be placed in a safe, supportive environment.

The timeline varies depending on your state, your home study provider, and how quickly paperwork and required documents are completed. Your adoption specialist can help you understand what to expect based on your situation.

No. Social workers are not looking for a perfect home—they’re looking for a safe, stable, and loving environment where a child can thrive. The home study is designed to prepare and support your family, not to find reasons to deny your adoption.

Requirements vary by state but commonly include background checks, medical forms, financial information, personal references, and other supporting documentation. Your home study provider will explain exactly what you’ll need.

Heart to Heart Adoptions works with licensed home study providers and can help connect you with the appropriate professional based on your state and adoption plan. We’ll guide you through the process and coordinate with your provider throughout your adoption journey.

Once your home study is approved, you’ll be ready to move forward in the adoption process, including creating your family profile, being presented to expectant parents, and preparing for a potential match.

An adoptive family profile introduces your family to expectant parents through photos, videos, personal stories, and your online Family Portal. It helps expectant parents learn about your personality, lifestyle, values, and the life you hope to share with a child.

An adoptive family profile introduces your family to expectant parents through photos, videos, personal stories, and your online Family Portal. It helps expectant parents learn about your personality, lifestyle, values, and the life you hope to share with a child.

Your profile should provide a genuine look at who you are as a family. Consider including:

  • Photos of everyday life
  • Short videos introducing your family
  • Your adoption journey
  • Family traditions and hobbies
  • Information about your home and lifestyle
  • Your hopes for becoming parents
  • An interactive digital profile book

The goal is to help expectant parents feel like they’re getting to know the real you.


No. Some of the most meaningful profile photos are candid moments that reflect your everyday life. High-quality images are helpful, but authenticity is far more important than perfection.

Yes. Your Heart to Heart Family Portal is designed to grow with your family. You can update photos, videos, milestones, and profile information throughout your adoption journey.

The best profiles are honest, personal, and authentic. Instead of trying to present a perfect family, focus on sharing your personality, traditions, values, and everyday life so expectant parents can make a genuine connection.

Yes. The Heart to Heart Family Portal allows expectant parents to explore family profiles that include photos, videos, personal information, and an interactive digital profile book, creating a richer experience than a traditional printed profile alone.

Your profile book is displayed in a digital page-turning reader, giving expectant parents the familiar experience of flipping through a traditional profile book while viewing it online from anywhere.

As you complete your profile, you’ll share information about your family, lifestyle, interests, and values that helps create a richer picture of who you are. A complete, authentic profile makes it easier for expectant parents to learn about your family and discover the qualities that matter most to them.

Yes. Our team is here to answer questions, provide guidance, and help you create a family profile that reflects your unique story while making the most of the Heart to Heart Family Portal.

Open adoption can include letters, photos, phone calls, video chats, or occasional visits. Every adoption is unique, and the level of communication is agreed upon by everyone involved, always with the child’s best interests in mind.

No. Adoptive parents are the child’s legal parents and make all parenting decisions. Open adoption is about maintaining healthy, appropriate connections—not sharing parental responsibilities.

Yes. Relationships naturally evolve as children grow and family needs change. Communication plans can be adjusted over time through mutual agreement and ongoing support from your adoption professional when needed.

How does Heart to Heart Adoptions support open adoption?

Yes. Open adoption is not one-size-fits-all. Before placement, birth parents and adoptive families work together to discuss expectations and create a communication plan that feels comfortable for everyone involved. Every relationship is unique.

As children grow, their curiosity and needs change. Many open adoption relationships adapt to include more communication when it serves the child. If your child expresses a desire for more contact, your adoption specialist can help you and the birth family navigate that conversation thoughtfully.

We help before and after placement: guiding you and the birth parents through creating a communication plan, providing Our Hearts Connect for secure private sharing, and remaining available for support and mediation as your relationship evolves over the years.

You’re not locked into anything. In Illinois, you don’t sign papers until after the baby is born and you’ve spoken with an attorney.

Maybe,but more people will admire your courage than you realize.

You’re allowed to be unsure. We’ll walk with you while you figure it out.

Yes. The Multiethnic Placement Act of 1994 and the Interethnic Adoption Provisions of 1996 prohibit agencies receiving federal funding from denying or delaying placements on the basis of race, color, or national origin.

Research shows they can develop strong, healthy identities — but outcomes are significantly shaped by how intentionally families engage with race and cultural heritage. Children in families that actively nurture racial identity fare measurably better.

MEPA, amended by the Interethnic Adoption Provisions, requires agencies receiving federal funding to make diligent recruitment efforts reflecting the racial/ethnic diversity of children in the system, while prohibiting race as the sole basis for denying a placement.


Yes. Birth mothers in domestic infant adoption have broad rights to select the family that will raise their child, and race is a factor they are legally permitted to consider. An ethical agency will support whatever criteria matter to her.

Mandatory pre-adoption training on racial identity development, experience with transracial families, honest conversations about community and readiness, and respect for the birth mother’s role in cultural identity. If an agency makes it sound simple, look elsewhere.

Ask directly about their community, neighborhood, church, social circle, what they have read, and what training they have done. Families who have done the work will have specific answers. Generalities are a warning sign.

Families that engage with diverse populations and are race and culturally aware have children who fare much better.

The first step is completing an adoption application and speaking with one of our adoption specialists. We’ll walk you through the process, answer your questions, and help you begin your home study so you can move toward becoming an approved adoptive family.

We welcome individuals and couples from a variety of backgrounds who meet our agency and state requirements. During your consultation, we’ll discuss eligibility, answer your questions, and help determine the best path forward for your family.

Every adoption journey is unique, so timelines vary based on several factors, including your preferences, home study completion, and adoption opportunities. Your adoption specialist will help you understand what to expect throughout the process.

After submitting your application, you’ll meet with an adoption specialist to discuss your goals, complete required paperwork, and begin your home study. We’ll guide you through each step until you’re approved and ready to be presented to expectant mothers.

A home study is a required evaluation that helps ensure you’re prepared to adopt. It includes interviews, education, background checks, home visits, and documentation. The process is designed to prepare families—not eliminate them.

Yes. Many single individuals successfully adopt through Heart to Heart Adoptions. We’ll discuss your goals, support system, and state requirements to determine whether adoption is the right fit for your family.

Yes. Heart to Heart Adoptions works with families from many backgrounds. During your consultation, we’ll discuss your adoption goals, applicable state requirements, and help you navigate the process.

No. You don’t need to own a home to adopt. Whether you rent or own, the focus is on providing a safe, stable, and loving environment for a child.

Every expectant mother has unique hopes and preferences for her child’s future. Our placement specialists carefully review family profiles and adoption plans before discussing potential matches to help create the best possible connection.

Maria from Corpus Christi called us late one night worried about medical bills, you might be concerned about the costs of adoption. Let us be clear: placing your baby for adoption in Texas is completely free for you. 

Real Support for Real Needs 

We recently helped Sarah, a birth mother from Austin, who needed: 

  • A safe place to live during her pregnancy
  • Transportation to doctor appointments
  • Help with maternity clothes 
  • Support with grocery and utility bills 
All of these needs were met through our program, as they will be for you.

Waiting times vary because every adoption situation is different. Factors such as your preferences, openness, and current adoption opportunities all influence your timeline. Your adoption specialist will keep you informed throughout the process.

Current adoption situations are shared for informational purposes. Our placement specialists review each expectant mother’s preferences before identifying families who may be a good fit. If your family is being considered, we’ll contact you directly.

es. If an expectant mother’s preferences align with your family’s profile and adoption goals, your placement specialist will contact you to discuss the opportunity and explain the next steps.

Open adoption allows birth parents and adoptive families to maintain some level of ongoing communication after placement. Every relationship is unique, and communication plans are created together based on everyone’s comfort level.

No. Adoptive parents are the child’s legal parents and make all parenting decisions. Open adoption simply allows for agreed-upon communication that benefits the child and supports healthy relationships.

Yes. Communication plans are flexible and often evolve as children grow and relationships develop. Any changes are discussed together with respect for everyone involved.

Many adoptive families exchange photos, updates, messages, or occasional visits through an open adoption plan. The level of contact depends on the communication plan created together before placement.

Adoption costs vary depending on your individual journey and services provided. We’ll review all fees with you upfront so you understand what’s included and can plan with confidence.

Adoption fees typically include professional services such as case management, counseling, matching, legal coordination, education, and ongoing support throughout your adoption journey.

Many families use grants, employer adoption benefits, tax credits, fundraising, or financing options to help offset adoption expenses. Our team can provide resources to help you explore available opportunities.

Adoption plans can change at any time. While every situation is handled individually, we’ll communicate openly with you, explain your options, and continue supporting you throughout your adoption journey.

No. Adoption is always free for birth mothers.

You can still receive assistance and are not obligated to proceed with adoption.

After placement, you’ll begin adjusting to life as a family while completing required post-placement visits. Your adoption specialist remains available to provide guidance and support throughout this important transition.

Finalization timelines vary by state and individual circumstances. After required post-placement supervision is complete, your attorney will guide you through the legal process to finalize your adoption.

Yes. Our relationship doesn’t end at placement. We continue providing guidance, education, and support for adoptive families as questions and needs arise throughout the years.

Heart to Heart Adoptions offers ongoing education, support, referrals, and resources to help families navigate parenting, open adoption relationships, and each stage of their adoption journey.

Only after your baby is born. New York law doesn’t allow consent to be signed during pregnancy, no matter how ready you feel.

If you signed outside of court, yes, within a window your lawyer will explain. If you signed in court before a judge, it’s usually final right away.

Current adoption situations are updated as new adoption plans become available and existing situations change. Because adoption is dynamic, information may change at any time.

It depends on whether he’s married to you and, if not, what steps he’s taken toward paternity and caring for the child. Your lawyer will walk through what applies to your situation.

To protect the privacy of expectant mothers, only basic information is displayed initially. Additional details are shared directly with families being considered for a potential match.

Your caseworker and lawyer will explain New York’s specific requirements for this situation, which still allow your adoption plan to move forward through the proper legal steps.

Yes. If an expectant mother’s preferences align with your family’s profile, your placement specialist will contact you to discuss the opportunity and explain the next steps.

Can I request to be considered for a specific situation?

New York’s rules for unmarried fathers are different from married fathers, based on the steps he’s taken toward paternity and contact with the child. Your lawyer will assess this for your specific case.

The number of current adoption situations changes frequently. Some situations are matched quickly, while others may not be appropriate for every approved family based on an expectant mother’s preferences and adoption plan.

Yes, if you’re an adult. New York law doesn’t require you to involve your parents in your own adoption decision. If you’re a minor, your caseworker can explain what does and doesn’t apply to your situation.

Your adoption specialist is your best resource. They can answer questions about the matching process, explain what to expect, and provide guidance throughout your adoption journey.

If you choose a family from another state, additional federal and state steps apply to make sure both states’ laws are followed. Heart to Heart and your lawyer handle these steps for you.

Yes. Adoption plans naturally evolve, and details may change as an expectant mother’s circumstances or preferences change. We recommend checking the portal regularly for the most current information.

You have the right to counseling, your own free lawyer, and full information about the process. This is all before you’ve made any final decision or signed anything.

Not necessarily. Current situations are shared with approved families for informational purposes. If your family is identified as a potential match based on an expectant mother’s preferences, your placement specialist will contact you directly.

Yes. There’s no point in pregnancy where it’s too late to start exploring adoption. Heart to Heart Adoptions has helped women make plans in their final weeks.

Yes. Some women decide after their baby is born that adoption might be the best thing for both them and their baby. Adoption consent in New York can only be signed after birth anyway, so deciding at or after delivery is completely normal.

That doesn’t change your options. Many birth mothers already have children. Your caseworker will talk with you about your full situation, including how this decision fits with the family you already have.

Yes, starting at month 8 of pregnancy under New York law. If you need rent help earlier, your caseworker can connect you with New York State programs that can help sooner.

Your caseworker will walk you through what New York law requires in this situation. It does not stop you from moving forward with an adoption plan.

No. Heart to Heart works with birth mothers at any stage of pregnancy, including the third trimester and after birth. We can build a plan in days, help with emergency housing, and still give you the chance to choose your baby’s family.

Yes. You review real family profiles and choose yourself. No one chooses for you, and no one pressures you toward any one family.

Yes. New York lets you set up a contact agreement with the adoptive family that a judge can approve and enforce. You decide how much contact feels right.

Nothing. Counseling, legal help, and case management are all free to you. Living-cost help is also available starting at month 8 of pregnancy.

Yes, at any point before you sign final consent. After you sign, New York gives you a window of time to reconsider if you signed outside of court.

It depends on your timeline and your pregnancy. Some women start the process months before their due date; others reach out during labor or shortly after birth. Your caseworker builds your plan around your pace, not a fixed schedule.

Yes. Heritage, language, faith, and lifestyle are all things you can ask for when reviewing families. Tell your caseworker what matters to you, and they’ll search with that in mind.

That’s the most common place to start. Counseling and support are there before you decide anything. Many women who call us end up choosing to parent, and we help connect them with resources for that too.

That’s a completely valid preference. Tell your caseworker, and they’ll search for families who already have children at home, if that’s what feels right to you.

Yes. Heart to Heart works with single parents as well as couples. If that’s your preference, your caseworker will include single-parent profiles in your search.

Yes. Faith and religious upbringing are common and legitimate preferences. Tell your caseworker what matters to you, and they’ll search with that in mind.

Your caseworker and lawyer will explain New York’s specific requirements for this situation, which still allow your adoption plan to move forward through the proper legal steps.

Yes, if you’d like to. Most families are open to a call, video chat, or in-person meeting before anything is decided. Meeting isn’t a commitment.

Questions about how they handle conflict, how they plan to talk to your child about adoption, what their daily life looks like, and how they picture staying in touch are all good starting points. See the downloadable list above for more.

Yes, if both you and the family want to. Many birth mothers build a relationship with their chosen family well before their due date.

Keep looking. You’re never limited to the first set of profiles you see. Heart to Heart has dozens of waiting families, and partnerships with other agencies can open up even more options.

You can change your mind at any point before consent is final. Picking a family doesn’t lock you in. Tell your caseworker. They handle the conversation with the family, and you go back to reviewing profiles.

New York lets you set up a contact agreement a judge can approve and enforce — that gives it real legal weight. Heart to Heart also stays involved after placement. If the agreement isn’t being honored, your caseworker speaks up for you directly.

In most open and semi-open adoptions, yes. How much and how often depends on the agreement you and the adoptive family set up together.

Yes. Photos are one of the most common forms of contact in open and semi-open adoptions, often shared through OurHeartsConnect.

Yes, if that’s part of the agreement you and the adoptive family set up. Visits are possible in open adoption and can be written into your Post-Adoption Contact Agreement.

Talk to your caseworker. Many families are open to adjusting contact over time, and your caseworker can help start that conversation.

That’s okay too. Your caseworker can help you navigate that conversation with care, for your sake and the adoptive family’s.

Your contact agreement doesn’t depend on the family staying in one place. If they move, the agreement still applies, and Heart to Heart stays available to help if logistics need to be worked out.

In open adoption, often yes, depending on what’s been agreed to and your child’s age. Many open adoption relationships continue and grow as the child gets older.

Yes, once a judge approves the agreement as part of the adoption. That’s one of New York’s strongest protections for birth mothers who want ongoing contact.

Yes. Some women decide during labor or right after birth. Your caseworker can talk with you at the hospital or right after you’ve left, whatever works for your situation.

No. Call now. Heart to Heart has helped women build plans in their final days of pregnancy. The sooner you call, the more options your caseworker can help you explore, but it is not too late.

Yes. New York law actually requires that consent be signed after birth, so plenty of women finalize their decision once their baby has already arrived.

That’s completely fine. Naming your baby doesn’t change your options or commit you to anything. Many birth mothers name their baby and still choose adoption.

That’s okay too. You can continue talking with your caseworker after you’ve left the hospital. New York law requires that consent happen after birth, but there’s no deadline for when after birth you have to decide.

Yes, if you’d like to. Many birth mothers meet or talk with their chosen family by phone, video, or in person before their due date. It’s entirely your choice whether and when to meet.

You can change your mind at any point before you sign consent, which can only happen after birth anyway. Nothing during pregnancy locks you into a decision.

It depends on the situation. New York treats married and unmarried fathers differently, and an unmarried father’s rights depend on the steps he’s taken. Your caseworker and lawyer will walk you through what applies to you specifically.

Yes, starting at month 8 of pregnancy under New York law. If you’re earlier than that and behind now, your caseworker can connect you to New York State emergency housing programs right away.

Yes, as part of the living-cost help available starting at month 8 of pregnancy. Earlier in your pregnancy, WIC and New York’s 211 system can help with food costs.

Yes. Being unemployed doesn’t disqualify you from any of Heart to Heart’s services, including living-cost help starting at month 8 of pregnancy or counseling, which starts right away.

Yes. Rides to medical appointments are part of the living-cost help available starting at month 8 of pregnancy under New York law.

Yes. Living-cost help continues through 30 days after birth under New York law, and counseling and post-placement support continue for as long as you need them.

Rent, utilities, groceries, medical costs not covered by insurance, transportation to appointments, maternity clothing, and legal fees — all starting at month 8 of pregnancy through 30 days after birth.

Talk to your caseworker right away. If you’re in an unsafe situation, Heart to Heart can help connect you with emergency resources, regardless of where you are in your pregnancy.


Yes. Counseling is completely free and starts with your very first call, with no waiting period and no connection to the month-8 rule for living-cost help.

No. All of Heart to Heart’s services, legal, counseling, case management, medical coordination, are free to birth mothers. Living-cost help is also available starting at month 8 of pregnancy, under New York law.

New York law, like federal law, bans paying someone specifically for placing a baby for adoption. What’s legal is help with real pregnancy costs: rent, groceries, utilities, medical care. The line is: paying you for the adoption is illegal; supporting you through a pregnancy is legal.

Counseling and case management begin with your first call. Money help under NY law begins once you reach month 8 of pregnancy. We can connect you to state programs right away if it’s urgent.

Yes. Heart to Heart Adoptions is a licensed, nonprofit adoption agency in Florida (License #100033775). We are a 501(c)(3) organization and have been serving birth mothers and adoptive families in Florida for more than 25 years.

No. There is no cost to birth mothers at any point. The adoptive family covers all agency fees. You may also qualify for help with housing, food, medical care, and transportation during your pregnancy. Florida law allows agencies to provide this assistance.

Yes. Florida law supports your right to choose the adoptive family. Heart to Heart gives you access to 100+ approved family profiles. You can review them, ask questions, and meet families before making your decision. There is no deadline.

We offer housing assistance, medical care, living expense coverage, 24/7 counseling, legal representation, transportation help, and post-placement support. Your case manager is available day and night throughout the entire process.

Open adoption means you and the adoptive family agree to stay in contact after placement — through letters, photos, calls, or visits. The level of openness is set before placement and can grow over time. Utah courts can enforce open adoption agreements.

The timeline is entirely in your hands. Some women complete an adoption plan in a matter of weeks. Others take months. Heart to Heart has helped women who called the day they went into labor. You are never rushed. There is no deadline — not early in pregnancy, not late in pregnancy, and not after your baby is born.

Open adoption means you and the adoptive family agree to stay in contact after placement. This could be through letters, photos, calls, or visits. How open and how much contact you have and how that contact is handled is up to you.

No. Heart to Heart Adoptions is prepared to work with you regardless of where you are in your pregnancy or if you are already parenting. We can talk to you and help you from this point forward. If you are unsafe where you are at we can help you get safe housing. We have done this with emergency speed.

Your baby goes home with the adoptive family right after placement from the hospital. The legal finalization process typically takes three to six months in Florida and happens in court after the placement period. During that time, Heart to Heart remains available to you for counseling and support. Your baby is with the family you chose, in a safe and loving home, from day one.

After you placement we are still here for as long as you need counseling. Legally we can only provide finances for a few weeks after the birth, but we won’t disappear when it comes to you needing a friend or someone to talk with.

Not before 48 hours after birth (Florida Statute §63.082). No one can ask you to sign earlier. This waiting period is a legal protection for birth mothers.

Only in cases of fraud or duress. Before signing, you can change your mind at any point, for any reason. After signing, reversal requires proving fraud or duress in court.

It depends on the father’s legal status. If he is your husband or has established paternity, his consent is required. An unmarried biological father who has not registered with the Florida Putative Father Registry may not have protected rights. Your case manager and attorney will advise based on your specific situation.

Post-adoption contact agreements are legal in Florida but are only automatically enforceable if incorporated into the final adoption order. Heart to Heart recommends requesting this incorporation for any contact terms that matter to you.

Yes. Heart to Heart provides independent legal counsel at no cost to you before you sign any consent documents. This attorney represents only you.

No. Florida law does not allow payment for placing a baby. You can receive support for pregnancy-related living expenses including rent, food, and medical care. This, however, is assistance. It is not compensation for a baby.

A state registry where unmarried biological fathers must register to have legally protected rights in an adoption. Failure to register within the required timeframe may waive the right to notice and consent.

Yes, but additional requirements apply. A parent or guardian must also consent, or the court must approve the adoption. Your counselor and attorney will explain exactly what is needed for your situation

Contact an attorney immediately. Consent obtained through fraud or duress is the legal basis for reversal. Heart to Heart provides you with independent legal counsel specifically to prevent this from happening.

Typically three to six months. During that time, your baby is legally with the adoptive family, and Heart to Heart remains available to you for counseling and support.

Ask for their Florida Department of Children and Families license number and verify it. Heart to Heart’s Florida license number is #100033775.

A local Florida agency with a physical Florida office and Florida-based counselors understands the state’s specific legal requirements and has relationships with Florida hospitals, courts, and attorneys. National agencies with call centers can miss local nuance. Heart to Heart’s Florida office is in Gainesville with statewide coverage.

Yes. Heart to Heart Adoptions is a 501(c)(3) nonprofit adoption agency. Our focus is the people we serve, not agency profit.

Call or text 689-208-2050. A counselor answers right away. The first call costs nothing and commits you to nothing.

Yes. Heart to Heart has helped women make adoption plans the same day they went into labor. Call 844-522-7700 right now.

You can request a different case manager. Heart to Heart’s goal is for you to have a relationship that feels safe and right. If it is not working, we want to fix it.

Typically three to six months after placement. Your baby is with the adoptive family during this time. You do not need to attend court.

Your baby goes home with the adoptive family immediately after placement. Finalization is a legal process that happens in the background while your baby is already in their permanent home.

Yes, if you want. You control your hospital experience. You decide who will be there and when they are allowed to come. Heart to Heart Adoptions works with the hospital ahead of delivery to make sure your plan is honored.

Yes. Heart to Heart has approved families across the country. You are not limited to Florida families when you choose your baby’s adoptive family.

No. Heart to Heart provides independent legal counsel at no cost to you before you sign any consent documents.

Before consent is signed, you can change your mind at any point, for any reason. After signing, reversal is only possible in cases of fraud or duress.

Add your content here about grief, healing, counseling services H2H provides, and how birth mothers are supported long-term.


Yes. There is no deadline for choosing a family. Some women choose a family within days of calling. Others take weeks or months.

Yes. Heart to Heart has approved families across the country. You are not limited to Florida families when you choose your baby’s adoptive family.

Post-placement support includes ongoing counseling for grief, adjustment, and open adoption contact. It continues at no cost for as long as you need it. We don’t close your case at finalization. We continue to help you. 

Disrupted matches are rare. If one occurs, Heart to Heart will support you and help you find another family if you still want to proceed with adoption.

Heart to Heart will keep looking. There is no deadline and no pressure to choose quickly. If the right family is not in the current pool, your counselor will continue working to find them.

The timeline is determined by you, not by the agency. Heart to Heart can move as quickly as a same-day stork situation or as slowly as you need over months of decision-making.

The best Florida adoption agency for you depends on what you need. For birth mothers, look for a licensed nonprofit that is free, provides a dedicated case manager, offers 24/7 support, gives you the right to choose the adoptive family, and provides post-placement counseling. Heart to Heart Adoptions (FL License #100033775) meets all of these criteria and has served Florida birth mothers for more than 25 years.

Ask for the agency’s Florida Department of Children and Families license number and verify it. A licensed agency will provide this information immediately. Heart to Heart’s Florida license number is #100033775.

No legitimate adoption agency charges birth mothers. Adoption is always free for birth mothers. All agency fees are paid by the adoptive family. If an agency asks you to pay anything, walk away.

Both types can be licensed and legitimate. A nonprofit agency  operates without a profit motive. Decisions about your case should not be influenced by considerations about how much the agency may profit.  A for-profit agency must balance service quality with business sustainability. Ask both types the same questions and compare the answers.

Wait times to adopt a baby can vary a lot. We try to give you honest wait time estimates. But truthfully it is difficult to say. We have had families adopt within a few weeks after having their family profile active. We have also had families wait several months and occasional years.  Heart to Heart gives honest wait time estimates based on current placement activity rather than inflated numbers designed to attract families. Call 844-522-7700 for a current, honest answer specific to your situation.

Yes. Interstate adoption requires ICPC (Interstate Compact on the Placement of Children) compliance. Heart to Heart coordinates all ICPC paperwork for out-of-state adoptive families.

OurHeartsConnect is a private post-placement communication computer app that Heart to Heart uses to keep birth mothers and adoptive families connected after placement. Family can exchange photos, message, and videos as often as they want with only individuals who have been allowed in the group. 

Yes. Heart to Heart places babies with approved families from across the country. You do not need to be a Florida resident to adopt through Heart to Heart. ICPC handles the interstate legal requirements.

Open adoption means the birth mother and adoptive family choose to have contact after placement. This contact can take on various forms. Most families choose to exchange message, photos, and videos. some families make regular or infrequent phone calls and some arrange visits.  Heart to Heart does not require open adoption, but strongly encourages it based on research showing better outcomes for children and birth mothers. Adoptive families are vetted for their genuine commitment to honoring open adoption agreements.

Yes. All testimonials on this page and throughout the Heart to Heart Florida cluster are from real birth mothers, shared with their permission. Named and city-attributed testimonials reflect the actual experience of real women.

For most women the process of adoption was easy. The hardest part was making the decision. Many women recognized that once the decision was made there was a peace and the process was made manageable with the support offered them.

Adoption outcome for women who have placed their baby for adoption is complex with many layers. For most women, there is grief as well as a peace. Sometimes the grief feeling intensifies. Sometimes the peace is the strongest feeling. These emotions can change, but most women report that for the most part, they feel peace with their decision.  Heart to Heart’s post-placement counseling is designed specifically to support women through this.

Heart to Heart serves all of Florida. Testimonials on this page are attributed to specific cities including Miami, Orlando, Tampa, Jacksonville, St. Petersburg, and others. Over the years, we have served women all over the state of Florida. 

Reach out to Heart to Heart through the contact page or call 844-522-7700. Your story, on your terms and with your permission, can help another woman facing a similar decision.

These days, open adoptions are getting more popular. In these adoptions, birth parents and adoptive parents stay in touch even after the adoption. They share pictures, videos, and messages to stay connected.

 At Heart to Heart Adoptions, we have a free online app called Our Hearts Connect that makes it easy for adoptive families and birth families to talk. This app allows users to send messages, pictures, and videos.

In the previous section, we talked about the support that Michigan law allows for birth mothers when they place a child for adoption in Michigan. At Heart to Heart Adoptions, we also offer counseling for Michigan birth mothers after the adoption, along with a few weeks of support to help them adjust and move forward with their lives.

No. Adoption is always free for birth mothers. Heart to Heart Adoptions covers all legal services, counseling, case management, and medical care coordination at no cost. All fees are paid by the adoptive family.

Yes. Heart to Heart can help with rent and utility costs during pregnancy. This help begins as soon as you reach out and is available whether or not you have made a final adoption decision.

At Heart to Heart Adoptions, we ensure you get the proper medical care and support during labor.

As a birthmother, you have the opportunity to decide what you want in an adoptive family. You can tell us what is important to you and we will go through the hundreds of potential adoptive families and fine those that fit your desires. You can look through their family profiles. If you want, we can help you meet on a phone call or what feels comfortable to you. You can ask them whatever you want and you can meet as many as you want. This is your decision. 

Heart to Heart covers pregnancy-related medical costs not covered by your insurance or Medicaid, including prenatal appointments, labor and delivery, and any other pregnancy-related medical care you need.

No. Financial assistance for birth mothers is never a loan. It is support, not debt. If you decide not to place your baby for adoption, you do not owe anything.

Yes. Transportation to and from all medical appointments, agency meetings, and hospital visits is covered

Yes. If your current living situation is unsafe, Heart to Heart can help you find and pay for alternative housing. Call 844-522-7700 and tell your counselor what is happening.

No. Florida law does not allow payment for placing a baby for adoption. What you can receive is help with legitimate pregnancy-related living expenses. You can receive support, but babies are not for sale. You can’t receive compensation for a child. 

Agency fees are what the adoptive family pays Heart to Heart for the full adoption service. Financial assistance is a different thing. and is not connected. You can have pregnancy-related support. The agency fees are to help pay for those who are there as qualified support. 

Yes. Grocery assistance and meal support for you and your other children throughout your pregnancy are covered.

First, contact Heart to Heart Adoptions.

A caring case manager will help you with legal, emotional, and financial support.

Follow these steps to place your child for adoption in Michigan:

1- Visit your doctor for pregnancy checkups. Get in touch with Heart to Heart Adoptions for help.

2- With your case manager, make an adoption plan and decide how much contact you want.

3- Choose the perfect adoptive family after looking at profiles and meeting them. Plan for the hospital stay and give your consent to the adoption, with time for bonding.

4- Get support after placement, including counseling and ongoing help.

Call 844-522-7700 right now. Counselors are available 24/7. Tell the counselor your situation is urgent. Emergency situations are prioritized.

No. Financial assistance is available to birth mothers throughout Florida. The amount may reflect local costs, but the support program is statewide.

Usually within days of your first conversation. Urgent situations move faster.

Usually within days of your first conversation. Urgent situations move faster.

Yes. You can receive counseling and support whether or not you have made any decision about your pregnancy. Many women call Heart to Heart simply because they are pregnant and scared and need someone to talk to.

Yes. Post-placement counseling is available for birth mothers regardless of the level of openness they chose. Your counselor helps you find peace and process your experience in a way that fits your situation.

Yes. A Heart to Heart counselor can be with you at the hospital during labor and delivery if you want. You are in control of who is present and when.

Post-placement counseling continues at no cost for as long as you need it. Heart to Heart does not close your case when the paperwork is signed. Ongoing support for grief, adjustment, and open adoption contact is part of the service.

Yes, grief after placing a baby is completely normal and does not mean you made the wrong decision.  Heart to Heart counselors are trained specifically in post-placement grief support.

Yes. Heart to Heart counselors will support you regardless of what you decide. If you decide to parent, your counselor can help connect you with parenting resources, housing support, and community services.

We can help with rent or mortgage payments. If your present location feels unsafe, we can help you relocate to a place where you have less to worry about. We want you to feel comfortable so you can deal confidentially with your pregnancy.

Please call or text right now: 844-522-7700. Heart to Heart counselors are available 24/7. You can also text HOME to 741741 (Crisis Text Line) or call or text 988 (Suicide and Crisis Lifeline). You do not have to carry this alone.

Yes. Heart to Heart counselors are available 24 hours a day, seven days a week — by phone and text. There are no business hours when you are in crisis.

Yes. Everything you share with Heart to Heart is confidential. Your information is never shared outside the legal process without your permission.

We’ll cover electric, water, or telephone bills that are necessary for your living situation.

You and your minor children living with you will have food expenses covered.

We’ll assist with travel costs for medical appointments or essential trips related to your pregnancy.

Your medical expenses related to the pregnancy and birth will be taken care of.

If you’re hospitalized or unable to care for your children, we’ll provide support for their care.

We’ll cover legal costs related to the adoption process, ensuring you have proper representation and understanding of your rights.

Start the adoption process by contacting us.

A compassionate case manager will assist you with legal, emotional, and financial support.

  • Medical Care: Visit your doctor for pregnancy confirmation and prenatal care. 
  • Guidance and Support: Connect with Heart to Heart Adoptions for guidance throughout the process. 
  • Adoption Plan: Collaborate with your case manager to create an adoption plan and decide on the level of openness you prefer. 
  • Adoptive Family Selection: Review profiles and meet with potential adoptive families to choose the right fit.
  •  Hospital Plans: Develop plans for the hospital stay and consent to adoption, allowing time for initial bonding.
  •  Post-Placement Support: Receive ongoing support, including counseling and guidance, after the adoption.

You can complete the contact form, call, or text us. Someone will answer your phone call or respond to the contact information. We don't believe in pressuring you one way or another. We are here to give you the information you might need about placing a baby in Washington, DC.

 We are prepared to discuss the type of financial assistance you might need, prenatal care options, the type of adoptive family you prefer, and any other concerns you are having about placing a child for adoption.

To give you the best care possible, we'll need confirmation of your pregnancy, due date, and prenatal medical records. A medical release form will be necessary to obtain these records.

Involving the baby's father in the adoption process can benefit everyone involved. With your consent, he can actively participate in meetings alongside you, our social worker, and the chosen adoptive family. If needed, counseling can also be provided to support this process. However, we understand that there are circumstances where the birth father may not be involved, cannot be located, or should not be part of the adoption journey.

 We respect the rights of birth fathers, and we're experienced in handling situations where their involvement varies. Whether the birth father's participation is limited or not possible, we'll manage all necessary legal aspects to ensure a seamless adoption process. Your unique situation is crucial to us, and the more details we understand, the better we can tailor our support to meet your needs effectively.

You'll review potential adoptive family profiles, and you can select the one you feel is best for your baby. Each family has undergone a thorough screening and is well-prepared to provide a loving home.

Once you have looked through the profile and have chosen a family or a few families, we can have you speak with them. Often, we facilitate a phone call or online meeting. You can decide which family meets your desires. Once you feel confident in your decision, you can start communicating online and getting to know one another even better.

 Some women prefer having less contact with the adoptive family, and we honor that decision, too.   

We'll assist you in creating a hospital plan, including preferences for the baby's stay in your room, naming the baby, visitor restrictions, and other considerations. We'll also coordinate with the hospital staff to ensure they understand your adoption plan.

When you go into labor, notify us. If you want, the chosen adoptive family will come to the hospital to meet the baby. We will support you during and after delivery, ensuring everything goes smoothly.

Some birth mothers want to be induced so they can better plan. Whatever feels the most comfortable to you is what we will support.

Often, adoption documents are signed a day or two after birth. These documents MUST be signed before you or the baby is discharged. You will sign a consent, giving Heart to Heart Adoptions authority to place the child for adoption with the family you choose.

Often, adoption documents are signed a day or two after birth. These documents MUST be signed before you or the baby is discharged. You will sign a consent, giving Heart to Heart Adoptions authority to place the child for adoption with the family you choose.

Hopefully, you feel confident in your decision about the adoption and the potential adoptive family by the time you give birth. However, the District of Columbia allows you the opportunity to change your mind for two weeks from the day you sign placement.

Until the adoption is finalized, Heart to Heart Adoptions is the guardian of the baby. During this interim, usually six months, a social worker will visit with the adopting family and the baby at least three times and will file written reports describing the baby and the new home. Finalization can be completed after six months.

Reasonable and necessary living expenses include:

  • Housing expenses.
  • Essential utilities such as electricity, water, or telephone bills.
  • Food for the birth mother and any minor children residing with her.
  • Transportation expenses related to medical appointments or essential errands, such as gasoline or bus fares.
  • Medical costs associated with the pregnancy and childbirth.
  • Childcare or foster care services if the birth mother is unable to care for her children due to hospitalization or other reasons.

 However, it's important to note that reasonable and necessary living expenses do not cover:

  • Expenses already covered by your existing resources.
  • Expenses for supporting other family members, except for minor children residing with you.
  • Costs related to recreational or leisure activities.
  • Purchase of a vehicle.

After the delivery, our social worker will contact you based on your preferences. We can arrange counseling services and finances for a few weeks. We're committed to assisting you in the foreseeable future.

The process of putting a child up for adoption in the District of Columbia may initially seem overwhelming. However, rest assured that Heart to Heart Adoptions has experience helping you get your life back together while taking care to know your baby is doing great.

1- There are a lot of levels of open adoption. But whatever level there is, there will be some communication between you as a birth family and the adoptive family. This can sometimes occur indirectly using a medicator or direct communication. At Heart to Heart Adoptions, we encourage those involved in the adoption triad in Washington, DC, to at least start their adoption journey with an online app called Our Hearts Connect. This is a monitored, secure online app that allows you to exchange an unlimited number of messages, pictures, and videos.

2- There is no one way to have an open adoption. These relationships in an open adoption tend to evolve, grow, and change over time.

3- An Open Adoption–

  •  DOES MEAN: You can see your child grow up in a loving environment.
  •  DOES NOT MEAN: You and your child's parents raise the child together.
  •  DOES MEAN: Your child and their parents can talk to you about adoption.
  •  DOES NOT MEAN: You can take your baby back after adoption.
  •  DOES MEAN: You're always important as their birth parent.
  •  DOES NOT MEAN: Confuse kids about who their parents are. They understand birth parents and the parents raising them.

Washington DC law allows the kind of support we listed above for a birth mother placing a child in Washington DC. At Heart to Heart Adoptions, we also provided Washington DC birth mothers counseling after the adoption as well as a month or two of support to help them get back into their lives.

At Heart to Heart Adoptions, we help you find quality medical care and support you during labor.

Adopting a child in Washington, DC, usually falls within the national average adoption costs, varying from $20,000 to $50,000. At our adoption agency, we prioritize transparency. We provide you with the exact cost upfront, without any hidden fees. Our goal is to openly discuss the costs with you, ensuring clarity and confidence throughout the adoption process. 

 One thing to note is that some expenses, like those legally provided to birth mothers, are covered by the fees we charge as an agency. So, if you're ready to take the next step or have questions about the costs and process, let's chat. We're here to support you and make the adoption experience as smooth as possible.

Adoption in Washington, DC, can be a bit uncertain regarding timing. Sometimes, families find a match within a few months of finishing their home study. But it can also take much longer, even years. How long you wait depends on several factors, including how flexible you are about different adoption situations. On average, though, the wait for a baby in DC ranges from about 9 to 18 months. 

 Once you welcome a child into your home, there's a final step called the finalization hearing. This usually happens around six months after the child joins your family. At this hearing, a judge reviews a report from your home study professional about how things are going post-placement.

Welcome to the journey of adoption in Washington, DC! You're embarking on an incredible path towards expanding your family through adoption. The adoption home study is one of the initial and crucial steps in this process. Let's dive into what this entails and how you can easily navigate it. 

1- Understanding the Adoption Home Study — The adoption home study is a comprehensive snapshot of your life as a potential adoptive family. It's conducted by a licensed social worker specializing in home studies and aims to showcase your readiness and suitability to become loving parents. 

2-Gathering Essential Documentation — This phase involves meticulous attention to detail, as you'll need to compile various documents such as criminal background checks, financial records, health statements, references, and autobiographical statements. These documents paint a picture of your stability, health, and commitment to parenthood. 

3-The In-Home Visit — Once your documentation is in order, the social worker will schedule an in-home visit. This visit includes an inspection to ensure your home is safe and conducive to raising a child. It's not about perfection but about creating a nurturing environment. 

4-The Interview Process — Interviews with the social worker are an essential part of the home study. They delve into your motivations for adoption, knowledge about the process, and attitudes toward parenting. It's a chance for the social worker to understand your family dynamics and readiness for adoption. 

5-Post-Placement Visits and Updates — After completing the home study and welcoming a child into your home, post-placement visits ensure everyone is adjusting well. Updates may be required for significant life changes, but these are standard steps in finalizing your adoption journey.

Absolutely. Your social worker understands that everyone has a unique journey, and past challenges won't necessarily hinder your adoption process. Honest communication is key.

While cleanliness and safety are important, your home doesn't need to be flawless. Focus on creating a comfortable and secure environment for a child.

References provide additional insights into your character and support system, offering a holistic view to the social worker.

Everyone in your household who interacts regularly with the child will likely be interviewed, ensuring a thorough understanding of your family dynamic.

In Washington, most of the time, the following people need to agree to the adoption for it to happen:

  • You (the birth mom)
  • The baby’s dad (if known)

You’ll need to sign a paper agreeing to the adoption. This paper can’t be used right away, though. You have 48 hours to change your mind after signing it or 48 hours after the baby is born, whichever comes later. There are some special rules for Native American children.

The paper you sign will say a few things:

  • That a judge has to approve the adoption
  • That you can change your mind before the judge says yes
  • Whether you and the baby’s dad are Native American or Alaskan Native

Someone you trust, 18 or older, needs to be there when you sign the adoption papers. They’ll write down their name and address on the paper.

The court can decide to let the adoption happen even if someone who usually needs to agree doesn’t, if the judge thinks it’s the best thing for the child. This can occur if the person hasn’t been taking care of the child or has hurt them in the past.

The baby’s dad usually has a say in the adoption if he’s married to you when the baby is born or if he lived with you and the baby. There are other ways the dad might have rights, too, but this is an excellent general rule.

Considering adoption is a brave decision. Contact us at Heart to Heart Adoptions if you have questions or need someone to talk to. We can help you understand your options and make the best choice for you and your baby.

Adoption is typically free for birth mothers in Wyoming. Most medical care, legal services, and counseling are covered as part of the adoption process.

Wyoming law allows adoptive families to assist with reasonable living expenses. This may include support for rent, utilities, groceries, transportation, and maternity clothing during your pregnancy and in some situations for a limited time after birth.

Yes, adoption is fully legal in Wyoming, and you have the right to make decisions about your adoption plan.

You cannot sign legal consent until after your baby is born, which gives you time to rest and feel confident in your decision. Once consent is signed, it becomes a serious legal step, and you’ll have access to guidance and legal support beforehand so you fully understand your rights.

Yes. You can choose the adoptive family if you want to.

You can explore different families and decide what feels right to you, including preferences around lifestyle, location, values, and level of openness. You can also choose whether you’d like an open, semi-open, or more private adoption experience.

You may be eligible for a range of support services during your pregnancy.

In addition to financial support, this may include medical care, emotional support, professional counseling, and help coordinating safe, stable housing if needed. All support is provided within Wyoming legal guidelines and based on your individual situation.

You do not have to decide right away.

The timeline is yours. Some women begin making a plan early in pregnancy, while others reach out much later. In Wyoming, legal consent cannot be signed until after your baby is born, so you have time to explore your options.

Yes. You remain in control of your decision until you choose to sign legal consent after birth. 

You can take time to explore your options and decide what feels right for you. We’re here to support you through that process, without pressure.

In an open adoption, yes. You and the adoptive family agree on the level of contact before placement. This can include in-person visits, video calls, letters and photos, or any combination you agree on.

Semi-open adoption means contact is exchanged through the agency or a social worker rather than directly between you and the adoptive family. You receive letters and photos, but the adoptive family does not have your direct contact information

Research shows that children in open adoptions have healthier emotional outlook on life. This includes a stronger sense of identity, less confusion about their origins, and stronger emotional wellbeing. Heart to Heart Adoptions usually encourages openness. However, we have been involved with birth mothers and adopted children who are not interseted in an open adoption.

Research shows that children in open adoptions have healthier emotional outlook on life. This includes a stronger sense of identity, less confusion about their origins, and stronger emotional wellbeing. Heart to Heart Adoptions usually encourages openness. However, we have been involved with birth mothers and adopted children who are not interseted in an open adoption.

Yes. When you review family profiles, you will be able to see each family’s openness level and what they are comfortable with. Heart to Heart will match you with a family whose openness genuinely matches what you want.

Contact levels can be adjusted by mutual agreement with the adoptive family. Heart to Heart remains available to facilitate these conversations.

No. Open adoption is not co-parenting. The adoptive family is the legal parent. Open adoption means your child grows up knowing you and knowing they are loved by you — but parenting decisions belong to the adoptive family.

Only if incorporated into the final adoption order. Heart to Heart recommends requesting this if contact is important to you. Your independent attorney will advise you.

Open adoption agreements travel with the adoption. If the agreement is incorporated into the order, it remains legally in force regardless of where the family lives. Heart to Heart maintains contact with adoptive families long-term.

No. Closed and semi-open adoptions are available. Heart to Heart will help you think through what is right for you. There is no pressure to choose one or the other.

It varies by family agreement. A common pattern: photos and a letter at 3 months, 6 months, 12 months, then annually. Video calls on birthdays. In-person visits once or twice a year as the child grows. Every agreement is personal and unique.

Call or text 689-208-2050. A counselor answers right away. That first conversation costs nothing, commits you to nothing, and can start the process of getting you immediate help.

The timeline is entirely in your hands. Some women complete the process in weeks. Others take months. Heart to Heart has helped women who called the day they went into labor. There is no deadline at any stage of pregnancy or after birth.

No. ‘Giving up’ implies abandonment. Placing a baby for adoption is an active, loving decision — you choose the family, you decide the level of contact, and your child grows up knowing you made this choice out of love. Heart to Heart never uses the phrase ‘give up your baby.’

Yes, at any point before consent is signed. You can change your mind about the agency, the family, the level of openness, the hospital plan. You cannot sign consent documents for placement until at least 48 hours after birth.

Not necessarily. Florida law has specific procedures for situations where the father is unknown, absent, or unwilling to participate. An unmarried biological father must register with the Florida Putative Father Registry to have legally protected rights. Your counselor will explain exactly what applies to your specific situation

You decided what you want to happen at the hospital. You get to decide who is there with you. We will have your case manager available to be your support. You can have the adoptaive family present, or you can just take the time in the hospital to be with your baby uninterrupted. You get to decide.

No. Heart to Heart works with birth mothers at every stage of pregnancy, including the third trimester and after birth. Call 844-522-7700 right now if your situation is urgent. Someone should be available right now.

A stork situation is adoption agency language for a last-minute placement. This is when a birth mother decides to place her baby very close to her giving birth, or sometimes after she has given birth. We do this regularly and can match you with a family and get you financial and emotional support quickly. We also have attorneys in Florida who can talk to you about your legal rights. This, of course, is all free to you.

After giving birth, you can still expect free counseling or just someone to talk with. We’re her through the time it takes you to get back on your feet and then for help down the road.

Yes. Marital status has no bearing on a birth mother’s right to make an adoption plan in Florida. All of Heart to Heart’s services are available regardless of your relationship status.

An adoption agency like Heart to Heart handles the full process. this includes someone to talk with, finding the right family, financial support, and coordination with legal counsel. An adoption attorney handles the legal filings only. Heart to Heart provides you with your own independent attorney at no cost as part of the agency service.

That’s all right. These pages cover regions, not every single town. If your town isn’t named, look for the region it falls inside, or just call. You’ll get the same support no matter which page you started on.

No. Every birth mother in New York gets the same free counseling, the same legal rights, and the same living-cost help starting at month 8 of pregnancy. These pages cover local color — nearby resources, what other women in your area have asked — but the core support is the same everywhere in the state.

Yes. Remote counseling by phone or video reaches every part of New York. Distance is never a barrier.

No. These are free to download and free to use, whether or not you ever call Heart to Heart Adoptions.

No. These are tools to help you think and prepare. These are definitely not a substitute for your own caseworker, counselor, or independent attorney, who can speak to your specific situation.

Call or text 518-557-1722and ask your caseworker. They can help arrange that if printing isn’t easy for you.

If you know you want to grow your family but you are not sure what type of adoption is the best for you and your family, then we want to help you answer any questions you have. There is more than one way to adopt, and the experience can be very different depending on the path you choose.

Heart to Heart Adoptions is an agency that provides domestic infant adoption services. But we can help you understand other types of adoption so you can decide how domestic adoption fits with the other choices you have. We’re willing and happy to steer you to the best situation for you. Before we spend the rest of this Guide talking about domestic infant adoption through Heart to Heart Adoptions, it helps to see where it fits among your other choices.

What Are the Main Types of Adoption?

Families can grow through several different adoption paths. The five most common are domestic agency adoption, independent adoption, kinship adoption, international adoption and adoption from foster care. Each has its own process, costs, timelines and legal requirements.

What Is Domestic Agency Adoption?

You work with an adoption agency that helps with preparation, matching, support and the legal steps of adoption where the adoptive parents and the birth parents live in the same country. Heart to Heart Adoptions works primarily in domestic infant adoption. But we have friends and colleagues who work with other types of adoption, especially foster care adoption and international adoption. We’d love to introduce you.

What Is Independent Adoption?

An independent adoption is arranged without an adoption agency. Attorneys and other professionals usually help the birth parents and adoptive parents complete the legal process.

What Is Kinship Adoption?

Kinship adoption happens when a relative, such as a grandparent, aunt, uncle or other family member, adopts a child.

What Is International Adoption?

International adoption involves adopting a child from another country. Families must meet the requirements of the child’s country as well as U.S. immigration and adoption requirements. If this is of interest to you, we suggest you go to Hand in Hand International and meet Bonnie and her staff.

What Is Foster Care Adoption?

Foster care adoption involves adopting a child whose case has moved from foster care toward adoption. The children available for adoption through foster care are often older than infants, and sibling groups may also need families.

Are Surrogacy and Embryo Donation Types of Adoption?

No. Surrogacy and embryo donation are ways families may grow, but legally they are not adoption. They follow different processes and laws.

A few more questions

Which type of adoption does Heart to Heart Adoptions provide?

Heart to Heart Adoptions works primarily with families pursuing domestic infant adoption.

Is foster care the same as domestic infant adoption?

No. Foster care and domestic infant adoption have different goals, processes and legal paths.

Is surrogacy an adoption?

No. Surrogacy is a different legal and family-building process.

Do we need to choose an adoption path before contacting Heart to Heart Adoptions?

No. You can ask questions and learn more before deciding whether domestic infant adoption fits your family.


There is not one type of adoption that is right for every family. We have families who adopted domestically and then grew their family again by going international. We have families who adopted through us and now have foster children in their home. Each of these families is unique. What feels comfortable to you may feel completely different to another family.

This is the time to talk openly about what you hope adoption will look like, what you are prepared for and where you may need more information before making a decision.

What Should We Think About Before Choosing an Adoption Path?

You do not need to have every answer today. You need to think through these questions and answer yourself honestly. You also need to recognize how this will affect extended family and if their attitudes will have an effect on your child.

The goal is to notice which questions matter most to your family and learn enough to make a thoughtful decision.

How Important Is a Genetic Connection to Us?

How important is a genetic connection to you? This is worth talking about before moving forward. Do you need a genetic connection to your child? Do you need your child to look like you and your extended family? Are you okay with every stranger and every acquaintance instantly recognizing that adoption was how your child entered your family?

How Do We Feel About Contact With a Child’s Birth Family?

Domestic infant adoption often includes some form of openness with a child’s birth mother or birth family. Think about what kind of relationship you can genuinely support over time. Are you willing to send pictures? Are you willing to have visits? There are birth mothers who want no contact. Some birth mothers just want infrequent communications. Some want to have visits. Talk with us about those options and how you feel about them.

Are We Open to Different Ages, Races or Backgrounds?

Different adoption paths involve children of different ages and backgrounds. Be honest with yourself about what you are prepared to support, including the responsibilities that come with transracial adoption and adoption of older children. Recognize these children deserve and need a family, but they also come with challenges you may need help with.

What Can We Realistically Afford?

The cost of adoption can vary significantly. Recognize these differences. It might feel uncomfortable to think about cost when it is tied to the love you feel for a child. But be realistic about what is involved financially. Before committing, understand what is included, what can vary and when payments are due.

How Much Legal Uncertainty Are We Comfortable With?

Every adoption has legal steps. Some situations may involve more uncertainty than others, including questions about a biological father’s rights. Heart to Heart Adoptions will explain known concerns before you decide whether to move forward with a specific situation.

How Does Availability Affect Our Decision?

The number and ages of children needing families, the preferences of birth mothers, your own preferences and the adoption path you choose can all affect how long the process takes.

What Do We Need to Know About Prenatal Substance Exposure?

Some expectant mothers may report alcohol, tobacco, prescription medication or other substance use during pregnancy. Some mothers have and are using harmful substances and don’t report. We tell every potential adoptive family everything we know about the birth mother’s situation as it relates to the baby. Learning what is known, what is not known and what questions to ask can help you make informed decisions.

What Do We Need to Know About Birth Father Risk?

Birth fathers have different rights in different states. We are aware of these rights and the variation in laws across state borders. Heart to Heart Adoptions will discuss all of this with you. Your team will explain the known legal concerns and what remains uncertain in a particular situation.

Do We Have to Decide Everything Right Now?

No. Some of your answers may change as you learn more. Heart to Heart Adoptions works primarily with families pursuing domestic infant adoption, so that is where the rest of this Guide will take you. We will talk much more about prenatal substance exposure, birth father risk, cost, openness and matching before you are asked to make decisions about a particular adoption situation.

A few more questions

What should we compare when choosing an adoption path?

Think about the age of the child, contact with birth family, cost, timing, legal process, race and culture, medical history and the kind of relationship you hope to have with the child’s birth family.

What if my spouse and I are comfortable with different things?

That is worth discussing before you apply. You do not need identical reactions to every issue, but you should understand where each of you has firm boundaries and where you are open to learning more.

Can our preferences change while we wait?

Yes. Families often learn more as they move through the process. Talk with Heart to Heart Adoptions before changing preferences that affect the situations you may be considered for.


Domestic agency adoption is adoption within the same country with the support of a licensed adoption agency. Heart to Heart Adoptions specializes in domestic infant adoption. Independent, kinship, foster care and international adoption follow different paths, as explained above.

Domestic infant adoption is a process in which an expectant parent makes an adoption plan for a baby and chooses an approved adoptive family. The process includes preparation, matching, legal consent, placement, post-placement supervision and finalization.

Domestic infant adoption is a process in which a birth mother makes an adoption plan for a baby and chooses an approved adoptive family. The process includes preparation, matching, legal consent, placement, post-placement supervision and finalization.

What is domestic agency adoption?

Domestic infant adoption is an adoption in which an expectant parent makes an adoption plan for a baby and chooses an approved adoptive family. In a Heart to Heart Adoptions adoption, the family completes its approval work before matching, the birth mother receives support while making her decisions, and the legal steps happen after birth according to the law that applies to the adoption.

Who Chooses the Adoptive Family?

The birth mother chooses the adoptive family. Heart to Heart Adoptions helps identify approved families whose preferences and abilities fit the known circumstances, then she reviews their profiles and decides which family she wants to know more about. The agency helps with the process, but it does not simply assign a baby to the next family on a list.

What Do We Need to Do Before We Can Be Matched?

Before matching, you need an approved home study and approval from Heart to Heart Adoptions. You will also prepare an adoptive family profile and continue your adoption education. Your home study establishes that you are approved to adopt; your profile helps a birth mother learn who you are. the “What Is an Adoption Home Study?” answer for the home study and Questions 12 and 11 for family profiles.

What Does It Mean to Be Matched?

A match begins when a birth mother chooses an approved family and the family decides to move forward with her adoption situation. Matching creates a relationship and begins more detailed planning, but it does not guarantee that placement will occur. The birth mother still has the right to make decisions about her pregnancy and child before valid consent or relinquishment.

Is a Match the Same as an Adoption?

No. A match is an agreement to move forward with an adoption plan, not a completed adoption. Birth, legal consent or relinquishment, placement, post-placement supervision and finalization still come later. Understanding those separate stages can make the process much less confusing.

What Is the Difference Between Placement and Finalization?

Placement is the legal transfer of physical custody of the child to the adoptive parents after the required legal steps allow it. Finalization is the later court process that legally completes the adoption. Families begin parenting at placement, but the adoption is not legally final until the court enters the final adoption decree.

A few more questions

Does an adoption agency choose the adoptive family?

Heart to Heart Adoptions helps identify families whose preferences fit the situation, but the birth mother reviews profiles and chooses the family she wants to consider.

Can we be matched before our home study is complete?

You will need an approved home study before you can move forward as an approved adoptive family.

What does matched mean?

A match begins after a birth mother chooses a family and both sides decide to move forward together.

Is matching the same as placement?

No. Matching happens before birth or placement. Placement is the legal transfer of physical custody after the required legal steps are complete.

When is the adoption final?

Finalization happens later through the court process, usually after post-placement requirements are completed.


Domestic infant adoption can be a good path for many families, but it asks families to prepare for uncertainty, openness, legal processes and a relationship with a child's birth family. This page helps you decide whether that fits your family.

Why Do We Want to Adopt?

Start with the reasons adoption appeals to your family. If infertility or another loss is part of your story, give yourself room to talk about that. Adoption should not ask a child or a birth parent to heal you. Give yourself room to grieve. The question is whether you are ready to parent a child that is not genetically related to you. A child who also has another story that you need to respect.

Are We Ready for the Uncertainty of Adoption?

Domestic infant adoption includes a lot of uncertainty. You may wait longer than expected. A match may not lead to placement. Medical or family information may be incomplete. Legal questions can arise. Being ready does not mean you are comfortable with every possible outcome. It means you understand that some parts of the process cannot be controlled.

How Do We Feel About Open Adoption?

Most families considering domestic infant adoption should expect to talk seriously about contact with the biological family. This contact normally starts before birth and continues in some form after placement of the child. Many birth mothers want openness and once they have met the adoptive family they even want more because of the bond that occurs. Open adoption can include messages, photographs, calls, visits or a combination that fits the people involved. Before moving forward, talk honestly about what kind of relationship you can maintain over time, not just what feels easy to promise while you are waiting.

Also recognize that open adoption and the relationship with the birth mother changes as the child grows. Open adoption, however, does not mean co-parenting. You are the parent.

What Circumstances Are We Prepared to Consider?

Birth mothers are placing their baby for a multitude of reasons. Usually, it is because there are problems in her life. As a potential adoptive family, you need to think about the circumstances you are genuinely prepared to accept. That can include prenatal substance exposure, medical uncertainty, race and culture, birth father risk, openness. You do not need to say yes to every situation. If there are risks you are unwilling to accept, say something. You are making a monumental decision.

How Will Adoption Affect the Rest of Our Family?

Adoption affects more than the people completing the application. You must involve the children already in your home. You do this in an appropriate manner. You should also talk with relatives who will have regular roles in the child's life. Think about how your family talks about race, birth families, privacy and belonging. If some of the language is inappropriate it doesn’t mean you don’t adopt. It does mean you have to be ready to educate them or limit contact. You probably can’t get everyone to use perfect language immediately. But they need to be willing to learn and support your decision to parent an adopted child.

What Support Will We Need?

To varying degrees, you will need support. Maybe that support is someone who will listen, someone who will give you a break. What is your employer willing to do for you? Think beyond the first weeks with a baby. Heart to Heart Adoptions provides education and case support throughout the process, and families should be willing to ask for help when they need it.

A few more questions

How do we know if we are ready to adopt?

Readiness is less about feeling completely certain and more about understanding the process, talking honestly as a family and knowing which circumstances you are prepared to consider.

Do we have to be comfortable with open adoption?

You should be willing to learn about open adoption and think carefully about the contact you can honestly maintain.

What if spouses have different comfort levels?

Talk through the differences before moving forward. Adoption decisions should not depend on one person hoping the other will become comfortable later.

Should we decide now what substance exposure we can accept?

You should begin learning now. the “What Should Adoptive Parents Know About Prenatal Substance Exposure?” answer gives you a framework for asking medical questions and thinking about uncertainty.

Should finances be part of this decision?

Yes. Adoption is also a financial commitment. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer before applying.


Prenatal substance exposure means a baby may have been exposed during pregnancy to alcohol, nicotine, prescribed medication or other substances. The amount of information available can vary, and exposure alone does not tell you exactly what a child's future will be.

What Does Prenatal Substance Exposure Mean?

Prenatal substance exposure means a baby may have been exposed during pregnancy to alcohol, nicotine, prescribed medication or other substances. The type of substance, amount, timing and frequency may all matter, but families do not always receive complete information about each of those factors. We only know what we can test for and what the birth mother tells us.

What Information Might Be Available?

Information can come from the birth mother's self-reported history, prenatal or hospital records, testing and observations from medical professionals. Heart to Heart Adoptions shares the information available for the situation. Families should pay attention to the source of the information as well as the information itself.

What Information Might Be Missing?

Sometimes no one knows the exact amount, frequency or timing of an exposure. Prenatal care may have started late, records may be incomplete, or information may be based mainly on self-report. An unknown is not the same thing as a negative result. Ask what is known, what is not known and whether additional information is expected.

Does Exposure Always Predict a Child's Future?

No. A disclosed exposure does not tell you exactly what a child's development or health will look like. Outcomes can vary, and the information available during a match may not answer every long-term question. Families should avoid treating one disclosure as either a guarantee of a problem or a guarantee that there will be no effect.

What Questions Should We Ask?

Ask what substance was reported, when and how often it was reportedly used, what prenatal care occurred, what medical records are available and whether a medical professional has reviewed the information. Also ask which facts are self-reported and which are documented. If you need medical help understanding the information, seek an appropriate professional before deciding.

How Do We Decide What Our Family Can Handle?

You should really consider what Make this decision before emotion takes over during a presenting call. Learn about the types of exposure you may encounter, talk together about uncertainty and decide when you would want medical input. You are not required to accept a situation. A thoughtful no is better than saying yes to circumstances your family is not prepared to support.

A few more questions

Will we always know exactly what a baby was exposed to?

No. Information may be incomplete or based on self-report, medical records or testing that is available at the time.

Does prenatal exposure guarantee long-term problems?

No. Outcomes vary. Families should avoid treating one disclosed exposure as a certain prediction of a child's future.

Can we ask a medical professional to review a situation?

Yes. Families may want an appropriate medical professional to help them understand the information available and the limits of that information.

Can we decline a situation because we are not comfortable with the exposure information?

Yes. You are not required to accept an adoption situation.

Should we decide our limits before a presenting call?

It helps to discuss your comfort level in advance so you are not making every decision for the first time during an emotional call.


Birth father risk is Heart to Heart Adoptions' term for legal uncertainty involving the biological father's rights, identity, notice, consent or actions required under applicable law. The facts and legal requirements can differ from one adoption to another.

What Does Birth Father Risk Mean?

Birth father risk is Heart to Heart Adoptions' term for legal uncertainty involving the biological father's identity, rights, notice, consent or actions required under applicable law. The level of uncertainty can be very different from one adoption situation to another.

Why Can Birth Father Rights Be Uncertain?

The legal answer can depend on facts such as marriage, established paternity, notice, support, registration and whether the biological father takes action within the time required by law. Those rules also vary by state. That is why one family's birth father situation should not be used as the legal rule for another adoption.

What Information Does Heart to Heart Adoptions Review?

Heart to Heart Adoptions and the attorneys handling the adoption review the information available about the biological father and the legal steps required for that situation. During a presenting call, the family should be told what is known, what legal work has already occurred and what remains uncertain.

What Questions Should We Ask Before Accepting a Situation?

Ask whether the biological father has been identified, what is known about his relationship with the birth mother, whether he supports or opposes the plan, what notice or legal steps may be required and what uncertainty remains. Ask whether additional legal work could affect timing or expenses. You are trying to understand the situation, not become the lawyer.

Can We Decline a Situation With Birth Father Risk?

Yes. A family is not required to accept a situation when the level of legal uncertainty is outside its comfort level. Ask questions until you understand the risk as it is currently known, then decide whether your family is prepared to proceed.

How Is This Different From Birth Father Rights?

Birth father risk describes the uncertainty an adoptive family may need to consider before accepting a situation. Birth father rights are the actual legal rights and required actions that apply to the biological father under the facts and law of that adoption. the “What Rights Does the Birth Father Have in Adoption?” answer explains birth father rights in more detail.

A few more questions

Does every adoption have the same birth father issues?

No. The facts, relationships and state laws differ.

Does an unmarried biological father automatically have no rights?

No. Rights and required actions depend on the facts and applicable law.

Who evaluates birth father issues?

Adoption attorneys review the facts and applicable legal requirements.

Can we ask about known legal risk before matching?

Yes. The presenting call should include known legal concerns available at that time.

Can additional legal work affect cost?

Sometimes. Ask about known legal and financial implications before accepting a match and review the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer.


A home study is the legal document and evaluation used to determine whether you are approved to adopt.

A licensed social worker gathers information about you, your family, your home and your preparation for adoption. For Heart to Heart Adoptions families, completing the home study is the first formal step.

Why Do Adoptive Families Need a Home Study?

A home study gives the placing agency and the courts a professional evaluation of your readiness to adopt. It is not simply permission from Heart to Heart Adoptions. It becomes part of the legal adoption record.

The process usually includes interviews, a home visit, written records, references, background clearances and adoption education.

What Will the Social Worker Want to Know About Us?

Expect to talk about your childhood, relationships, family, work, finances, health, support system, parenting ideas and reasons for adopting.

You will also talk about adoption itself, including birth families, open adoption and how you plan to talk with your child about adoption. Some questions may lead to conversations you have not had with each other before. That is part of the preparation.

Do We Have to Talk About Difficult Things in Our Past?

Yes. If something significant has happened in your life, discuss it honestly with your home study provider.

A difficult experience does not automatically mean you cannot adopt. Hiding important information can create a much larger problem later.

What Happens During the Home Visit?

The social worker visits your home and talks with you there. Your home needs to meet applicable requirements, but the visit is not a decorating contest.

You do not need a finished nursery, and you do not need to spend three days cleaning the baseboards. The social worker is looking at the home as part of the larger picture of your family and your preparation to parent.

Do We Have to Own a Home to Adopt?

No. Families can adopt while renting. The question is whether your living situation is appropriate for your family and meets applicable requirements, not whether your name is on a mortgage.

How Much Does a Home Study Cost?

For Utah families using Heart to Heart Adoptions, the current fee for a complete home study is $850. A home study update is currently $250.

Because adoption costs involve more than the home study, use the full cost question when planning your budget.

A few more questions

Is a home study just a house inspection?

No. The home visit is one part of a broader evaluation of your family and preparation to adopt.

Do we need a finished nursery?

No. A completed nursery is not the purpose of the home study.

Can we rent our home?

Yes. Owning a home is not a general requirement for adoption.

Can something in our past prevent us from adopting?

It depends on the circumstances. Talk honestly with your home study provider rather than trying to decide on your own that something will disqualify you.

Do we need the home study before applying to Heart to Heart Adoptions?

Yes. Heart to Heart Adoptions' current process asks families to complete the home study first.

How much does Heart to Heart Adoptions charge for a Utah home study?

The current complete home study fee is $850. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer for the complete fee schedule.


Once you know what a home study is, the next question is practical: How do we get it done?

The exact requirements depend on your state and provider, but most families move through the same basic pieces: paperwork, background clearances, interviews, a home visit and adoption education.

Who Can Complete Our Home Study?

If you live in Utah, Heart to Heart Adoptions can complete your home study. Families outside Utah need an appropriately licensed or authorized home study provider in their own state, and Heart to Heart Adoptions can help identify providers.

Heart to Heart Adoptions' current orientation notes that New York residents must use a licensed adoption agency for the home study.

What Documents Will We Need?

Your provider will give you the exact list. Expect records involving identity, family history, health, finances, insurance, references and background clearances.

Start gathering requested documents early. A home study can slow down simply because one form, clearance or reference has not arrived.

What Happens During the Interviews?

The interviews help the social worker understand your family rather than simply verify paperwork. You may talk together and separately.

Expect questions about your relationship, childhood, parenting, work, finances, health, support system, adoption expectations and the kind of openness you are prepared to maintain.

What Adoption Education Is Required?

Heart to Heart Adoptions' current orientation calls for approximately 10 to 12 hours of adoption education. Ask your Heart to Heart team how this guide applies to your education requirement. Heart to Heart Adoptions also provides Creating a Family resources.

Keep your completion certificates. More important, keep learning after the required hours are finished.

How Long Does a Home Study Take?

There is no single timeline. It depends on the provider, how quickly you complete paperwork, background-clearance timing and state requirements.

The part you can control is responsiveness. Return forms, schedule interviews and complete education promptly.

What Does a Heart to Heart Adoptions Home Study Cost?

For Utah families, the current Heart to Heart Adoptions fees are $850 for a complete home study, $250 for an update and $150 for each post-placement visit.

A few more questions

Can Heart to Heart Adoptions complete our home study outside Utah?

If you live outside Utah, you will generally use an appropriate provider in your state. Heart to Heart Adoptions can help identify providers.

How much education should we plan for?

Heart to Heart Adoptions' current orientation calls for approximately 10 to 12 hours.

Does this guide count?

Ask your Heart to Heart team how this guide applies to your education requirement, and keep your completion documentation.

What slows a home study down?

Missing documents, delayed clearances, scheduling and provider or state processing can all affect timing.

What happens when it is complete?

You are ready to submit your Heart to Heart Adoptions application.


Once your home study is complete, you are ready to submit your application to Heart to Heart Adoptions.

The order matters: complete the home study first, then apply.

What Do We Need Before We Apply?

You need your completed home study and the information requested in Heart to Heart Adoptions' application. If something is missing, the approval process may pause while the team waits for it.

How Much Is the Application Fee?

The current application fee is $2,000 and is paid after the home study is complete.

Heart to Heart Adoptions has intentionally kept the initial application fee lower than the larger fees that come later in the process.

What Happens After We Submit the Application?

Heart to Heart Adoptions' approval committee reviews the application and completed home study. The committee may ask for clarification or additional information before making a decision.

Most complete files are currently reviewed in approximately two to four weeks.

What Should We Do While We Wait?

Start working seriously on your adoptive family profile and continue your adoption education.

You do not need to sit still while the application is being reviewed. The work you do now can make the next stage easier.

What Happens When We Are Approved?

You will receive an approval notice and move into onboarding with Heart to Heart Adoptions. That is when the focus shifts from qualifying to adopt to preparing to be considered for adoption situations.

A few more questions

Do we apply before our home study is complete?

No. Heart to Heart Adoptions' current process puts the home study first.

What is the current application fee?

$2,000. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer for the complete financial picture.

Who reviews the application?

Heart to Heart Adoptions' approval committee reviews the application and home study.

How long does review usually take?

Can we work on our profile while waiting?

Yes. This is a good time to begin your profile and continue education.


Approval is an important milestone, but it is not a match.

It means Heart to Heart Adoptions has reviewed your completed file and you can move into the next stage: preparing to be considered for adoption situations.

How Will We Know We Are Approved?

Heart to Heart Adoptions sends an approval notice. The team then moves you into onboarding so you know what to expect next.

What Happens During Our Onboarding Call?

Heart to Heart Adoptions' current process includes an onboarding call with Haley. Use the call to review the process, ask questions and make sure your preferences are current. The onboarding call is important, but it does not have to be completed before you can be presented with adoption situations.

If something has changed since you applied, say so now.

What Should We Work on Next?

Your family profile becomes one of your main jobs. Your home study explains that you are approved to adopt. Your profile helps an expectant mother understand who you are.

Should We Continue Adoption Education?

Yes. Required education gives you a starting point. Waiting gives you time to learn more about open adoption, prenatal exposure, birth-parent relationships and parenting an adopted child.

What If Something Changes After Approval?

Tell Heart to Heart Adoptions and your home study provider about meaningful changes involving your household, address, employment or other circumstances that may affect the home study or your ability to proceed.

Do not wait until a presenting call to mention a major change.

A few more questions

Does approval mean we are matched?

No. Approval means you can move into the next stage of the process.

What is onboarding for?

It helps you understand the next steps, ask questions and confirm current preferences.

What should we work on after approval?

Your family profile and continued adoption education.

Should we report meaningful changes after approval?

Yes. Tell Heart to Heart Adoptions and your home study provider.

What is the next major stage?

Preparing your profile and waiting to be considered for matching.


An adoptive family profile introduces your family to an expectant mother who is considering adoption.

It is not a résumé and it is not a contest to see which family can look the most impressive. Its job is to help someone get a real sense of who you are and what life with your family might be like.

How Does an Birth mother Use Our Profile?

When an adoption situation fits your stated preferences and abilities, an expectant mother may review your profile along with other appropriate families.

She can look at photographs, read about your family and begin deciding who she wants to know more about.

Does the Birth mother Really Choose the Family?

Yes. Heart to Heart Adoptions helps identify appropriate approved families, but the expectant mother makes the choice about which family she wants to pursue.

That is why your profile should sound like you rather than like an advertisement.

What Is the Difference Between a Public and Private Profile?

Heart to Heart Adoptions uses both public and private profile options. A public profile may be searchable or viewable by birth mothers, while other information can remain private within the matching process.

Your Heart to Heart Adoptions team will explain how the current profile system is being used.

Is Our Family Profile an Advertisement?

No. You are not selling a lifestyle. Avoid promises you cannot make and language that makes your family sound flawless.

Specific ordinary details often tell someone more than broad claims. Sunday breakfast, a noisy dog, cousins down the street or the way your family spends a Saturday can help a reader picture real life.

What Should We Say About Open Adoption?

Say what you genuinely believe you can maintain. If you hope for an ongoing relationship, explain what that means to you.

Do not promise a level of contact simply because you think it will make your profile more appealing.

Do We Need to Be a Perfect Family?

No. There is no universal 'best' adoptive family. Different expectant mothers are looking for different qualities, relationships, locations, traditions and family structures.

Your goal is to be understandable and honest.

A few more questions

Who chooses the adoptive family?

The birth mother chooses the family she wants to consider.

Should our profile sound like a sales brochure?

No. Clear, specific and honest information is more useful.

Should we promise as much contact as possible?

No. Promise only the openness you believe you can maintain.

Can profiles include photos and video?

Yes. Heart to Heart Adoptions' profile process can include images and video.

What happens if an expectant mother wants to know more?

The process may move toward a presenting call or other matching steps.


A good profile answers the question a birth mother is really asking: Who are these people?

You do not need a clever slogan. You need enough real information for someone to begin imagining your family, relationships and everyday life.

What Should We Write About?

Write about your family, relationships, work, interests, traditions, community and the people who would be part of a child's life.

Choose details that reveal something. 'We love the outdoors' is broad. 'We spend summer evenings at the neighborhood pool and camp with my sister's family every August' gives a clearer picture.

What Photos Should We Use?

Use clear photographs that show your family naturally. Include a mix of people, relationships, home life and activities rather than dozens of nearly identical posed photos.

Photographs should support what the text says. If extended family is important, show them. If you talk about your neighborhood or traditions, give the reader a glimpse.

What Should We Say to an Expectant Mother?

Write to her as a person making a serious decision. Avoid language that assumes she will choose adoption or assumes you already have a relationship with her.

You can express gratitude for her willingness to learn about your family without telling her what she should feel.

How Should We Talk About Why We Want to Adopt?

Explain your path honestly, but do not make a birth mother responsible for repairing a loss or completing your family.

Keep the focus on what you have learned and why you are prepared to parent through adoption.

How Should We Talk About Open Adoption?

Be concrete. If you hope for visits, messages, photos or calls, explain how you imagine making room for that relationship.

Should We Include Video?

Video can help someone hear your voices and see how you interact. Keep it natural. A simple conversation or short look at your everyday life can be more effective than an elaborate production.

What Makes a Profile Memorable?

Specificity. A profile becomes memorable when it sounds like actual people rather than a collection of adjectives.

Before publishing, ask: Could this paragraph describe almost any family? If yes, add a detail that belongs to yours.

A few more questions

What should our profile help an expectant mother understand?

Who you are, what everyday life is like and how you think about adoption and ongoing relationships.

Do we need professional-looking perfection?

No. Clear, thoughtful and genuine is more useful than flawless.

How many photos should we use?

Heart to Heart Adoptions should provide the current profile specifications. Do not invent a number that may change.

Should we include extended family?

If they are an important part of your life, yes.

Can video help?

Yes, when it helps someone hear and see your family naturally.


Waiting can feel passive because there may be days when nothing seems to be happening.

It is still part of the adoption process. There are useful things you can do while Heart to Heart Adoptions continues working with birth mothers and considering appropriate families for situations.

What Is Heart to Heart Adoptions Doing While We Wait?

Heart to Heart Adoptions continues outreach, intake, support for expectant mothers and matching work. Not every situation will fit every approved family.

When a situation fits both the birth mother's preferences and your stated preferences and abilities, your family may be considered.

What Should We Be Doing While We Wait?

Keep your profile current. Continue adoption education. Talk about openness. Revisit the medical and legal circumstances you are prepared to consider.

Waiting is also a good time to prepare for the practical changes that can happen quickly after a match.

What If Our Preferences Change?

Tell Heart to Heart Adoptions. Your preferences are not a test you pass once. Families learn as they go, and sometimes their comfort level changes.

Do not quietly expand your preferences because you are tired of waiting. Make decisions because you understand the circumstances and believe they fit your family.

What If Something Changes in Our Family?

Tell Heart to Heart Adoptions and your home study provider about meaningful changes involving your household, address, employment or other circumstances that may affect your approval.

How Do We Prepare Financially?

Review the full adoption budget, make sure you understand the payment schedule and think about expenses that can arise quickly, including travel.

Is It Normal for Waiting to Be Hard?

Yes. You can be committed to adoption and still find the uncertainty difficult.

Try not to measure every week as evidence that something is wrong. Use the time to prepare, stay connected with your team and keep your decisions grounded in what your family can genuinely handle.

A few more questions

Will we hear about every adoption situation?

Not necessarily. Matching depends on the expectant mother's preferences and the family's stated preferences and abilities.

Can we change our preferences?

Yes. Talk with Heart to Heart Adoptions when your thinking changes.

Should we update the agency if our family circumstances change?

Yes.

What can we do financially while waiting?

Keep the budget current, review the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer and prepare for possible travel and match-related expenses.

Should we stop adoption education once approved?

No. Waiting is a useful time to keep learning.


There is no guaranteed wait time for domestic infant adoption.

Some Heart to Heart Adoptions families may wait weeks. Others may wait more than a year. The difference is not necessarily a sign that one family is doing something right and another is doing something wrong.

Why Can't Heart to Heart Adoptions Give Us an Exact Wait Time?

Because a birth mother chooses the family she wants to consider. Heart to Heart Adoptions cannot know in advance which family a particular woman will choose or when a situation that fits your preferences will arise.

What Can Affect How Long We Wait?

Your preferences can affect which situations fit your family. An expectant mother's preferences also matter. Your profile, location and the circumstances of individual situations can all play a part.

No single factor guarantees a faster match.

Will Being Open to More Situations Shorten the Wait?

Broader preferences may mean your family can be considered for more situations, but they do not guarantee a quick match.

Do not say yes to substance exposure, legal uncertainty, openness or other circumstances you are not prepared to handle simply to shorten the wait.

Does Our Profile Affect the Wait?

Your profile is one way a birth mother gets to know you, so it matters. But there is no formula that guarantees selection.

What If We Have Been Waiting a Long Time?

Talk with Heart to Heart Adoptions. Review your profile and preferences. Ask for a candid discussion about where your family stands.

Heart to Heart Adoptions' orientation says the team will tell families honestly where they stand.

Should We Change Our Preferences Because We Are Tired of Waiting?

Not for that reason alone. Waiting can make any new possibility feel urgent. Your decisions still need to be based on what you understand and what your family can support.

A few more questions

Can Heart to Heart Adoptions guarantee a match date?

No.

Do all approved families wait about the same amount of time?

No. Some may wait weeks and others more than a year.

Will broader preferences guarantee a faster match?

Should we accept circumstances we are not prepared for because we have waited a long time?

What can we do if the wait feels unusually long?

Ask Heart to Heart Adoptions to review your profile, preferences and current position with you.


Matching is not Heart to Heart Adoptions assigning a baby to the next family on a list.

Heart to Heart Adoptions generally begins the matching process when an expectant mother is approximately six to eight weeks from her due date. Her preferences and the approved family's preferences both matter.

How Does Heart to Heart Adoptions Identify Families for a Situation?

The birth mother shares what she hopes for in an adoptive family. Depending on her preferences, factors can include family structure, occupation, religion, willingness to maintain the desired level of openness, whether a parent stays home, race, location and family size. Heart to Heart Adoptions then looks for approved families whose preferences and abilities fit the known circumstances.

Heart to Heart Adoptions also considers the adoptive family's preferences and the facts of the situation. The expectant mother reviews the profiles presented to her and decides which family or families she wants to consider.

What Is a Presenting Call?

A presenting call is the conversation in which Heart to Heart Adoptions gives an adoptive family the information currently available about an adoption situation.

This is not a sales call. Your job is to listen, ask questions and decide whether the situation is one your family is prepared to accept.

What Information Will We Receive?

Available information may include self-reported social and medical history, disclosed prenatal substance use, photographs, professional observations, known legal concerns and estimated expenses.

Some information may be incomplete. Ask what is known, what is not known and what could still change.

Do We Have to Accept a Situation?

No. You are never required to accept a situation because Heart to Heart Adoptions presented it to you.

Declining a situation that does not fit your family is better than accepting because you feel pressured by the possibility of finally being matched.

What Should We Review Before Saying Yes?

Review the medical information, known legal issues, birth father risk, openness expectations, travel considerations and the financial agreement.

Who Makes the Final Choice?

The birth mother chooses the adoptive family she wants to move forward with. The family also decides whether to accept the situation.

When both sides choose to proceed, the match begins.

A few more questions

Who chooses the adoptive family?

The expectant mother chooses from appropriate approved families.

What is a presenting call?

It is the call where Heart to Heart Adoptions shares the information currently available about a possible adoption situation.

Do we have to accept a presented situation?

No.

What should we ask before accepting?

Ask about known medical, legal, financial and openness information and about what remains unknown.

When does Heart to Heart Adoptions generally begin matching?

The current orientation says approximately six to eight weeks before the due date.


Once an expectant mother chooses your family and everyone decides to proceed, you are matched.

The next stage is about communication, preparation and building a relationship while Heart to Heart Adoptions coordinates the practical pieces around the adoption.

Who Supports Us After the Match?

Heart to Heart Adoptions assigns an adoptive-family caseworker. This person becomes a central point of contact for updates, questions and preparation.

Heart to Heart Adoptions also continues supporting the birth mother through her own team.

How Will We Receive Updates?

The team provides regular updates as information becomes available. Heart to Heart Adoptions also sets up a private group for you and the birth family in Our Hearts Connect and can support calls, messages and meetings between you and the expectant mother.

Our Hearts Connect may be used as a private place for communication and sharing.

What Happens Financially at Matching?

Under Heart to Heart Adoptions' current fee schedule, the first $24,000 of the $48,000 agency placement fee is due at matching.

You will also review the situation-specific financial agreement.

Should We Keep Adoption Expense Records?

Yes. Save agency statements, invoices, receipts, attorney bills, court costs and travel records.

The IRS says qualified adoption expenses can include adoption fees, attorney fees, court costs, travel and certain other expenses directly related to a legal adoption. Tax treatment depends on the applicable tax year and your circumstances.

What Should We Know About the Federal Adoption Tax Credit?

A federal Adoption Tax Credit may be available to eligible families, but the rules and dollar limits can change.

Do not rely on an amount someone received in a previous year. Check current IRS guidance for the tax year that applies to your expenses and consider talking with a qualified tax professional.

What Should We Prepare for Next?

Now is the time to build the relationship, understand the hospital plan, prepare for travel if needed and stay in close contact with your caseworker.

A few more questions

Who supports the adoptive family after matching?

Heart to Heart Adoptions assigns an adoptive-family caseworker.

What is currently due at matching?

The first $24,000 portion of the agency placement fee. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer.

Should we save adoption-related receipts?

Yes.

Can we rely on last year's Adoption Tax Credit amount?

No. Check current IRS guidance for the applicable tax year.

What comes next after matching?

Relationship building and preparation for delivery and placement.


After matching, you are not only preparing for a baby. You are getting to know another person.

The strongest relationships usually begin with ordinary conversation, honesty and the willingness to let trust develop instead of trying to force instant closeness.

What Should We Talk About?

Talk about everyday life. Ask about her interests, family, work, favorite foods, plans and the things she wants you to know.

Share your own life too. A relationship cannot grow if every conversation feels like an interview.

What Should We Avoid?

Avoid treating every call as a pregnancy update. Avoid making promises you have not thought through. Avoid asking questions in a way that makes her feel she has to reassure you that she will place.

She is still making decisions about her child.

What If We Are Nervous?

That is normal. She may be nervous too.

You do not need perfect questions. Start with ordinary conversation. Heart to Heart Adoptions can help you prepare when you are unsure how to approach a topic.

When Should We Talk About Open Adoption?

Before placement. Talk about the kind of contact each side hopes for and what you realistically believe you can maintain.

What If Something Feels Uncomfortable?

Tell your Heart to Heart Adoptions team. Small misunderstandings are easier to address early than after resentment builds.

Support does not mean someone takes sides. It means helping people communicate clearly.

What Does She Need From Us?

Honesty and dependability matter. If you say you will call, call. If you are unsure about something, say that instead of making a promise because the moment feels emotional.

Trust is built in small repeated actions.

A few more questions

Should every conversation be about the baby?

No. Get to know the birth mother as a person.

What if conversation feels awkward?

That is common. Start simply and ask Heart to Heart Adoptions for help when needed.

When should openness expectations be discussed?

Before placement.

What if we disagree about contact?

Talk about the difference before making promises.

What builds trust?

Honesty, dependability and consistent follow-through.


Meeting in person can make a match feel much more real.

It can also make everyone nervous. The goal is not to impress each other. It is to spend enough time together that the relationship begins to feel like a relationship between actual people.

Why Meet Before Delivery?

When circumstances allow, meeting before delivery gives you time together without the intensity of the hospital.

You can talk, ask questions and begin building familiarity before a day when emotions and medical needs may be much bigger.

Who Helps Prepare Us?

Heart to Heart Adoptions helps both sides prepare for the first meeting. A member of the Heart to Heart Adoptions team will be there to support you and the birth mother when you meet for the first time, and can help with questions, boundaries and what she is comfortable with.

Heart to Heart Adoptions should confirm the exact staff-support arrangement for each situation before the meeting.

What Should We Talk About?

Start with normal conversation. Learn about each other's families, interests and lives. If she wants to talk about the pregnancy, hospital or adoption plan, follow her lead.

Open-adoption expectations may also come up naturally.

What Should We Avoid?

Do not turn the meeting into an interrogation. Do not ask her to reassure you that she will place. Do not make promises about the future simply to make the meeting go well.

How Long Should the Meeting Last?

There is no required length. Some people connect quickly. Others need time.

The best meeting is not the longest one. It is one where everyone leaves feeling respected and clearer about the relationship.

What Happens After the Meeting?

Talk with your Heart to Heart Adoptions team about questions or concerns that came up. Keep communicating in the way everyone has agreed.

A few more questions

Does every match include the same kind of first meeting?

No. Circumstances and comfort levels differ.

Do we need to impress the expectant mother?

No. The goal is to get to know each other honestly.

Should we ask her to promise she will place?

No.

Can Heart to Heart Adoptions help us prepare?

Yes.

What comes next?

Continue the relationship and prepare for the hospital plan and delivery.


Delivery day is one of the most emotional parts of an adoption plan, and there is no single script for it.

The birth mother's hospital plan guides the experience. Her medical needs, wishes and the hospital's policies determine what happens.

Who Makes the Hospital Plan?

The expectant mother directs her hospital plan. She can express who she wants present, how much time she wants with the baby and what contact she wants with the adoptive family, subject to medical circumstances and hospital policies.

Until she leaves the hospital, follow her lead.

What Is the Adoptive Family's Role?

Your role depends on her plan. You may spend significant time with her and the baby, or she may need more private time.

Do not treat access to the baby as something you are owed because you are matched.

How Does Heart to Heart Adoptions Support the Birth mother?

When possible, a Heart to Heart Adoptions traveler is with the expectant mother to provide support and help with coordination.

How Does Heart to Heart Adoptions Support Us?

Your adoptive-family caseworker coordinates with you and supports you from afar, helping you understand updates and next steps.

When Can We See or Hold the Baby?

That depends on the hospital plan, the birth mother's wishes, the baby's medical needs and hospital policy.

Ask your Heart to Heart Adoptions team what has been planned rather than making assumptions.

What Happens After the Hospital?

Leaving the hospital and legal placement are not automatically the same event. Consent or relinquishment and other required legal steps must occur before the agency can legally place the child.

A few more questions

Who directs the hospital plan?

The expectant mother, subject to hospital and medical circumstances.

Are adoptive parents guaranteed time with the baby?

No.

Who supports the birth mother when possible?

A Heart to Heart Adoptions traveler.

Who coordinates with the adoptive family?

The adoptive-family caseworker.

Does hospital discharge automatically mean legal placement?


Consent and relinquishment are legal steps. They are not simply a conversation in the hospital or a verbal promise made before birth.

The exact documents, timing and revocation rules depend on the state and circumstances, so the attorney handling the adoption must confirm what applies in each case.

What Is Adoption Consent?

Consent is a legal agreement to the adoption when the person signing has the legal right to give that consent. The form and requirements vary by jurisdiction.

What Is Relinquishment?

Relinquishment generally refers to the legal surrender of parental rights or custody needed for the adoption process. The terminology used can differ by state.

The important point for families is that these are formal legal acts.

When Can a Birth Mother Sign?

State law controls when valid documents can be signed after birth. Do not rely on a rule from another state or another family's adoption.

Heart to Heart Adoptions and the adoption attorney will explain the timing for the specific adoption.

What Happens Before She Signs?

She should have the opportunity to review the documents and receive the legal or professional support required for the situation.

Financial support, a match or time spent with the adoptive family does not require her to sign.

Are Adoptive Parents Present When She Signs?

Do not assume you will be present. The signing process should protect the birth parent's privacy, legal rights and ability to make the decision without pressure.

What Happens After Relinquishment?

Once the required consents, relinquishments and other legal steps allow the agency to proceed, placement can occur.

A few more questions

Can every state use the same consent timing?

No. State laws differ.

Does receiving pregnancy-related support require a woman to sign?

No.

Is a verbal promise the same as legal consent?

Should adoptive parents assume they will be present for signing?

What happens after the required legal steps allow placement?

The agency can proceed with legal placement.


Before valid consent or relinquishment, a birth mother is making decisions about her pregnancy and her child.

Adoption professionals and adoptive parents can provide information and support, but they do not get to make those decisions for her.

Can She Choose the Adoptive Family?

Yes. Heart to Heart Adoptions' matching process is built around the expectant mother reviewing appropriate approved families and choosing the family she wants to consider.

Can She Direct the Hospital Plan?

Yes. Subject to hospital policy and medical circumstances, she can express who she wants present, how she wants to spend time with the baby and what role she wants the adoptive family to have.

Can She Decide What Kind of Openness She Wants?

She can describe the kind of ongoing contact she hopes for. The adoptive family also needs to be honest about what it can maintain.

Those expectations should be discussed before placement.

Can She Change Her Mind Before Signing?

Yes. Before valid consent or relinquishment, she may decide to parent.

A match is not a legal obligation to place.

What Happens After She Signs?

The effect of signed documents, including whether and how they can be revoked, depends on applicable state law.

Do not publish one nationwide rule. The attorney handling the adoption should explain the law for the specific case.

Can She Receive Support?

Heart to Heart Adoptions provides counseling and support, and lawful pregnancy-related assistance may be available depending on the circumstances and applicable law.

That support does not purchase consent and does not require placement.

A few more questions

Can a birth mother choose the adoptive family?

Yes.

Can she change her mind before valid consent or relinquishment?

Does lawful financial support obligate her to place?

No.

Can she express the kind of open adoption she wants?

Are post-signing revocation rules the same in every state?

No. The attorney must confirm applicable law.


Birth father rights can be one of the more complicated parts of domestic adoption because the answer depends on both facts and state law.

Marriage, established paternity, notice, registration, support and timely legal action can all matter. There is no one sentence that accurately describes every case.

Does the Birth Father Have to Consent?

Sometimes. Whether consent is required depends on the facts and applicable law.

The adoption attorney evaluates the relationship, legal status and actions taken by the biological father.

What If He Supports the Adoption?

The attorney determines what documents or legal steps are required. Support for the plan does not eliminate the need to complete the correct legal process.

What If He Does Not Support the Adoption?

The legal team evaluates his rights and the options available under applicable law. The level of uncertainty can be very different from one situation to another.

What If His Identity or Location Is Uncertain?

The agency and attorneys follow the searches, notices or other procedures required for the situation.

Families should ask what has been done, what remains unknown and what legal risk remains.

What Is a Putative Father Registry?

Some states use registries through which an unmarried man may need to take action to preserve or assert certain rights.

Requirements differ by state. Do not assume the rule from one state applies in another.

What Information Will We Receive About Birth Father Risk?

Heart to Heart Adoptions should share the known legal information available during the presenting process and explain what remains uncertain.

Additional legal work can sometimes affect expenses.

A few more questions

Does every biological father have the same consent requirement?

No.

What if the birth father supports the plan?

The correct legal documents and procedures still need to be completed.

What if his location is unknown?

The legal team follows the required search, notice or other procedures.

Are putative father registry rules nationwide?

No. Requirements vary by state.

Can birth father issues affect legal expenses?

Sometimes. Ask about known legal and financial implications before accepting the match.


Placement is the legal transfer of physical custody of the child to the adoptive parents. In the process described in Heart to Heart Adoptions’s current orientation, Heart to Heart Adoptions maintains legal custody until finalization.

It is one of the biggest milestones in the process, but it is not the same as finalization.

When Can Placement Happen?

Placement can occur after the required legal steps allow the agency to place the child with the adoptive family.

The exact timing depends on the state and circumstances.

What Do Adoptive Parents Sign?

Adoptive parents sign placement documents required for the agency to transfer physical custody. In the process described in Heart to Heart Adoptions’s current orientation, Heart to Heart Adoptions maintains legal custody until finalization.

Your Heart to Heart Adoptions team and attorney will explain the documents for your case.

Is Placement the Same as Finalization?

No. Placement begins daily family life with the child, while finalization is the later court process that legally completes the adoption.

What Happens Financially at Placement?

Under Heart to Heart Adoptions' current fee schedule, the second $24,000 portion of the agency placement fee is due at placement.

What If the Baby Was Born in Another State?

If the child is being placed across state lines, ICPC may require you to remain in the birth state until written interstate approval is received.

What Happens After Placement?

Post-placement supervision begins. You start parenting while also completing required visits and reports before finalization.

A few more questions

Is placement just taking the baby home from the hospital?

No. Placement is a legal transfer of physical custody.

Is the adoption final at placement?

No.

What is currently due at placement?

The second $24,000 portion of the agency placement fee.

What if the child was born in another state?

ICPC may require the family to remain in the birth state until approval.

What begins after placement?

Daily family life and the post-placement supervision period.


ICPC stands for the Interstate Compact on the Placement of Children.

When a child is placed for adoption across state lines, the required interstate review generally must be completed before the adoptive family can take the child home to another state.

When Does ICPC Apply?

ICPC generally applies when a child is placed across state lines, subject to the facts and applicable rules.

Your adoption team will tell you whether ICPC applies to your placement.

Why Can't We Go Home Right Away?

Both the sending and receiving states review the placement and confirm the required information and approvals. Heart to Heart Adoptions prepares and files the ICPC paperwork for the family. The purpose is to make sure the interstate placement meets applicable requirements.

Do not leave the birth state with the child until the required written approval has been received.

How Long Does ICPC Take?

Timelines vary by state, office workload and the circumstances of the case. Heart to Heart Adoptions cannot promise an exact number of days.

Plan for uncertainty rather than booking travel around a guaranteed approval date.

What Should We Budget for While Waiting?

You may need lodging, meals, local transportation, a rental car or changed airline reservations.

Because the exact length of the stay can be hard to predict, build some flexibility into the travel budget.

What Do We Do While We Wait?

Care for the baby, stay in contact with your Heart to Heart Adoptions team and be ready to provide information if something else is requested.

Do not interpret a quiet day as a sign that something is wrong. Interstate processing involves offices outside your direct control.

What Happens After We Receive Approval?

Once the required interstate approval is received, you can travel home with the child and continue the post-placement process.

A few more questions

What does ICPC stand for?

Interstate Compact on the Placement of Children.

Can we leave the birth state before the required approval?

No. Wait for the required written approval.

Can Heart to Heart Adoptions promise an exact ICPC timeline?

No.

What expenses should we plan for?

Possible lodging, meals, transportation and changes to travel arrangements.

What happens after approval?

The family can travel home and continue post-placement requirements.


If you know you want to grow your family but you are not sure what type of adoption is the best for you and your family, then we want to help you answer any questions you have. There is more than one way to adopt, and the experience can be very different depending on the path you choose.

Heart to Heart Adoptions is an agency that provides domestic infant adoption services. But we can help you understand other types of adoption so you can decide how domestic adoption fits with the other choices you have. We’re willing and happy to steer you to the best situation for you. Before we spend the rest of this Guide talking about domestic infant adoption through Heart to Heart Adoptions, it helps to see where it fits among your other choices.

What Are the Main Types of Adoption?

Families can grow through several different adoption paths. The five most common are domestic agency adoption, independent adoption, kinship adoption, international adoption and adoption from foster care. Each has its own process, costs, timelines and legal requirements.

What Is Domestic Agency Adoption?

You work with an adoption agency that helps with preparation, matching, support and the legal steps of adoption where the adoptive parents and the birth parents live in the same country. Heart to Heart Adoptions works primarily in domestic infant adoption. But we have friends and colleagues who work with other types of adoption, especially foster care adoption and international adoption. We’d love to introduce you.

What Is Independent Adoption?

An independent adoption is arranged without an adoption agency. Attorneys and other professionals usually help the birth parents and adoptive parents complete the legal process.

What Is Kinship Adoption?

Kinship adoption happens when a relative, such as a grandparent, aunt, uncle or other family member, adopts a child.

What Is International Adoption?

International adoption involves adopting a child from another country. Families must meet the requirements of the child’s country as well as U.S. immigration and adoption requirements. If this is of interest to you, we suggest you go to Hand in Hand International and meet Bonnie and her staff.

What Is Foster Care Adoption?

Foster care adoption involves adopting a child whose case has moved from foster care toward adoption. The children available for adoption through foster care are often older than infants, and sibling groups may also need families.

Are Surrogacy and Embryo Donation Types of Adoption?

No. Surrogacy and embryo donation are ways families may grow, but legally they are not adoption. They follow different processes and laws.

A few more questions

Which type of adoption does Heart to Heart Adoptions provide?

Heart to Heart Adoptions works primarily with families pursuing domestic infant adoption.

Is foster care the same as domestic infant adoption?

No. Foster care and domestic infant adoption have different goals, processes and legal paths.

Is surrogacy an adoption?

No. Surrogacy is a different legal and family-building process.

Do we need to choose an adoption path before contacting Heart to Heart Adoptions?

No. You can ask questions and learn more before deciding whether domestic infant adoption fits your family.


Placement starts daily family life, but the legal process is not finished.

During the post-placement period, a social worker visits your family, documents how everyone is doing and prepares the reports required before finalization.

What Are Post-Placement Visits?

Post-placement visits are supervisory meetings after the child is placed with you. They give the social worker a chance to see how the child and family are adjusting and to document required information.

Why Are Post-Placement Visits Required?

They are part of the legal and professional process before finalization. The number and timing of visits can depend on state requirements and the circumstances of the adoption.

What Happens During a Visit?

Expect conversation about the baby's health, routines, attachment, medical care, family adjustment and any concerns you have.

This is not the time to pretend everything is effortless. If something is hard, say so.

What If We Are Struggling?

Tell your social worker and Heart to Heart Adoptions. Asking for support is more useful than trying to make a post-placement report look perfect.

The goal is to help the family and child adjust safely.

How Much Do Post-Placement Visits Cost?

For Utah families using Heart to Heart Adoptions, the current fee is $150 per post-placement visit.

What Should We Do About Health Insurance?

Notify your insurance company promptly after placement. Coverage timing can vary. Heart to Heart Adoptions’s current orientation notes that some plans may cover from birth while others begin coverage after placement paperwork. Confirm the effective date directly with your insurer and tell your adoption team when coverage begins.

What Happens With the Birth Family?

Continue the contact you agreed to and communicate if circumstances change. Our Hearts Connect can provide a private space for messages, photos and videos.

What Should We Do Before Finalization?

Complete required visits and reports, stay in contact with your attorney and keep your adoption records organized.

A few more questions

Why are post-placement visits required?

They document adjustment and help complete requirements before finalization.

Should we hide problems from the social worker?

No. Talk honestly about concerns and ask for support.

How much is a current Heart to Heart Adoptions Utah post-placement visit?

$150 per visit.

Does open-adoption contact stop during post-placement?

No. Continue the agreed contact and communicate about changes.

What is the next legal milestone?

Finalization.


Finalization is the court process that legally completes the adoption.

Heart to Heart Adoptions' current orientation says many adoptions finalize approximately three to six months after placement, although timing varies by state and circumstance.

What Has to Happen Before Finalization?

Required post-placement visits and reports must be completed, and the legal case must be ready for the court.

Your attorney coordinates the legal requirements and tells you what is needed for your adoption.

Do We Need an Attorney?

Yes, adoption finalization is a legal process. Your adoption attorney prepares the required filings and guides you through the court process.

What Happens at the Finalization Hearing?

The exact procedure varies by court. The judge reviews the case and, when the legal requirements are satisfied, enters the final adoption decree.

Many families experience finalization as a happy court day, but it is still a formal legal proceeding.

How Much Does Finalization Cost?

Finalization is a separate expense. Review the cost breakdown in Lesson 1 and ask your attorney for an estimate for your situation.

Finalization expenses are separate from the agency placement fee.

What Should We Know About the Federal Adoption Tax Credit?

The federal Adoption Tax Credit may help eligible families with qualified adoption expenses. The IRS lists adoption fees, attorney fees, court costs, travel and certain other expenses directly related to a legal adoption among potentially qualified expenses.

Tax rules change. Check the IRS guidance for the tax year that applies to your expenses rather than relying on an old guide figure or another family's return.

What Records Should We Keep?

Keep fee statements, invoices, receipts, attorney bills, court costs, travel records and other adoption-related financial documents.

Consider a qualified tax professional if you need help determining what applies to your return.

What Happens After Finalization?

The court case may be complete, but adoption remains part of your family's life. Your child's questions and your relationship with the birth family will continue to develop.

A few more questions

Is the adoption final at placement?

No.

How long does Heart to Heart Adoptions currently tell families finalization often takes?

Approximately three to six months after placement, although timing varies.

How much should families currently estimate for finalization?

Finalization is a separate expense. Review the cost breakdown in Lesson 1 and ask your attorney for an estimate for your situation.

Can families use an old Adoption Tax Credit amount?

No. Check current IRS guidance for the applicable tax year.

What records should families keep?

Adoption-related fee statements, receipts, attorney and court costs, travel records and other relevant documents.


Open adoption is not one conversation before placement and it is not a promise that stays frozen forever.

It is an ongoing relationship involving real people whose needs, schedules and comfort levels can change. The goal is to keep communication centered on the child and to be dependable about the commitments you make.

What Is a Post-Adoption Contact Agreement?

A post-adoption contact agreement, often called a PACA, records expectations for contact after placement. It may address messages, photos, calls, visits or other forms of connection.

The legal effect of these agreements varies by jurisdiction, so legal questions belong with the attorney handling the adoption.

Why Is It Important to Be Realistic About Contact?

Promises made before placement matter. Do not agree to a level of contact you already suspect you will not maintain.

It is better to have an honest conversation before placement than to create expectations that later become a source of hurt.

What Is Our Hearts Connect?

Our Hearts Connect is Heart to Heart Adoptions' private platform for open-adoption communication. You can share messages, photos and videos, and the level of monitoring can change as the relationship changes.

It also creates a long-term record of communication.

Why Not Just Use Social Media?

Social media can blur boundaries between private family life and public identity. A private adoption-specific space gives families more control over who sees communication and how it is preserved.

What If the Relationship Changes?

Talk about it. A move, new relationship, changing work schedule or a child's changing needs may affect how contact works.

Heart to Heart Adoptions can help families work through changes rather than letting silence become the answer.

How Do We Talk With Our Child About Adoption?

Adoption should not arrive as a surprising disclosure years later. Use simple, truthful language from the beginning and let the conversation grow as your child's understanding grows.

Your child may have questions that are different from yours. Make room for those questions without requiring your child to feel grateful, sad or curious in a particular way.

What Should We Remember as We Finish This Guide?

You do not need to know today exactly what every stage of your family's adoption relationship will look like.

Keep learning. Keep your promises. Ask for help when you need it. Make room for your child's understanding of adoption and birth-family relationships to grow along with them.

A few more questions

What is a PACA?

A post-adoption contact agreement records expectations for contact after placement.

Does open adoption always mean in-person visits?

No. Contact can include messages, photos, calls, visits or other arrangements.

What is Our Hearts Connect?

Heart to Heart Adoptions' private platform for sharing adoption-related messages, photos and videos.

What if contact expectations need to change?

Communicate early and ask Heart to Heart Adoptions for support.

When should children learn they were adopted?

Adoption should be part of their story from the beginning, using age-appropriate truthful language.


Follow the five main lessons for the course. The deeper answers are there when you want more detail. You can open them without leaving the lesson.

Yes. These lessons are public resources you can revisit whenever a new question comes up. The lesson menu shows where you are; there are no locked lessons.

At the end of Lesson 5, use the certificate request form. You will enter your name and email and confirm that you reviewed the five main lessons. Heart to Heart can tell you how this course applies to your education requirements.

Every adoption is unique, and costs vary depending on your adoption plan and individual circumstances. Heart to Heart provides transparent pricing with no hidden fees, and financial assistance resources may be available to qualifying families.

Your timeline depends on factors such as your adoption preferences, profile, and when an expectant parent chooses your family. We’ll help you understand what to expect at every stage.

Many individuals and couples may be eligible to adopt. Requirements vary by state, but most families complete an application, home study, background checks, and adoption education before being matched.

A home study is a required part of the adoption process that evaluates your readiness to adopt. It includes interviews, background checks, paperwork, education, and a home visit to prepare your family for adoption.

Yes. Most domestic infant adoptions today include some level of openness. Birth parents and adoptive families work together to determine the type and amount of ongoing contact that feels right for everyone.

Your family profile shares your story, values, and hopes with expectant parents. Our placement team takes time to understand what your family is looking for and what each expectant parent is hoping for. With your approval, we present your profile only when we believe it may be a good match for both you and the expectant parent.

It depends on paternity, marital status, and state law, not automatic in every situation.
In many states, yes, some maintain a putative father registry that allows adoption to proceed without his direct consent.
Yes. Whether you are in recovery or still struggling with addiction, you have the same rights as a birth mother. We have worked with many women in various stages of recovery. You do need to realize that if the baby has drugs in their system, you will need someone there to take responsibility for the child until you are clean.

Heart to Heart works with women from all circumstances. Your history does not disqualify you from making an adoption plan or from having access to the full support Heart to Heart provides.

No. Heart to Heart works with women who discover their pregnancy at any stage, including late in the third trimester or women who are already parenting. Call 844-522-7700 right now if your situation is urgent.

Choosing adoption is always going to be a difficult decision. As as Josephine’s story reveals, it can also be one of the most unselfish decision you can make. Josephine’s story is an example that grief is real, but so is a life of peace. We are always there to work with you through the post-placment period.

Yes. There are, of course, laws that prohibit paying for a child. But certainly there is financial assistance for housing, food, medical care, and other pregnancy-related expenses is available to birth mothers in Florida regardless of their circumstances. Call 844-522-7700 to talk about what you need.

No, starting young, before your child fully understands language, tends to work better than waiting for a single big reveal.
As early as possible, even before your child understands language, so it becomes a normal part of their story from the start.

It's okay not to have every answer. Validating their feelings and staying open to the conversation matters more than a perfect response.

Most adult adoptees say the earlier the better, so it never feels like a hidden secret revealed later.

Yes, according to many adoptees. Starting young means the topic becomes normal rather than a big, difficult reveal.

Address it calmly and honestly in the moment. Kids often take their emotional cue from how the parent responds.

Authenticity. Birth mothers are reading dozens of profiles and can tell when a family is performing rather than being real. However, you do your family profile, let it represent you. You can contact us for specifics on what should be included in the family profile.

This is a question that doesn’t have a simple answer. It varies widely. In this story, a birth mother chose within 12 hours. Others take weeks or months. Heart to Heart keeps families’ profiles active and updated throughout the wait.

ICPC stands for Interstate Compact on the Placement of Children. It is the legal process required when an adoptive family in one state adopts a baby born in a different state. In this story, the family was not in Florida. ICPC was required. Heart to Heart coordinates all ICPC paperwork.

Yes. Heart to Heart regularly matches Florida birth mothers with adoptive families from other states. ICPC ensures all legal requirements in both states are met.

OurHeartsConnect is a private messaging app Heart to Heart uses to help birth mothers and adoptive families stay connected safely after placement. It allows photos, updates, and messages without requiring direct contact information exchange.

Not wrong, but the label doesn't need to be attached to every introduction, your child's story is theirs to share, not a public fact about them.

She has the legal and emotional right to reconsider at any point before consent is signed. Heart to Heart supports birth mothers through uncertainty without pressure. In this story, meeting the family in person resolved the second thoughts, but that is the birth mother’s choice to make.

Not wrong, but it doesn't need to be attached to every introduction. Your child's story is theirs to share, not a public fact about them.

With doctors, close family, or in private conversations with other adoptive parents, not with strangers or casual acquaintances.

A simple, calm redirect works well, such as saying it's private family information and changing the subject.

In Sayoko’s case, she and the birth mother message each other nearly every day through OurHeartsConnect. Open adoption contact varies widely. In this case, the women send messages almost daily at first. Even today after a few years, the are weekly in contact talking about the child they both love.

Yes. In this particular situation, the birth mother was uneasy with her decision. She knew adoption was the best for her baby, but it wasn’t until she met personally with the adoptive mother, that she finally felt peace. That peace has been sustainable. The two of them enjoy their relationship. The decision to place and the decision to maintain contact are separate. Heart to Heart supports both decisions without pressure.

OurHeartsConnect is a computer app that allows you to message in a private manner. It is not social media. The only people that can use your app have to be added to your group. This computer app allows you to get photos, message, videos in a secure manner. Another great advantage of using OurHeartsConnect is that you can take all the messages, picture or just choose the ones you want and create a book. Your child will be able to see this book that has pictures of them as well as pictures of their birth mothers.

All women, women who appear certain of their decision and women who are wondering if they are making the right decision, are not pressured. We believe that they should be given the space and time they need to make a decisions. We always want women to be given the space to make a decision that they can live with.

It happens. Heart to Heart actively supports this. The relationship between a birth mother and adoptive mother can be one of the most meaningful things that comes from an open adoption. this is meaningful for the adoptive mother, the birth mother and the child who will grow up knowing that both of them love them.

That's common, and teachers can offer flexibility with assignments like Punnett Squares when asked.

It can help to talk through it beforehand so your child has an answer or approach ready if the topic comes up.

It can help. A brief conversation ahead of time can prevent awkward moments during genetics lessons.

Yes, peer curiosity, even when well-intentioned, can make adopted kids feel like an anomaly rather than normal, which is worth preparing them for.

Yes. Even well meaning curiosity from classmates can make adopted kids feel different rather than normal.

How can parents help kids handle intrusive questions from peers?

Yes. At any point before consent is signed. A birth mother in Florida cannot sign legal consent until at least 48 hours after birth. Until that moment, she can change her mind about the adoption, the agency, the family, or the plan for any reason. Heart to Heart supports birth mothers through this process without pressure toward any particular decision.

An adoption disruption is when a planned adoption does not proceed. This typically happens because the birth mother decides to parent. Disruptions are painful for adoptive families, but they are also the birth mother exercising a legal right she is entitled to.

Give her space and time. The decision belongs to her. What Sayoko modeled in this story was genuine empathy for the birth mother’s difficulty, patience without pressure, and openness to whatever outcome was right. this is what Heart to Heart Adoptions coaches all families to do. Recently, we had a family travel thousands of miles because a birth mother had chosen them. She changed her mind. The family went to Costco and bough diapers, wet wipes, food, formula, and several cases of canned goods which they left with the new mother. They showed her love even though she had changed her mind. We aren’t suggesting that every family has the resources to do this, but they did and they were incredible human beings.

A dedicated case manager stays in close contact with both the birth mother and the adoptive family throughout uncertain periods. Heart to Heart communicates honestly about what is known and what is not, helps manage logistics, and provides emotional support to both parties.

Open adoption means the birth mother and adoptive family agree to some form of ongoing contact after placement. In Sayoko’s case, she and the birth mother began messaging each other nearly daily through OurHeartsConnect after placement.

OurHeartsConnect is a private computer app that Heart to Heart Adoptions uses to help birth mothers and adoptive families stay connected after placement. It allows both parties to share messages, photos, and updates safely and privately.

Yes. Waiting for a birth mother’s decision is one of the most emotionally intense experiences in the adoption process. Heart to Heart counselors support adoptive families through these periods with honest communication and consistent contact.

Several of the recommended titles touch on staying connected with birth family, which pairs well with an open adoption arrangement.

Several of the recommended titles touch on staying connected with birth family, which pairs well with an open adoption arrangement.

The list includes options for both preschoolers and school age children, organized by age range.

Yes, trust is earned over time in every family, adoptive or biological, and that's a normal, not concerning, process.

Yes. Trust is earned over time in every family, adoptive or biological, and that's a normal process.

Dishonesty, even when well intentioned, tends to break trust faster than difficult truths.

Yes. Phone and video counseling mean you can do this entirely from home, without traveling off the Island.

Yes, if that’s your preference. Heart to Heart has waiting families across Long Island and the wider New York area

Yes, starting at month 8 of pregnancy under New York law. This can include rent, utilities, groceries, and more.

Heart to Heart has worked with hospitals across Nassau and Suffolk Counties. Your caseworker can coordinate with your specific hospital ahead of time.

Yes. Phone and video counseling are available and many Long Island birth mothers prefer this for privacy.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent — housing, safety — we can move fast.

Not replace, blend. The goal is a bridge between the child's past and their new family, not a substitution.

Start small, with simple conversations or one new tradition at a time, and let your child's interest guide the pace.

Not replace, blend. The goal is combining traditions, not substituting one for another.

In Sayoko’s case, she and the birth mother message each other nearly every day through OurHeartsConnect. Open adoption contact varies widely. In this case, the women send messages almost daily at first. Even today after a few years, the are weekly in contact talking about the child they both love.

Yes. In this particular situation, the birth mother was uneasy with her decision. She knew adoption was the best for her baby, but it wasn’t until she met personally with the adoptive mother, that she finally felt peace. That peace has been sustainable. The two of them enjoy their relationship. The decision to place and the decision to maintain contact are separate. Heart to Heart supports both decisions without pressure.

OurHeartsConnect is a computer app that allows you to message in a private manner. It is not social media. The only people that can use your app have to be added to your group. This computer app allows you to get photos, message, videos in a secure manner. Another great advantage of using OurHeartsConnect is that you can take all the messages, picture or just choose the ones you want and create a book. Your child will be able to see this book that has pictures of them as well as pictures of their birth mothers.

All women, women who appear certain of their decision and women who are wondering if they are making the right decision, are not pressured. We believe that they should be given the space and time they need to make a decisions. We always want women to be given the space to make a decision that they can live with.

It happens. Heart to Heart actively supports this. The relationship between a birth mother and adoptive mother can be one of the most meaningful things that comes from an open adoption. this is meaningful for the adoptive mother, the birth mother and the child who will grow up knowing that both of them love them.

It can normalize their experience and show that adoption doesn't limit what someone can achieve or express through their identity.

Yes. Feeling grounded in your life and still curious about your origins can exist at the same time.

Yes. Many adoptees find that creative expression helps them explore questions about origin and identity. 

Yes. Heart to Heart serves birth mothers in Miami, Fort Lauderdale, Boca Raton, Hialeah, Hollywood, Coral Springs, and all of South Florida.

Yes. Heart to Heart serves birth mothers in Orlando, Kissimmee, Sanford, Ocala, Daytona Beach, and across Central Florida. Counselors are available 24/7 by phone and text, with in-person support when needed.

Yes. Heart to Heart serves the full Tampa Bay region — Tampa, St. Petersburg, Clearwater, Sarasota, Bradenton, and Lakeland. The Tampa Bay area is one of Heart to Heart’s most active Florida regions.

Yes. Heart to Heart serves Jacksonville and all of Northeast Florida, including St. Augustine, Palm Coast, and Gainesville. Jacksonville is Florida’s largest city by area — Heart to Heart has experience across the full metro.

Yes. Heart to Heart serves Tallahassee, Pensacola, Panama City, Fort Walton Beach, Destin, and the full Panhandle. Remote counseling is available everywhere; in-person support can be arranged.

Yes. Heart to Heart serves birth mothers in smaller communities and rural counties throughout Florida. Phone and video counseling are available everywhere in the state, 24 hours a day. Call 689-208-2050 and tell your counselor where you are.

No. All services are completely free to birth mothers regardless of where in Florida you are located. Distance from the office has no effect on what support you receive.

Yes. Heart to Heart Adoptions places babies with approved families from across the country. You are not limited to Florida families. Interstate adoptions require ICPC coordination, which Heart to Heart handles.

Yes. Heart to Heart Adoptions places babies with approved families from across the country. You are not limited to Florida families. Interstate adoptions require ICPC coordination, which Heart to Heart handles.

Yes. Heart to Heart Adoptions places babies with approved families from across the country. You are not limited to Florida families. Interstate adoptions require ICPC coordination, which Heart to Heart handles.

No. The legal process is consistent statewide. The timeline is determined by you and your adoption plan, not by your location.

Call Heart to Heart Adoptions now and tell we’ll listen to you about your situation and what is important to you. One thing we know about you, you are unique and your desires for your life and the life of your baby is specific to you. We know that you might move, or you’re not sure where you can get medical help. We have been with women who need safer housing or need medical advice. Heart to Heart Adoptions has helped birth mothers whose location changed during their pregnancy.

No. You can decline respectfully, and protecting your child's story from becoming public talk is worth the occasional awkward moment.

Heart to Heart can arrange rides to medical appointments starting at month 8 of pregnancy, and most other conversations can happen by phone or video.

A simple, calm redirect works well, such as saying it's private family information and changing the subject.

Yes. Heart to Heart has worked with hospitals across the Buffalo area. Your caseworker can coordinate ahead of time.

Yes. Women throughout Western New York, including Niagara Falls and Lockport, work with the Buffalo-area team.

Call now. It’s not too late to start, even this close to your due date.

Yes, if you’d like to. You can also wait until after birth if that feels right for you.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support, this include including counseling, starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent — housing, safety — we can move fast.

It claimed to measure a child's willpower or self control by testing whether they'd wait for a bigger reward.

Not as strongly as once believed. A replication study found no statistical link between delayed gratification and future success.

No. A single test says very little about a child's character or future, especially given how individual temperament varies.

Yes. Many women in Syracuse’s college community have built adoption plans while in school, with support that works around class schedules.

Your caseworker can connect you to local and state resources, including housing, food, and medical support, alongside Heart to Heart’s own services.

Yes. Some women decide during labor or shortly after birth, and Heart to Heart can coordinate with hospitals across the region.

Heart to Heart can arrange interpretation support so language is never a barrier to understanding your options or your rights

Heart to Heart can arrange interpretation support so language is never a barrier to understanding your options or your rights

Yes. Heart to Heart pays for everything. Living-cost help also starts at month 8 of pregnancy, under New York law.

Counseling and emotional support start right away.

Heart to Heart had hundreds of families that have been interviewed and vetted psychologically, financially, legally and in every other way. You can see their family profiles. You can speak with them on the phone. Haley will find you families that fit what you want for your baby and for the kind of openness you want in the coming years.

We don’t decide what you look for in a family. You get to decide what matters to you. Do you care about religion, lifestyle, other children in the home, location, how open they are to contact, shared interests, cultural background. There is no absolute list. You decide. One birth mother saw that a specific adoptive family loved Halloween. She also loved Halloween and that small connection blossomed into a lifetime of connection.

As quickly as you need. In Josephine’s case, she chose a family within 48 hours. Heart to Heart can move as fast as you need. This mean some day matching if things are moving quickly.

Yes, at any point before consent is signed you can change your mind about anything. If a family does not feel right, Heart to Heart Adoptions will help you find another family. There is no pressure and no penalty for changing your mind.

Heart to Heart Adoption follows state law in the kind of help and support they can provide for you. This usually includes help with housing, medical care, hospital planning, and finalizing your adoption plan. You will know exactly what to expect on delivery day, including who will be there and when the adoptive family arrives.

There is no absolute for everyone. There is no absolute over the days and weeks following placing a baby for adoption. Every woman’s experience is different. Some feel peace quickly. Others carry grief for months or years, usually around birthdays and milestones. Post-placement counseling continues at no cost for as long as you need it.

Yes. Many women in the Capital Region’s college community have built adoption plans while in school. Your caseworker can work around your class schedule.

You’re still fully served. Women from Troy, Schenectady, Saratoga Springs, Glens Falls, and other nearby communities regularly work with the Albany office.

Yes. Your caseworker coordinates closely with your medical team regardless of the complexity of your pregnancy.

Yes, if that’s what you’d like. Because the Capital Region office is local, in-person hospital support is often possible here.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support — including counseling — starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent — housing, safety — we can move fast

It means the emotional and legal risk sits differently than you might expect, which is exactly why agency support and legal counsel matter.

Adoption law is built mainly to protect the child and birth family. Adoptive parents rely on the agency and legal counsel for protection instead.

That doesn’t change your options. Your caseworker will talk with you about your full situation, including your existing family.

Yes. Many calls and check-ins can happen by phone during breaks or after hours, around your work schedule.

Yes, or by phone and video if that’s easier for your schedule and privacy.

Yes. New York law requires consent to be signed after birth, so deciding at or after delivery is completely normal.

Yes. Heart to Heart pays for everything: legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

No. Adoption is an active parenting plan you choose. .You decide the family, the level of openness, and the kind of ongoing contact you want.
More than you think. Most birth mothers have several weeks to consider their options before any decision is final.

Yes. Everything can be handled locally or remotely. A trip to the city is never required.

Most birth mothers don’t regret their decision, though many feel sad sometimes. Grief and regret are different things.

You’re fully served. Heart to Heart works with women throughout the region, from larger towns like Poughkeepsie to smaller river communities.

Yes. Phone and video counseling are available throughout the Hudson Valley, which many commuters find easiest to fit into their schedule.


Yes, if that’s your preference. Heart to Heart has waiting families throughout the region and across New York.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away

No. Some birth mothers wait, some tell family immediately, and both are okay.
That’s a valid place to be. Exploring adoption doesn’t commit you to it.
That’s a common starting point. Many birth mothers explore every option before finding the one that fits.
No. Most adoptions today are open, with ongoing contact through apps, visits, and updates.
There’s no script. Many birth mothers start with one trusted person before telling everyone else.

Yes. Wherever you live in the city — any borough, any neighborhood — you have full access to Heart to Heart’s support.

Yes. Housing status doesn’t change your access to counseling or to living-cost help starting at month 8 of pregnancy. Your caseworker works with your situation as it is

Tell your caseworker right away. They can connect you to emergency housing resources alongside Heart to Heart’s own support, regardless of where you are in your pregnancy.

That’s all right. Many women who call us are doing this without family support. Your caseworker and counselor become part of your support system through the process.

Yes. Heart to Heart has worked with women at hospitals across all five boroughs. Your caseworker can coordinate with hospital staff ahead of time if that’s helpful.

Yes, if you’d like to. Many birth mothers choose and even meet their family before their due date, though you can also decide after birth if that feels right for you.

Yes. Heart to Heart pays for everything. This includes legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support which for sure includes counseling, starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent we can move fast.

We offer remote counseling by phone or video, so you do not need to be seen visiting an office or driving somewhere unfamiliar.

We can help arrange transportation and work around the distance you need to travel.

No. All of our services are free, including legal help, counseling, and money for living expenses.

Yes. You review profiles and choose the family yourself.

Yes. Heart to Heart serves birth mothers in every part of Utah, including rural and small-town communities far from Salt Lake City. Counseling is available by phone or text 24/7, case managers can travel to you when needed, and financial assistance covers transportation to medical appointments. Distance has never been a reason a woman in Utah couldn’t access our services

No. Heart to Heart comes to you. We have case managers who know Southern Utah — Washington County, Iron County, and the communities along the Colorado Plateau. Remote counseling by phone or video is available 24/7, and in-person visits can be arranged in Cedar City, St. George, and surrounding areas.

Yes. Heart to Heart understands the geographic isolation of the Uintah Basin and the specific circumstances women in Roosevelt, Vernal, Duchesne, and nearby communities face. Case managers travel to the Basin when needed, and all counseling and support is available remotely. We also have experience with late-pregnancy situations, which are more common in medically underserved areas.

Heart to Heart works with students across Utah’s universities. Confidentiality is a particular priority for students who need to manage an unexpected pregnancy without their campus community or family knowing. Remote counseling ensures privacy, and financial support covers pregnancy-related costs that a student budget can’t absorb.

Call or text 844-522-7700 right now. A real person answers 24 hours a day, seven days a week. Support can often begin within 24 to 48 hours of your first call. Urgent situations move faster.

Work with a reputable agency that screens carefully and communicates honestly about the risks involved in each situation.

Distance is not a barrier. Phone and video counseling reach every part of the state, no matter how remote.

Most of the process happens by phone or video. For anything that requires an in-person step, your caseworker works around your location.

Yes. Many women complete their entire plan with minimal to no travel beyond their existing medical appointments.

Help getting to medical appointments is part of Heart to Heart’s support starting at month 8 of pregnancy. Your caseworker will help figure out what you need.

Yes. Distance from a city doesn’t limit your choices. You review the same family profiles and have the same say as any birth mother in New York.

Yes. Heart to Heart pays for everything. This includes legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support which includes counseling, starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

It might, and that's okay, the point of this time is clarity, not a test of your resolve either way.

No. Many birth mothers start with one trusted person before telling others.

Fear of a bad reaction is common, but as this story shows, sometimes the people you’re most afraid to tell respond with the most support.

There’s no single right time. Some birth mothers wait until they’re certain, others tell family early for support through the whole pregnancy.

Yes. We offer confidential counseling by phone or video, so you do not have to be seen visiting an office.

We can work with your schedule no matter how long you plan to stay in the area.

No. All of our help is free, including legal support, counseling, and money for living expenses.

Yes. You choose the amount of contact that feels right to you.

Yes. You look through profiles and make the choice yourself.

It depends on your state, some enforce them as contracts, most don’t, but a written moral agreement still carries real weight.

The adopted child if they’re over 12, the adoptive family, the birth family, and in some cases an Indian tribe.

You can still create a written moral agreement. It won’t be legally binding, but it shows good faith and helps prevent misunderstandings.

Most adult adoptees say the earlier the better, so it never feels like a hidden secret revealed later.

Regret means wishing you’d made a different choice. Grief means feeling sad about loss even within the right decision — most birth mothers experience grief, not regret.

It usually eases over time, especially with good support, contact through open adoption, and seeing your child thrive.

Once an adoption is finalized it’s permanent, though most states allow a window to reconsider before that point — laws vary by state.

Yes, according to many adoptees. Starting young means the topic becomes normal rather than a big, difficult reveal.

Address it calmly and honestly in the moment. Kids often take their emotional cue from how the parent responds.

Many families route gifts through the agency or Our Hearts Connect, especially in the early years.

No — it’s never too late to send something, big or small; the gesture itself is what communicates that she’s remembered.

As relationships mature, many adoptees want input on how their birth mother is honored — that involvement can be a meaningful part of the tradition.

Transracial adoption is the placement of a child with an adoptive family of a different racial or ethnic background. In domestic infant adoption in the United States, this most commonly involves white families adopting Black or biracial children

It involves additional complexity, particularly around racial identity development, cultural connection, and community building. Research shows that transracially adopted children can thrive when their families engage intentionally with these dimensions. The challenge is real. So is the reward.

Heart to Heart Adoptions requires pre-adoption education that includes racial identity development, cultural humility, and open adoption. We have direct, honest conversations with prospective adoptive families about community, diversity, and readiness before a match is made.

Yes. Birth mothers in domestic infant adoption have the right to select the family they feel is best for their child, and race is a factor they’re legally permitted to consider in either direction.

Yes, the grief is real even though the loss doesn't look like a typical loss to people outside the situation.

It varies, some families process it with sadness rather than bitterness by understanding the pressures the birth mother was under.

No, it's a common and reasonable worry, not a sign you shouldn't pursue adoption.

Yes, support exists specifically for this kind of loss, separate from the adoption planning process itself.

The adoption plan for the surviving baby can continue, though the loss itself requires its own support and space for grief.

Yes, many families who eventually adopt successfully faced multiple failed situations first.

You keep going, and you keep learning. No family is perfectly prepared. The families that succeed aren’t the ones who got it right from the beginning. They’re the ones who kept asking questions, kept seeking community, and kept putting their child’s needs ahead of their own comfort. Heart to Heart offers post-adoption support for exactly this reason.

Yes. We work around your schedule, whether you have steady hours or shifts that change week to week.

No. Everything you share with us stays private. It is your choice who you tell and when.

It depends on paternity, marital status, and state law, not automatic in every situation.

No. All of our services are free, including legal help, counseling, and money for rent or other living expenses while you are pregnant.

In many cases, yes. You have real say in whether he provides consent, is simply notified, or isn't involved at all, depending on your state's laws.

Yes. You look through family profiles and choose. No one chooses for you.

His legal rights depend on paternity, involvement, and your state's laws, not on marital status alone.

No. Many of our birth mothers handle everything by phone or video call, which can be easier if you are working irregular hours.

Yes. We support women throughout Southwest Florida, not just in Naples or Fort Myers, including smaller agricultural towns.

We can arrange transportation to medical visits and other appointments.

No. All of our help, including legal support and counseling, is free.

Yes. You review profiles and choose yourself.

You can change your mind at any point before signing final adoption papers.

No. Most women have several weeks to think through their options before any decision is final.

Yes. Pregnancy confirmation, counseling, and case management through Heart to Heart Adoptions are free to birth mothers.

You don’t need one to get started. A case manager like Kathy or Wendi can be your first conversation, confidential and judgment-free, before you’ve told anyone else in your life.

In many states, yes, some maintain a putative father registry that allows adoption to proceed without his direct consent.
Many states allow adoption to proceed without his consent in this situation, sometimes using a putative father registry.

Usually the birth parent’s state law applies, but birth parents may choose to proceed under the adoptive parents’ state law in some situations.

It depends on state law. An adoption specialist can help coordinate the proper steps and documentation.

This depends on state law. Some states allow revocation within a specific time period, while others do not.

Yes, if paternity is legally established. State laws vary and may include putative father registries.

Many states allow certain adoption-related expenses, but all payments must follow state law and court guidelines.

We explain legal options, connect you with professionals, and support you through every step of the adoption process.

In some situations, yes. Some birth parents choose another state's law if it offers a shorter waiting period or different consent process.

Yes, if paternity is legally established. Rules vary by state and may involve a putative father registry.

We have worked with this situation many times. We can explain how it affects the adoption plan and keep things moving even if he is not local.

Adoption plans can work across state lines. We will help you understand what changes and what stays the same if you relocate.

No. All of our help is free, including legal support, counseling, and money for living expenses.

Yes. You choose the level of contact that feels right to you, from regular updates to an open relationship

Yes. You review family profiles and make the choice yourself.

Yes. Many students continue their classes while working with us. Everything you share stays private.

We offer remote counseling by phone or video, so you do not have to be seen coming and going from an office.

We have experience with this. We can explain how it may affect timing and paperwork.

No. You can hold your baby, take time, and decide when you feel ready, not before.

No. All of our services are free, including legal help and counseling.

No. Meeting a family is a chance to see if it feels right. It doesn't obligate you to move forward.

Yes. You choose from family profiles we share with you.

That's normal after birth. Case managers are there to give you space and support, not to rush you.

Yes. We have stepped in for emergencies like this before. If something urgent comes up, call or text us and we will see what we can do quickly.

We can set up rides to medical appointments and other important visits.

No. Heart to Heart Adoptions never charges a birth mother. All of our help, including legal support and counseling, is free

Yes. You look through profiles and pick the family that feels right to you.

You can change your mind at any point before signing final papers. We will walk you through what that means in Florida.

It's skin to skin contact between a caregiver and a premature baby, shown to help with bonding and stability.

Yes, when NICU staff allow it. It's an important part of early bonding for adoptive families too.

Yes. Studies show it can help stabilize heart rate, breathing, and temperature in premature infants.

Yes. Rachel’s story is a real example of doing exactly that when something felt off.

Rachel’s story includes repeated ER visits and a late pregnancy diagnosis. Medical complications can absolutely happen alongside an adoption plan, and support continues through them.

It happens, as it did for Rachel a week before her due date. A good agency will help you find another family quickly rather than leaving you without options.

Yes. It is less common than newborn placement, but it is a real, supported option, and Heart to Heart Adoptions retains a licensed family therapist to help with the bonding and transition process.

Not necessarily. Many placements are open adoptions, and tools like Our Hearts Connect let birth mothers stay updated with photos, messages, and milestones.

Yes, guilt is one of the most common feelings in this decision, but choosing adoption can be a thoughtful, loving decision rooted in your child’s long-term needs, not a failure

Yes. Many adoptive parents describe exactly this, especially as they watch their children grow into who they are.

Not necessarily. Writing it can be its own act of reflection and gratitude, whether or not it’s ever delivered.

Many use the agency or a platform like Our Hearts Connect, especially for something this personal.

Yes. Many families face fertility treatments, failed matches, or long waits before their adoption finally comes together.

It varies widely. Some families wait months, others longer, depending on circumstances and flexibility.

Many describe leaning on faith, support networks, and trust that the right match is still ahead.

Yes. Many adopted toddlers experienced inconsistent care early in life. Attachment takes time and patience.

Cocooning is a period where parents limit caregivers and meet all of the child’s needs to build trust and attachment.

Every child is different. Some bond quickly, while others take months or longer. Consistency is key.

Often it's measured in small milestones, like moving from a feeding tube to a bottle.

As a percentage of feeds given by tube versus bottle, with babies graduating once that percentage is low enough.

It's a milestone showing the baby needs less intensive equipment and support than before.

RAD is a condition that can develop when a child has not formed a secure attachment early in life. With proper support, children can heal and grow.

If concerning behaviors continue for several months or worsen over time, it is helpful to speak with your pediatrician or an attachment-informed therapist.

Love matters enormously, but acknowledging their early experience, not erasing it, is what actually builds trust.

These behaviors are often survival skills from a time when their needs weren’t consistently met, not signs of being difficult.

Love matters enormously, but acknowledging their early experience, not erasing it, is what actually builds trust.

It’s less common than newborn placement, but it’s a real and supported path when circumstances change.

You can reach a case manager directly; you don’t need an existing support system to get started.

No. Isolation during an unplanned pregnancy is common, not a sign of weakness. Needing support is human, not a failure.

You don’t need someone with the same experience to talk to — a case manager understands the situation and can connect you with other birth mothers if that would help.

Yes — many birth mothers explore every option before finding the one that fits.

Yes — this real account is one example of a birth mother exploring every option before landing on the one that felt right.

Not immediately — but this birth mother describes the loneliness easing over time as she connected with support at the agency.

Yes, with guidance from NICU staff. Gentle touch can be an important part of early bonding.

Many describe it as reassuring, a sign that their baby is already loved and in the right place.

Outcomes vary, but many extremely premature babies go on to thrive with strong NICU care and support.

Many meet the baby during the NICU stay, becoming part of the bonding process from the very beginning.

Light therapy treats high bilirubin levels, which are common in premature babies.

It varies by baby, often a few days to a couple of weeks, depending on how bilirubin levels respond.

Yes. Many birth mothers explore every option before finding the one that fits.

Yes. This real account is one example of a birth mother exploring every option before landing on the one that felt right.

Not immediately. But this birth mother describes the loneliness easing over time as she connected with support at the agency.

This can include monitors, feeding tubes, and light therapy beds, depending on the baby's needs.

Not usually. Progress often includes both milestones and temporary setbacks along the way.

Yes. Most NICU journeys include both real progress and temporary steps back.

Often it's measured in small milestones, like moving from a feeding tube to a bottle.

As a percentage of feeds given by tube versus bottle, with babies graduating once that percentage is low enough.

No. Curiosity about origins is separate from love and loyalty to the parents who raised them

It's a milestone showing the baby needs less intensive equipment and support than before.

It varies by baby, but stays of several weeks to a couple of months are common for premature infants.

With support rather than fear. Curiosity about biological family is normal and doesn't threaten the relationship you've built

Families take the baby home, often continuing to monitor milestones with their pediatrician.

It doesn't require co-parenting. Adoptive parents keep full legal rights and responsibilities for raising the child.

Many do. NICU nurses often form real bonds with families during an extended stay.

Yes, the grief is real even though the loss doesn't look like a typical loss to people outside the situation.

It varies, some families process it with sadness rather than bitterness by understanding the pressures the birth mother was under.

No, it's a common and reasonable worry, not a sign you shouldn't pursue adoption.

Yes, the grief is real even though the loss doesn't look like a typical loss to people outside the situation.

It's grief without the usual closure, like mourning a child who was never officially yours to begin with.

It's a common reaction, though case managers encourage families to remember the birth mother is grieving too.

Honestly and gently, as this family did, while still allowing excitement for the next opportunity.

Yes. Many families who experience a failed adoption go on to have a successful placement afterward.

Reactions vary by age, but many children feel real disappointment, as this family's three year old did.

It varies, some families process it with sadness rather than bitterness by understanding the pressures the birth mother was under.

Often due to pressure from family members or complicated circumstances in her own life, not a lack of care for the baby.

Some find it helps to remember the pressures the birth mother was facing, rather than focusing only on their own loss.

No, it's a common and reasonable worry, not a sign you shouldn't pursue adoption.

Yes. It's a common worry and doesn't mean adoption isn't the right path for your family.

Many describe leaning on faith, support networks, and the belief that the right match is still ahead.

Yes, support exists specifically for this kind of loss, separate from the adoption planning process itself.

Yes. It's its own kind of loss, separate from an adoption plan not moving forward.

Support exists specifically for this kind of loss, separate from the standard adoption planning process.

The adoption plan for the surviving baby can continue, though the loss itself requires its own support and space for grief.

Doctors continue to monitor and support the surviving baby closely, and delivery may need to happen earlier than planned.

Many stay close by and present, offering support to the birth mother through delivery and recovery.

Yes. Many open adoption arrangements evolve over time.

It means the agency keeps searching until they find a family that matches what you specifically want and need, even when that takes longer than expected.

Yes. Tara’s story shows how specific shared details, like a love of fishing or a Midwest background, can be exactly what makes a family feel right.

Yes, many families who eventually adopt successfully faced multiple failed situations first.

It varies widely. Some families match quickly, others face several situations that don't work out first.

Many describe holding back full excitement until a placement feels certain, as a way to guard against repeated disappointment.

It's a fair concern, asking directly how an agency handles this is one of the best ways to evaluate them.

They still have a place, but a well-written, regularly updated family profile now tends to matter more.

Often yes, families open to unpredictable or higher-need situations tend to match faster.

Recent research shows it's not either-or, the interaction between the two is more complex than either side of the old debate assumed.

It's a fair concern, asking directly how an agency handles this is one of the best ways to evaluate them.

By prioritizing informed consent, avoiding coercion, and not matching a birth mother with a family until she feels at ease with the plan.

Yes. Even in the best circumstances, adoption can involve grief and complex emotions. Ethical agencies provide ongoing support for that.

They still have a place, but a well-written, regularly updated family profile now tends to matter more.

They still have a place, but a well written, regularly updated family profile tends to matter more today.

Specific, authentic details, like a favorite holiday tradition or a shared interest, often connect more than a polished narrative.

Often yes, families open to unpredictable or higher-need situations tend to match faster.

Often, yes. Families open to a wider range of situations tend to match more quickly.

Sibling groups, medically fragile newborns, and situations with some unknowns are common examples.

Recent research shows it's not either-or, the interaction between the two is more complex than either side of the old debate assumed.

Not in favor of either side alone. Current research shows a complex interaction between genetics and environment.

It's the study of how environment and experience can affect whether and how genes are expressed, without changing the genes themselves.

It depends on your state, some allow legally binding contact agreements, others treat them as good-faith arrangements.

Yes. Many families start with one level of contact and adjust it as everyone's needs change.

The birth mother chooses the starting level of contact, and both families can revisit it together as the child grows.

Not automatically, what matters is that the level of openness is chosen thoughtfully, centered on the child's needs, not a fixed formula.

Yes. Knowing where they came from tends to help children grow up with a stronger, clearer sense of who they are.

It's not ideal. Platforms like Facebook weren't built for adoption relationships. A monitored app like Our Hearts Connect is a safer, more private option.

Yes, asking direct questions before placement is exactly how you protect the relationship you want afterward.

Yes. Asking directly about boundaries, communication, and meeting expectations before placement is one of the best ways to protect the relationship afterward.

Hesitation about meeting before the birth can be an early sign that the family isn't ready for the kind of openness you want.

Every situation is different, but with strong NICU care, many babies born as early as 25 weeks go on to thrive, as Elias's story shows.

Expect a mix of real progress and setbacks. NICU teams communicate closely with families throughout the stay.

No, financial wealth isn't the deciding factor; what matters is the ability to meet a child's basic needs and provide a stable, comfortable life.

Many NICU units allow parents extended time with their baby, though policies vary by hospital.

No. Financial stability matters, but emotional readiness, communication skills, and a genuine commitment to openness matter just as much.

Ask direct questions about discipline, values, and how they plan to talk with their child about adoption. Their answers will tell you a lot.

It happens more often than people expect, especially in open adoptions where regular contact builds real trust over time.

It can become a genuine source of support, as this birth mother's story shows, without replacing the relationships already in her life.

That uncertainty is common. Many birth mothers decide gradually, after getting to know the adoptive family better.

No, some birth mothers relocate for safety or support reasons, and agencies like Heart to Heart provide housing to make that possible.

Ask about their credentials, how much say you'll have in the process, and whether you can meet potential adoptive families before deciding.

Yes. Reaching out to a few agencies to compare costs and services is a normal part of finding the right fit.

Yes, these are reasonable questions about the home your child will grow up in, and a good family will answer honestly.

No. Questions about financial security, background, and stability are reasonable, and a good family will answer honestly.

Start with what matters most to you, whether that's faith, education, or openness, and let the conversation grow from there.

Yes, a specific conversation about how they expect you to be involved in later years is worth having before you feel unheard.

What if a family's profile barely mentions me? That can be a warning sign. A family focused only on the baby, with little discussion of your role, may not be ready for real openness.

Before. A face to face conversation about boundaries and expectations should happen while everyone is still relatively unattached emotionally.

Not necessarily wrong, but it does mean the trust that openness depends on needs to be repaired or clearly addressed.

Reach out through the agency first. Tools like Our Hearts Connect also help prevent lost messages and missed updates.

It can. Birth mothers remember whether promises were kept, which is part of why consistent communication matters so much.

No. Grief is normal even within the right decision; remorse is much less common, especially with open adoption.

Some people unfamiliar with modern adoption may hesitate at first. Education tends to help those around you feel more comfortable with your decision.

No. Exploring every option, including adoption, is itself a responsible way to consider your child’s needs, not an avoidance of responsibility.

No, starting young, before your child fully understands language, tends to work better than waiting for a single big reveal.

Not wrong, but the label doesn't need to be attached to every introduction, your child's story is theirs to share, not a public fact about them.

No, you can decline respectfully, and protecting your child's story from becoming public folklore is worth the occasional awkward moment.

Yes, peer curiosity, even when well-intentioned, can make adopted kids feel like an anomaly rather than normal, which is worth preparing them for.

Several of the recommended titles touch on staying connected with birth family, which pairs well with an open adoption arrangement.

Yes, trust is earned over time in every family, adoptive or biological, and that's a normal, not concerning, process.

Not replace, blend. The goal is a bridge between the child's past and their new family, not a substitution.

Simple, low-pressure gestures. This may include a card, a photo, a small keepsake.

Mother’s Day is a natural anchor point, but many families build small recognitions into birthdays, holidays, or ‘firsts’ throughout the year too.

Yes. Follow your child’s comfort level and let their interest in the relationship develop at their own pace.

Why would they not want to talk about race? Children talk about hair color, fingernails, freckles, and other physical differences. If they are not talking about the color of their skin, then they might feel that the topic makes the adults around them uncomfortable. You don’t want to force the conversation. But there should be no concern about the conversation.

 We can not emphasize this enough. As a birth mother, you have the right to ask any question you want. Ask about the demographics of the area where the family lives. Ask if they have real friendships with a diverse group of people. Ask what training they have received about race. You have the right to ask anything. This is your child.

 Children notice race early, but it’s usually not assigned a negative or positive value unless you assign an emotion to it. When adults don’t say anything, children start believing that there is a reason to stay silent and that talking about race is wrong. Children don’t just decide race is irrelevant.

Some parents worry that talking this early is a negative. But instead, it is telling children that they can have these kinds of conversations. Race is a fact of life. Talk about life.

A racial mirror is an adult in your child’s life who shares their racial identity. This is good for kids. Much better than just a book or movie. Children need to see adults who look like them living the kind of lives that they will want.

 You probably will. It’s kind of what parenting is about. But then again, you’ll probably say something wrong about the special needs child in their class, or the woman who is bald due to cancer. That is what communication is about.

Yes, these are reasonable questions about the home your child will grow up in, and a good family will answer honestly.

Yes, support exists specifically for this kind of loss, separate from the adoption planning process itself.

The adoption plan for the surviving baby can continue, though the loss itself requires its own support and space for grief.

Yes, many families who eventually adopt successfully faced multiple failed situations first.

Only if the adoptive family is intentional about building that connection — and only if you, as the birth mother, share your story, your culture, and your family with them over time. Open adoption creates the path. Both families have to walk it.

Post-adoption contact is any ongoing connection between birth and adoptive families after placement — visits, letters, photos, phone calls, social media. At Heart to Heart, contact arrangements are agreed upon before placement and can adjust over time.

Yes — and you should. Ask where they live, who is in their community, what they have read, what training they have done. Ask specifically. A family that has done the work will have specific answers.

Contact arrangements can evolve. Heart to Heart supports ongoing communication between birth and adoptive families and can help mediate when expectations shift. The goal is always what is best for the child.

A racial compliment is praise that lifts one person by implying the rest of their racial group falls short. Phrases like “you’re good-looking for a Black person” or “I wish more Black people would act like you” are framed as kindness but are basically negative because they suggest the rest of the race is not so good.

Bragging about their open-mindedness by using a relationship with someone of another race. The friendship probably isn’t a real friendship but a way for one person to manage their own reputation.

Black people have to prove that they have the qualities that are respected by whites. These include social etiquette and language skills. Whites don’t face this. This kind of constant proofing themselves can be really exhausting.

Children need to see realistic portrayals of Blacks on social media. Too often, Blacks are the horrible villains or the perfect characters. Blacks should be portrayed as complex personalities. With realistic lives.

Your child’s place in the home, nor the love you have for them, is not based on how “white” they act.

Not necessarily, but where you live matters. Look for diverse churches, sports programs, cultural organizations, and professionals — barbers, pediatricians, coaches — who share your child’s racial background and build those relationships consistently over time.

A racial mirror is an adult who shares your child’s racial identity and is a consistent, positive presence in their life. Research shows that children of color with meaningful relationships with adults who look like them develop stronger, healthier racial identities.

Start with your child’s interests. Look for coaches, teachers, artists, and mentors who share those interests and your child’s racial background. Seek out diverse churches, schools, and neighborhoods. Build relationships, not just presence.

Absolutely. Moving to a more diverse community for the sake of your child’s identity development is exactly the kind of intentional parenting transracial adoption requires.

A stork situation is when a birth mother makes an adoption plan very close to or after the baby is already born. Usually this is between 48 to 72 hours of the birth of a child that is going to be placed for adoption. Heart to Heart Adoption handles stork situations regularly and can match a birth mother with a family and complete the legal process quickly.

No. Heart to Heart has helped birth mothers make adoption plans the same day their baby was born. Call 844-522-7700 right now if your baby is already here and you need help.

Heart to Heart Adoptions maintains a pool of approved, waiting families who have agreed to be available for urgent placements. When a stork situation arises, a case manager reaches out to compatible families immediately and works to make a match as quickly as possible.

The birth mother receives the same full support as any other placement. She will receive legal counsel, post-placement counseling, and open adoption contact if she chose it. The timeline is compressed, but the care is not. When the office staff is told that there is a stork situation, women scurry to get everything done. Our legal department goes into high gear to make sure all the right forms are available. The matching department starts immediately to find families that meet the right situation. Often times a lot of our staff come into the office on a weekend or at night to make sure this can happen to meet the birth mother’s needs. To meet the baby’s needs.

The baby goes with the adoptive family directly from the hospital. There are a lot of legal requirements including ICPC (Interstate Compact for the Placement of Children) Heart to Heart coordinates with the hospital to make the transition smooth. Legal finalization happens in the following months.

Call Heart to Heart right now: 844-522-7700. A counselor is available 24/7. Late pregnancy discovery is more common than you might think. It is not too late to make an adoption plan, get financial support, or simply talk through your options.

No. Heart to Heart works with birth mothers at every stage of pregnancy, including women who discovered their pregnancy late. Call 844-522-7700 if you are in this situation.

Florida law requires that the birth father be notified in certain situations, depending on his legal relationship to you and whether he has established paternity. In Josephine’s case the birth father was in prison. That does not mean he doesn’t have rights. Josephine took the time to discuss the baby’s future with him and explained about an open adoption and how he would always know how the baby was doing. Your case manager and independent attorney will explain exactly what applies to your situation.

Financial assistance for rent, food, medical care, and other pregnancy-related expenses starts as soon as you reach out. If your situation is urgent, call 844-522-7700 right now and tell the counselor what you need.

Immediately. Heart to Heart counselors are available 24/7. for emergency planning.

Take it seriously. Validate your child’s grief fully. Help them attend the funeral or memorial if they want. Provide practical support — transportation, finances, time — without waiting to be asked. Then stay close and let them process on their timeline.

Resist the urge to manage the grief or redirect it. What they need from you is permission — to love, to grieve, to be present in both families without guilt.

Open adoption means the relationships are real, which means the losses are real too. The answer to that complexity is not less openness. It is more support.

Recognize that grief looks different across cultures. Follow your child’s lead. If they need to attend a service reflecting their birth culture, support that. If they need to go and you can make it possible, make it possible.

It often intensifies contact in the short term. In the longer term the shape may shift. Let your child lead. Their relationship with their birth family is theirs to navigate.

You are not obligated to answer. Polite deflection works: ‘We’re just out enjoying the day.’ If you do engage, keep it brief and matter-of-fact. The goal is to model calm and dignity, not to educate every stranger you meet.

Role-play it at home when things are calm. Give your child short, confident scripts. Practice until the responses feel natural. Then debrief after it happens in real life.

Address them directly and privately with the adult involved, not in front of your child. Set clear expectations. And make sure your child hears you advocate for them.

Let it go when the stakes are low. Adolescence involves identity experimentation. Stay close enough that they know you are there. Do not make it mean more than it does.

Address them directly and privately with the adult involved, not in front of your child. Set clear expectations. And make sure your child hears you advocate for them.

It depends on your state, some allow legally binding contact agreements, others treat them as good-faith arrangements.

Not automatically, what matters is that the level of openness is chosen thoughtfully, centered on the child's needs, not a fixed formula.

Yes, asking direct questions before placement is exactly how you protect the relationship you want afterward.

No, financial wealth isn't the deciding factor; what matters is the ability to meet a child's basic needs and provide a stable, comfortable life.

No, some birth mothers relocate for safety or support reasons, and agencies like Heart to Heart provide housing to make that possible.

Yes, these are reasonable questions about the home your child will grow up in, and a good family will answer honestly.

Yes, a specific conversation about how they expect you to be involved in later years is worth having before you feel unheard.

Not necessarily wrong, but it does mean the trust that openness depends on needs to be repaired or clearly addressed.

It means a central part of their identity is invisible to the person who is supposed to know them best. Your child is Black. The world sees them as Black. If you do not acknowledge it, you are leaving them alone in it.

Be honest, age-appropriate, and matter-of-fact. Name what racism is and how it shows up. Validate their experiences when they encounter it. Give them language and the confidence that you take their experience seriously.

Look at the evidence honestly. A bad grade may be a bad assignment. A coach who benches your child may be playing favorites with his own kid. Name real racism clearly and teach your child to do the same. Precision matters.

Implicit bias is the unconscious attitudes absorbed from media, culture, and environment. Research shows nearly everyone carries them. Adoptive parents who examine their own biases are better equipped to help their children navigate a world shaped by those same biases.

Through consistent, ordinary choices: the barber you drive to, the books on your shelf, the church you attend, the conversations you do not avoid, the relationships you build deliberately. Cultural identity is not a lesson — it is an accumulation.

That love is necessary but not sufficient. You will need to educate yourself about racial bias, build a diverse community deliberately, acknowledge the ways your child’s experience of the world will differ from yours, and make room for the birth family in your child’s life long term.

Start early, keep it normal, follow their lead. Talk about race the way you talk about any other part of who they are. Celebrate their heritage. Make sure they have people who look like them in their regular life.

Let it go. A child choosing not to explain their transracial family in a particular context is not a rejection. Your relationship is secure enough to hold that moment. Do not make it mean more than it does.

Make room for it without managing it. Your child’s relationship with their birth family belongs to them. Your job is to ensure they never feel they have to choose between the people who love them.

It means a central part of their identity is invisible to the person who is supposed to know them best. Your child is Black. The world sees them as Black. If you do not acknowledge it, you are leaving them alone in it.

Yes — these are the most important voices to hear. ‘In Their Voices’ by Rhonda Roorda, ‘All You Can Ever Know’ by Nicole Chung, and ‘In Their Own Voices’ by Simon and Roorda are all essential.

‘I Love My Hair!’ by Natasha Anastasia Tarpley, ‘Shades of Black’ by Sandra Pinkney, and ‘The Name Jar’ by Yangsook Choi are all excellent for early readers.

PACT, An Adoption Alliance (pactadopt.org); Creating a Family (creatingafamily.org); AdoptUSKids (blog.adoptuskids.org/transracial-parenting-resources); and The Adoption Network (adoptionnetwork.com) are all strong, reputable resources.

Still have questions?

Our team is available to help—no pressure, no obligation.

FAQ - Simple

FAQ

Frequently Asked Questions

To create a podcast, you'll need a microphone, headphones, and a computer or laptop. Additionally, you may want to invest in a pop filter, a microphone stand, and soundproofing materials to improve the quality of your recordings.

When choosing a podcast topic, consider your interests and expertise. Look for topics that you're passionate about and that you think your audience will enjoy. It's also important to consider the market demand for your chosen topic and to research your competition.

The structure of your podcast episodes will depend on your chosen topic and format. However, most podcasts typically begin with an introduction that includes an overview of the episode's topic and any necessary disclaimers. The main content of the episode follows, and the episode usually concludes with a summary or call to action.

To record your podcast, use a microphone and recording software such as Audacity, GarageBand, or Adobe Audition. Once you've recorded your episode, edit it to remove any mistakes or unwanted background noise. You can also add music, sound effects, and transitions to enhance your podcast's production value.

To publish your podcast, you'll need a hosting platform such as Podbean, Buzzsprout, or Libsyn. Once your podcast is live, promote it on social media, through email marketing, and by reaching out to influencers in your industry. Consider guesting on other podcasts to reach new audiences and grow your listenership.

A distorted or muffled sound can be caused by several technical issues, such as low-quality microphones, improper microphone placement, or poor room acoustics. Ensure that you're using a high-quality microphone and that it's placed close to your mouth. Additionally, record in a quiet room with minimal echoes or background noise.

Audio syncing issues can occur when the audio and video tracks in your podcast are not aligned properly. To fix this issue, you can use video editing software such as Adobe Premiere or Final Cut Pro to adjust the timing of your audio and video tracks manually.

If your recording software crashes during a recording session, try restarting the software and checking for any updates. If the issue persists, try using a different recording software or restarting your computer.

Inconsistent volume levels can be caused by variations in microphone technique, distance from the microphone, or differences in audio levels between guests. To fix this issue, ensure that all guests are using similar microphones and are positioned at a similar distance from the microphone. Additionally, normalize your audio levels in post-production to create consistent volume levels throughout your podcast.

Audio dropouts occur when there's a disruption in the audio signal, resulting in a momentary loss of sound. To prevent audio dropouts, ensure that all cables and connections are secure and in good condition. Additionally, consider using a backup recording device to capture audio in case of any technical issues.

There are several software options for editing your podcast, including Audacity, GarageBand, Adobe Audition, and Hindenburg Journalist. These software programs offer a range of editing tools, such as noise reduction, compression, and EQ adjustments, to help you enhance the quality of your podcast.

In post-production, you can structure your podcast episode by arranging your audio clips and segments into a logical sequence. This might include adding an introduction, an outro, and transitions between segments. You can also add music and sound effects to enhance the production value of your podcast.

To edit a podcast effectively, it's important to listen to your audio carefully and make precise edits. Use noise reduction and EQ tools to enhance the clarity of your audio, and remove any unnecessary pauses or verbal tics. Additionally, try to maintain a consistent volume level throughout your podcast episode.

To create a professional-sounding podcast, ensure that you have high-quality audio equipment and use software tools to enhance the quality of your audio. Additionally, structure your podcast episodes in a logical sequence and incorporate music and sound effects to add depth and variety.

The amount of time it takes to edit a podcast episode will depend on several factors, such as the length of the episode, the complexity of the audio, and your level of experience with audio editing software. On average, it can take anywhere from 1-3 hours to edit a 30-60 minute podcast episode.

To promote your podcast, consider leveraging social media platforms such as Facebook, Twitter, and Instagram to share updates about new episodes and engage with your audience. Additionally, reach out to influencers or other podcast hosts in your industry to collaborate on guest episodes or cross-promotions.

To improve your podcast's visibility on search engines, optimize your podcast's title, description, and episode titles with relevant keywords. Additionally, consider creating a dedicated website for your podcast to host show notes, episode transcripts, and other supplemental content.

Email marketing can be a powerful tool for growing your podcast's audience. Consider offering exclusive content or discounts to subscribers and sending regular newsletters that highlight new episodes or behind-the-scenes content.

There are several ways to monetize your podcast, such as through sponsorships, affiliate marketing, or selling merchandise. Additionally, consider offering premium content or subscription-based models to provide additional value to your listeners.

To measure the success of your podcast promotion efforts, track your download and subscriber numbers over time. Additionally, monitor engagement on social media platforms and monitor your website analytics to see which marketing channels are driving the most traffic to your podcast.

Before launching a podcast, it's important to consider legal issues such as copyright infringement, defamation, and privacy violations. Ensure that you have the necessary licenses and permissions to use any copyrighted materials and that you're not making any false statements that could be considered defamatory.

In most cases, you don't need any licenses or permits to start a podcast. However, if you plan to use copyrighted music or sound effects, you may need to obtain a license from the appropriate copyright owner.

To protect your intellectual property as a podcast creator, consider trademarking your podcast name and logo, and filing for copyright protection for your original content. Additionally, consider using non-disclosure agreements (NDAs) or confidentiality clauses in any contracts or agreements with guests or collaborators.

To monetize your podcast without infringing on others' intellectual property, consider creating original content and offering sponsorships or advertising opportunities to relevant businesses or organizations. Additionally, ensure that any guest appearances or collaborations are properly credited and that you have the necessary permissions to use any copyrighted materials.

As a podcast creator, you may be eligible to deduct certain expenses related to your podcast production from your taxes. These might include expenses related to equipment, software, hosting, and marketing. Additionally, consider consulting with a tax professional to ensure that you're following all applicable tax laws and regulations.

Your privacy matters. Depending on your state laws and personal situation, adoption can often remain confidential. Our team can explain how privacy, communication preferences, and legal protections may apply to your specific circumstances.

Open adoption allows different levels of communication and connection between birth parents, adoptive families, and children after placement. Every relationship is different. Some people exchange photos and updates, while others maintain more direct communication over time.

That is completely okay. Many women begin by simply gathering information and exploring their options. Speaking with someone does not commit you to adoption. Our goal is to provide information, support, and a safe place to ask questions without pressure or judgment.

Yes. You can review waiting family profiles, ask questions, speak with families, and choose the family that feels right for you and your child. Some women know exactly what they are looking for, while others want more guidance and support during the process.

Depending on your state laws and situation, support may be available for certain pregnancy-related expenses such as housing, transportation, medical care, groceries, counseling, and other essential needs. We can explain what support may be available where you live.

Every state has different adoption laws, timelines, and consent requirements. You have the right to ask questions, understand your options, and make informed decisions throughout the process. We encourage every birth parent to fully understand their rights before making any legal decisions.

Support does not necessarily end after placement. Many birth parents continue counseling, communication planning, and emotional support services after adoption. Open adoption relationships may also continue in ways that feel healthy and comfortable for everyone involved.

You don’t have to make any decisions today. The first step is simply learning about your options and talking with an adoption specialist. We’ll answer your questions, explain how the process works, and help you create an adoption plan if and when you’re ready.
Learn About the Adoption Process →

Yes. If you decide adoption is the right choice, you’ll have the opportunity to review waiting family profiles and choose the family you feel is the best fit for your child. You remain in control of many important decisions throughout the process.
Meet Waiting Families →

Yes. Until legal adoption consents are signed according to your state’s laws, you remain your baby’s legal parent. We’ll make sure you understand your rights, explain each step of the process, and support you in making the decision that’s right for you.
Learn About Your Rights →

No. Our services are provided at no cost to you. Depending on your situation and state laws, you may also be eligible for pregnancy-related assistance while creating your adoption plan. We’ll explain what may be available based on your circumstances.
Learn About Pregnancy-Related Assistance →

Many adoptions today include ongoing contact through open adoption. Together, you and the adoptive family can discuss the type of communication that feels right for everyone. Every adoption relationship is unique and built around mutual agreement.
Learn About Open Adoption →

You can contact us anytime by phone, text, or through our online form. Whether you’re just beginning to explore adoption or need immediate support, our caring team is here to answer your questions with compassion and without pressure.
Contact an Adoption Specialist →


Legal requirements vary by state, but you should always understand your rights before signing any documents. Independent legal representation may be available to review paperwork and answer questions.

You do not have to rush. Taking time to gather information, ask questions, and consider your options can help you make the decision that feels right for you.

Yes. Our team is available to answer questions, explain options, and provide support throughout the process. Talking with someone does not obligate you to choose adoption.

The timing varies by state and individual circumstances. Before signing any documents, you should understand what they mean, what your rights are, and what happens next. Your adoption specialist and attorney can guide you through each step.

Yes. Adoption is one option, but it is not the only option. You have the right to explore parenting resources, support services, and other options before making a decision.

No. Important decisions should be made with clear information, adequate time, and full understanding. You should never feel pressured to sign documents or move forward before you are ready.

Your privacy is important. Information shared with your adoption specialist or counselor is handled with care and in accordance with applicable privacy laws and professional standards.

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Many adoptions today include ongoing contact through open adoption. The amount and type of communication varies for every family and is based on the agreement between you and the adoptive family. Some families exchange letters and photos, while others stay connected through phone calls, video chats, or visits.

Open adoption relationships naturally grow and change over time. As circumstances evolve, communication may increase, decrease, or shift in ways that work for everyone involved. Healthy relationships are built through trust, respect, and ongoing communication.

No. Healing looks different for every birth mother. Some women find comfort in counseling, faith, support groups, family, creative outlets, work, or caring for other children. Give yourself permission to grieve, celebrate progress, and heal at your own pace.

Every birth mother’s experience is different. It’s normal to experience a wide range of emotions after placement, including grief, relief, hope, or uncertainty. Healing isn’t linear, and you don’t have to go through it alone. Support, counseling, and trusted relationships can make a meaningful difference.

Many adoptive families talk openly with their children about adoption from an early age. When children grow up understanding their adoption story, they often develop a deeper appreciation for the love and thoughtful decision behind your adoption plan.

Yes. Our relationship doesn’t necessarily end after placement. We’re here to answer questions, connect you with resources, and continue offering compassionate support as you move forward in your healing journey.

Depending on your situation and state laws, support for housing and certain living expenses may be available while you are considering adoption.

Support may be available for groceries, household items, and other pregnancy-related needs depending on your circumstances and applicable state laws.

Transportation assistance may be available for medical appointments, counseling sessions, legal meetings, and other approved pregnancy-related services.

Yes. Financial assistance related to pregnancy and adoption is regulated by state law and must be coordinated through licensed adoption professionals.

Yes. Your information is kept confidential and shared only as necessary to provide services and support.

In some situations, assistance with essential utilities may be available when permitted by state law and coordinated through licensed adoption professionals.

Pregnancy-related medical expenses, including prenatal care, prescriptions, and other approved services, may qualify for assistance based on your situation and state requirements.

Not necessarily. Every situation is unique. Our team can explain how the process works and what options may be available to you.

No. Exploring adoption and learning about available support does not remove your rights or prevent you from choosing to parent.

You remain in control of your adoption plan. Laws vary by state, and our team can explain your rights and options throughout the process.

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Yes. Open adoption is flexible. Communication plans are based on what feels comfortable for everyone involved and can include updates, messages, calls, or visits.

No. Some open adoptions include in-person visits, while others focus on photos, updates, emails, or phone calls. Every adoption plan is different.

Many open adoptions include sharing photos and updates so birth parents can stay connected to important milestones and life events.

Yes. Open adoption relationships often evolve naturally. Communication plans may change as children grow and relationships develop.

That’s okay. Many birth parents are unsure at first. Your adoption specialist can help you explore different options and create a plan that feels right for you.

Yes. Many birth parents choose to meet or speak with prospective adoptive families before making a decision. This helps everyone build trust and determine if the match feels right.

Yes, post-adoption contact agreements in Utah allow for ongoing communication between birth parents and the adoptive family, with details agreed upon before finalization. Women often ask what control they have when they “put my child up for adoption.” In a Utah adoption, you control what kind of open adoption you will have.

Laws regarding open adoption agreements vary by state. Your adoption specialist can explain how openness works in your situation and location.

Yes, post-adoption contact agreements in Utah allow for ongoing communication between birth parents and the adoptive family, with details agreed upon before finalization. Women often ask what control they have when they “put my child up for adoption.” In a Utah adoption, you control what kind of open adoption you will have.

Open adoption exists on a spectrum. Some birth parents prefer regular communication, while others choose limited contact. Your preferences and comfort level matter.

Yes, post-adoption contact agreements in Utah allow for ongoing communication between birth parents and the adoptive family, with details agreed upon before finalization. Women often ask what control they have when they “put my child up for adoption.” In a Utah adoption, you control what kind of open adoption you will have.

Yes, Utah supports open adoption. Birth mothers have a significant role, and post-adoption contact agreements can be established, detailing visitation, supervision, and information sharing. “Placing my baby for adoption,” does not mean never having contact with your child.

Absolutely. We are here to talk with you about your options and for placing a child for adoption in Utah. Feel free to call and get more information.

Yes. If you choose adoption, you can review adoptive family profiles and select the family that feels right for you and your child. You decide which qualities matter most and who you would like to consider.

Most adoptive family profiles include photos, videos, information about family life, parenting goals, values, careers, hobbies, relationships, and reasons for pursuing adoption.

Birth parents can initiate the adoption process by contacting Heart to Heart Adoptions. Our team provides comprehensive support, addressing legal, emotional, and financial aspects. These, however, are the basic steps to placing a child for adoption in Utah. 

  • Step 1: Visit your doctor for confirmation of pregnancy and receive prenatal care. 
  • Step 2: Connect with Heart to Heart Adoptions, where professionals answer questions, provide support, and guide through the process. 
  • Step 3: Create an adoption plan, decide the level of openness, and choose the right adoptive family. 
  • Step 4: Choose an adoptive family by reviewing profiles, having phone calls, or in-person meetings. 
  • Step 5: Hospital plan and consent to adoption are worked on, allowing time for birth parents to say hello to the baby before signing consent papers. 
  • Step 6: Post-placement support is provided, including counseling, support groups, and ongoing guidance.

Yes. Many birth parents choose to communicate with prospective adoptive families through messages, phone calls, video meetings, or other agreed-upon methods before deciding whether a family is the right fit.

No. There is no requirement to select a family immediately. You can take time to review profiles, ask questions, and consider your options before making any decisions.

Yes. Many birth parents choose families who live in different states. Heart to Heart works with families nationwide and can help coordinate communication and the adoption process regardless of location.

Adoption costs in Utah are similar to the national average, ranging from $20,000 to $50,000 and higher. Our adoption agency is committed to transparency, providing you with the exact cost of adoption. We do not have hidden fees. We will discuss the cost with you.

If a family does not feel like the right match, you can continue reviewing other profiles. The goal is to find a family you feel comfortable with and confident about.

You can discuss your preferences for future communication before placement. Many birth parents and adoptive families agree on updates, photos, messages, phone calls, or other forms of ongoing contact.

In many situations, yes. Some birth parents choose to meet prospective adoptive families before placement, while others prefer phone calls or video conversations. Your adoption specialist can help arrange communication that feels comfortable for everyone involved.

That’s completely okay. Many birth parents begin the process without a specific idea of what they want. Your adoption specialist can help you identify the qualities and values that matter most to you.

No. Reviewing family profiles does not commit you to adoption. Many women explore profiles as part of gathering information and learning about their options.

Prospective adoptive parents often ask how to adopt a child in Utah. The first step is to undergo a home study. The home study for Utah adoptions includes: 

  • Criminal background checks, FBI fingerprinting, and more. 
  • Current health statements to ensure physical and mental fitness. 
  • Provide current financial statements to demonstrate stability for the child’s basic needs. 
  • Address various emotional aspects, including: 
    • Uniting with your spouse on adoption goals and expectations. 
    • Dealing with any lingering grief from infertility. 
    • Releasing expectations related to having a biological child. 
    • Learning about maintaining post-adoption relationships with the child’s birth family. 
    • Emotionally preparing for the Utah adoption process and raising adopted children. 
    • Maintaining a commitment to the adoption process despite potential challenges. 
  • Prospective adoptive parents meeting Utah’s qualifications can contact Heart to Heart Adoptions at 844-522-7700 or request free adoption information online.

The adoption timeline varies and is influenced by factors such as adoptive family openness and adoption opportunities. Finalization typically occurs about six months after placement. 

To begin your adoption journey with Heart to Heart Adoptions, complete our application or call us directly. We offer 24/7 availability for birth mothers, ensuring continuous support.

Yes. If you choose adoption, you can review waiting family profiles and discuss your preferences with your adoption specialist. The matching process is designed to help identify families who align with what matters most to you and your adoption plan.

Support may be available for housing, groceries, transportation, medical care, counseling, and other pregnancy-related expenses depending on your situation and state law.

Yes. Many birth parents speak with prospective adoptive families through phone calls, video meetings, messaging, or in-person meetings before deciding on a match.

Yes. Heart to Heart Adoptions is a licensed, nonprofit adoption agency in Utah (License #F23-99563). We are a 501(c)(3) organization and have been serving birth mothers and adoptive families for over 25 years.

Yes. Open adoption can include updates, photos, messages, calls, or visits based on the communication plan everyone creates together.

Yes. Open adoption can include updates, photos, messages, calls, or visits based on the communication plan everyone creates together.

Your rights depend on your state and where you are in the adoption process. Your adoption specialist and attorney will explain your rights and timelines clearly before any legal documents are signed.

No. There is no cost to birth mothers at any point. The adoptive family covers all agency fees. You may also qualify for help with housing, food, medical care, and transportation during your pregnancy.

Independent legal representation may be available to help explain your rights and review legal documents throughout the process.

Yes. Utah law supports your right to choose the adoptive family. Heart to Heart gives you access to 100+ approved family profiles. You can review them, ask questions, and meet families before making your decision. There is no deadline

We offer housing assistance, medical care, living expense coverage, 24/7 counseling, legal representation, transportation help, and post-placement support. Your case manager is available day and night throughout the entire process.

Open adoption means you and the adoptive family agree to stay in contact after placement — through letters, photos, calls, or visits. The level of openness is set before placement and can grow over time. Utah courts can enforce open adoption agreements.

No. Heart to Heart works with birth mothers at any stage of pregnancy, including the third trimester and after birth. We can build a plan in days, help with emergency housing, and still give you the chance to choose your baby’s family.

Every adoption journey is different, but most begin with a conversation about your options, questions, and goals. If you choose to move forward, you can create an adoption plan, explore waiting family profiles, and decide what level of communication or openness feels right for you. Our team helps guide you through each step at your pace.

It starts with a call or text. You tell us your situation, and we explain your options without pressure. If you decide to move forward, a case manager helps you build an adoption plan, choose a family, and get support throughout your pregnancy. There is no commitment just for calling.

Yes. Creating an adoption plan does not lock you into a decision. You can take more time, ask questions, explore different options, or change parts of your plan as your circumstances evolve.

No. Many birth parents spend time reviewing profiles, learning about families, and discussing their preferences with an adoption specialist before moving forward. There is no requirement to make a quick decision.

Yes. You can change your mind at any point during pregnancy, right up until you sign consent papers after birth. Calling Heart to Heart or exploring adoption does not commit you to anything. Your right to parent your child remains fully intact until you sign.

In many cases, yes. Phone calls, video meetings, messages, or in-person meetings may be arranged if everyone is comfortable. Your adoption specialist can help facilitate communication throughout the process.

Support may include counseling, medical-care coordination, transportation assistance, housing support, groceries, and other pregnancy-related expenses when permitted by state law and your specific situation.

Utah law requires a minimum wait of 24 hours after birth before signing relinquishment papers. You cannot sign before the baby is born. Once you do sign in Utah, consent is irrevocable. This is why counseling and preparation before that day are so important.

You create a hospital plan based on your wishes. This may include who is present during labor and delivery, time spent with your baby, and how you would like interactions with the adoptive family handled.

The adoptive family covers your legal fees through the agency. Your attorney represents only you. You receive independent legal representation throughout the entire process at no cost to you.

Yes. Many adoptions today include ongoing communication after placement. Open adoption plans vary and may include photos, updates, messages, phone calls, or visits depending on what everyone agrees is appropriate.

Support often continues after placement through counseling, emotional support, adoption specialists, and post-placement resources. Every birth parent’s experience is unique, and support plans can be tailored to individual needs.

Heart to Heart can help cover rent, food, utilities, medical care, transportation, and other pregnancy-related costs. Utah law permits adoptive families to pay these expenses. There is no cost to you, and all payments are documented and compliant with SB154.

That is completely okay. Adoption is one option, but it is not the only option. You can talk with an adoption specialist, ask questions, and learn about your choices without pressure or obligation.

Yes. Post-placement counseling is free and ongoing. You can call or text your case manager any time after placement. We also offer follow-up counseling sessions, connection to support groups, and peer support from other birth mothers who have been through placement.

Yes, grief is a completely normal part of the adoption experience. Many birth mothers feel a mix of peace, sadness, love, and loss. These feelings often show up all at once. Heart to Heart will help you through these stages as long as you need it. As I write these answers, Jodi called me into her office where she was speaking with a woman who place a baby nearly two years ago. The birth mother wanted me to see the pictures she recently got from the adoptive family. Jodi is helping her navigate between the joy of seeing her child, a sense of loss, and a feeling of peace.

Yes, if you chose an open or semi-open adoption. The contract agreement you decided upon before placement should outline the kind of communications you want.

That is very common. The hardest emotions often surface weeks or months after placement, once the immediate support fades. Heart to Heart stays with you. You can reach out at any point after placement. As I said in the question about is grief normal. We often have women contact us because they want to talk about the emotions that involve peace and sadness at the same time.

Yes. Heart to Heart can connect you with birth mother peer support groups. Mostly these are informal groups who have gone through the same thing as you and are willing to talk about it or just go to a movie together. Peer support is one of the most powerful tools for healing. Ask your case manager about current group options.

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We have a low-risk policy.  If you have a failed placement, only 10% of your adoption fees are at risk. There are no add–ons or surprise fees at the end.

There are three types of expenses that are associated with our adoptions.
The first is the ADOPTION FEE. The full agency fee for all situations is $48,000. Based on certain situations and family income, some active families may apply and be approved for a subsidy. Additionally, the fee for specific special needs situations fee may be lowered.

The second expense is MEDICAL COSTS.  Some of our birth mothers do not have medical insurance. The adoptive family assumes all of the medical expenses that are not otherwise covered.  This includes doctor visits, emergency room visits, hospital costs, and pediatrician costs. The medical expenses can vary by state and hospital. Most families will pay between $3,000 – $10,000 for a full medical situation.

The third fee is the LEGAL FEES. The majority of the time, the legal fees for placement are built directly into the full agency fee. In rare state-to-state circumstances, additional legal fees may apply. If this is the case, you will know those additional legal costs prior to being matched.

Almost all babies that have Native American heritage require additional legal work. The birth mother is required to go before a judge and state she understands the laws regarding the Indian Child Welfare Act and that she is choosing to place her child outside of the tribe. This is usually an additional cost of $4,500.

The fee for a HOME STUDY in Utah is $1000, which includes post-placement visits.

We will discuss your adoption budget with you before you become active with our agency.

We will discuss all fees associated with each situation with you before we show your profile to any potential match situations.



Wait times vary significantly depending on each unique situation. At Heart to Heart Adoptions, we understand that the anticipation of adopting a child can come with uncertainties about wait times. Factors such as specific preferences can influence how long prospective adoptive families may wait for a match, typically between six to 18 months.

Prospective adoptive families may experience slightly longer wait times if they have specific preferences in some or all of the following categories.

  • Want a specific gender.
  • Want a specific race.
  • Cannot pay for medical costs.
  • Are single.
  • Are older.
  • Have multiple biological children.
  • Reside in states with complex adoption laws.

We have even had families get matched and have a placement within days of becoming active. The important thing to remember is that the baby that is right for your family will come in his or her own time.


You have three main options: parenting with support, placing your baby for adoption, or ending the pregnancy. Heart to Heart can walk you through what each path looks like practically and emotionally, with free counseling and no pressure to choose any particular option.

The Adoptive Pre-Placement Evaluation, generally called a “Home Study,” is to help prepare you for adoption and ensure that you meet agency and state requirements.

If you already have a current home study, we will assure you that it is in compliance with Heart to Heart Adoption’s standards.

The home study consists of one or more interviews, as well as written information provided by you and others. You may ask your social worker questions at any time during the home study process. The written material includes medical background, information about your marriage and family, parenting styles, and finances. Reference letters will also be requested from 3 individuals, including 1 related family member and 2 non-family member references.

We accept completed adoptive home studies from other sources that adhere to similar professional adoption standards, such as Heart to Heart Adoptions. In addition, if we complete an adoptive home study for you, we are happy to forward it to other adoption agencies with which you may be working.



No. We help women facing unplanned pregnancy no matter what they decide. Our counselors walk you through parenting, adoption, and other options honestly. Many women who have called Heart to Heart have ultimately chosen to parent — and we supported that decision fully.

Utah offers SNAP food assistance, WIC nutrition support, subsidized housing, Head Start early childhood programs, parenting classes, and social services support. A Heart to Heart counselor can help you find what is available in your area and connect you with the right resources.

Yes, we do place with single parents.  However, most of our birth families are looking for a two-parent family. Please call our office if you are a single parent and hoping to adopt at 844-522-7700.

Open adoption means the openness of communication and contact between birth parents and adoptive families following placement. Heart to Heart helps to facilitate and maintain a healthy relationship between the birth parents and the adoptive family for the best long-term interest of the child. We take into consideration both parties’ desires and seek adoptive families who are willing to have as much contact and communication as the birth parents desire over time. That may mean becoming more open with communication and contact as time goes by.

Closed adoption means the birth family and adoptive family do not have any direct contact. There is a myth that closed adoptions are safer. In actuality, closed adoptions are based on fear and control. Heart to Heart does not advocate for adoptive families who prefer closed adoptions.

Most adoptions fall somewhere in between open and closed. This is called a semi-open adoption. In this situation, neither the adoptive family nor the birth parent has the other’s direct contact information.  In these situations, Heart to Heart Adoptions acts as a facilitator by receiving information from one party and forwarding it to the other, ensuring the respectful exchange of information between parties while maintaining privacy and confidentiality.

Communication in adoption can take various forms, including sharing pictures, letters, emails, engaging in conference calls facilitated by a third party, or utilizing our social media portal, Our Hearts Connect.

It’s important to recognize that relationships in adoption evolve over time. What starts as one type of arrangement may transition into something entirely different. Heart to Heart supports families in navigating these changes, encouraging ongoing communication and openness to best address the child’s evolving needs and curiosity about their history.


Yes. Counseling is free, confidential, and available before you make any decision. You can call simply to understand your options. There is no obligation and no pressure to choose adoption or any other path. We are here to help you think clearly.

There is no single deadline. It depends on which option you are considering. Abortion timelines are set by Utah law. Adoption can be arranged at any point during pregnancy or after birth. Parenting is always available. A counselor can help you understand the timing for each option.

Although we will do all we can to place a child with your family, we cannot guarantee placement.

Many factors influence the selection process that includes, but are not limited to, the number of approved applicants, the number of children available for adoption, the birth parents, and your preferences.  However, we will present your profile as often as we can to birth parents that match your criteria. Obviously the broader your criteria, the more often you will be presented.

We will ask permission and let you know each time we present your profile. Once your profile is selected by a birth mother, we generally arrange for a conference call between you and the birth parents. If you both are pleased with each other, we consider you matched.

When you are matched, you begin to share the financial responsibility for the birth mother with the agency. At that time, you will work with our financial department to fully understand all financial obligations associated with that situation. We generally charge half the overall fee at the match, and the other half at the time of placement.


We primarily advertise our adoption services to potential birth mothers on the Internet.

We also have many expectant mothers who are referred to us by previous clients.


Our agency works with a diverse group of expectant mothers, ranging in age from 14 to 44 and representing various races and backgrounds. Each woman brings a unique personality and story to the adoption process.

What unites these expectant mothers is their profound love for their child and their courageous efforts to provide the best possible future for their babies.

On average, our expectant mothers are around 26 to 28 years old, with many already parenting other children or facing challenges such as having children removed from their care. A significant number of these mothers approach us during crisis situations, dealing with issues like homelessness, abuse, lack of family support, substance use, or mental health concerns.

Prospective adoptive families often inquire about the expectant mothers’ plans during pregnancy and specific timelines. However, it’s crucial to understand that these women, many of whom are navigating this process for the first time, may not have all the answers upfront. Flexibility and acceptance of evolving circumstances are key as we support them through their journey.

Our agency is dedicated to providing comprehensive support and resources to these expectant mothers, helping them navigate challenges and make informed decisions for themselves and their babies.


Yes. Heart to Heart works with birth mothers at any stage of pregnancy. We can build a plan in days, provide emergency housing and financial support, fast-track family selection, and prepare legal paperwork quickly. It is never too late to call.

The hospital time is a time of great stress for the birth mother, and she needs great flexibility. We talk with each birth mother beforehand about her desires for the hospital. This includes:

  • Who does she want in the room during labor?
  • Who does she want in the room during delivery?
  • Does she want to hold the baby right after birth?
  • Who will get the second hospital band? (The band that allows admittance into the nursery. The birth mother will get the first.)
  • How much time does she want to spend with the baby in the hospital?
  • How much does she want to visit with the adoptive family in the hospital?

We will tell you the birth mother’s wishes before you go to the hospital.  However, it is very important to remember that the birth mother’s wishes will probably change once she enters the hospital.  It is important to be flexible.

Remember, most birth mothers have never done this before.  It is impossible for your birth mother to predict how she will feel or react to any given situation.

Your case manager will be in contact with you and guide you throughout this process.


Call us immediately. Heart to Heart can have a case manager at the hospital within hours. A placement can still be arranged, and you will still have the chance to choose the family and receive full legal support. You do not have to sign anything until you are ready.

When engaging with an expectant mother for the first time, it’s crucial to approach the conversation with empathy and sensitivity. Talk with your case manager about anything specific you should know about what might be good or bad to discuss.

Here are some guidelines on how to navigate this initial interaction:

1. Understand Their Preferences: Prior to meeting or talking with the expectant mother, it’s helpful to consult with the staff member who has been working closely with her. This ensures you’re aware of topics that may be sensitive or meaningful to her.

2. Start with Positive and Neutral Topics: Begin the conversation by asking about her pregnancy and how she’s feeling. Inquire about her interests, future plans, and connections with friends and family. These are generally safe topics that can help establish rapport and build trust.

3. Express Genuine Care: It’s essential for the expectant mother to feel that you genuinely care about her well-being, not just about the baby. Express empathy, listen actively, and show understanding of her situation and emotions.

4. Navigate Sensitive Topics Thoughtfully: While discussing other children or the birth father may be important, approach these topics with sensitivity. Be mindful of her comfort level and readiness to discuss such matters, and avoid pushing for details if she seems hesitant.

5. Find Common Ground: Share your own interests and experiences as well. Finding common ground can foster a sense of connection and mutual understanding, contributing to a more meaningful and supportive relationship.

By approaching the conversation with respect, empathy, and a focus on building a genuine connection, you can create a positive and supportive environment for the expectant mother during this critical time.


Yes. Your right to choose the adoptive family does not expire based on timing. Even with limited time, Heart to Heart will show you profiles of waiting families and help you find the right match as quickly as possible.

When considering an appropriate gift or gesture to express gratitude to birth parents, it’s important to approach the situation with thoughtfulness and sensitivity. Here are some suggestions:

1. Small Tokens of Appreciation Pre-Placement: Before the placement occurs, it’s appropriate to give very small tokens of appreciation or greeting. These could include heartfelt notes, flowers, or small tokens that convey gratitude without being extravagant.

2. Sentimental Gift and Card Post-Placement: After placement, when the relationship has developed further, consider giving a more sentimental gift along with a heartfelt card expressing your gratitude. This could be a personalized keepsake, a meaningful book, or a gift that reflects their interests or hobbies.

3. Avoid Large or Expensive Gifts: It’s essential to avoid giving large or expensive gifts that may be perceived as coercion or undue influence. The focus should be on genuine appreciation and maintaining a respectful relationship.

4. Consider Handmade or Thoughtful Gifts: Handmade gifts or items that hold sentimental value can be especially meaningful. For example, a scrapbook documenting special moments or a personalized piece of artwork can convey heartfelt gratitude.

5. Include Personal Touches: Regardless of the gift chosen, adding personal touches such as handwritten notes, photographs, or shared memories can enhance the sentiment and show that the gift was chosen with care.

6. Respect Their Wishes: Always consider the birth parents’ preferences and wishes regarding gifts and gestures. Some may prefer simple acknowledgments, while others may appreciate more elaborate gestures. Respect their boundaries and comfort levels.

By approaching the gesture of gratitude with sincerity, thoughtfulness, and respect for the birth parents’ wishes, you can convey your appreciation in a meaningful and appropriate way.


Emergency housing, immediate financial assistance, 24/7 case manager access, fast-track legal paperwork, and same-day hospital support are all available. Heart to Heart responds quickly to late pregnancy situations. Call 844-522-7700 anytime.

Yes. Heart to Heart has experience with NICU placements and works with families who are prepared for babies with special medical needs. We coordinate with medical staff and help you navigate the additional steps that come with a premature birth.

Finalization is a significant milestone in the adoption process, marking the legal completion of the adoption and the transfer of parental rights from the adoption agency to the adoptive parents. Here’s a closer look at what finalization entails and how it is handled: 

1. Timeline and Process: Finalization typically occurs after a successful supervisory period, which is usually around 6 months but can vary based on state laws and specific circumstances. During this time, the adoption agency monitors the placement to ensure it is in the best interest of the child.

 2. Legal Guardianship: Once finalization is complete, the adoption agency relinquishes legal guardianship of the child, and the adoptive parents become the child’s legal parents with all associated rights and responsibilities. 

3. Responsibility for Legal Fees: Adoptive parents are responsible for any legal fees associated with the finalization process. It’s important to budget for these costs and consider selecting independent legal counsel for the adoption proceedings. 

4. Choosing Legal Representation: We encourage adoptive parents to find an attorney or agency specialized in adoption within 30 days of placement to handle the finalization process. While we can provide recommendations in some areas, the choice of legal representation ultimately rests with the adoptive parents. Finalization is an exciting and significant step that formalizes the bond between adoptive parents and their child, granting legal recognition to the family unit created through adoption.

Adoption is a lifelong journey. Finalization marks the completion of the legal aspects of adoption, but it’s just the beginning of your family’s adoption story.

You’ll continue to nurture your relationship with the birth family and navigate various challenges as your child grows and develops.


Heart to Heart Adoptions can help cover rent, food, utilities, medical care, transportation, and other pregnancy-related expenses. There is no cost to you. You may also qualify for help after placement. Call us to find out what you are eligible for. There are legal limits to what we can do.

At Heart to Heart Adoptions, we believe in openness and honesty when it comes to adoption. We encourage families to discuss adoption and the child’s birth family from infancy onward, making it a natural and ongoing conversation as the child matures.

Every child and family is unique, so it’s important to tailor your approach to match the child’s age and level of understanding. You can find support and guidance from adoptive family social media groups, where experiences are shared, and through books that address adoption-related topics.

If you have specific concerns or questions about navigating conversations about adoption with your child, please don’t hesitate to reach out to us. We’re here to support you every step of the way.


At Heart to Heart Adoptions, we believe in openness and honesty when it comes to adoption. We encourage families to discuss adoption and the child’s birth family from infancy onward, making it a natural and ongoing conversation as the child matures.

Every child and family is unique, so it’s important to tailor your approach to match the child’s age and level of understanding. You can find support and guidance from adoptive family social media groups, where experiences are shared, and through books that address adoption-related topics.

If you have specific concerns or questions about navigating conversations about adoption with your child, please don’t hesitate to reach out to us. We’re here to support you every step of the way.


Don’t worry about the distance. We’re here available in Moab, Cache Valle, or St. George. We can talk by phone or text, and we come to you if needed. Call or text us anytime.

Many of the families who come to us seeking adoption have faced challenges with infertility. Coping with infertility involves navigating a significant loss, which can often go unrecognized or undiscussed, adding to the emotional difficulty.

Adoption is a wonderful option for those unable to have children biologically. However, it’s crucial to address the grief and loss associated with infertility before pursuing adoption. Adoption is about building a family, not replacing a desired child. It’s also important to note that the adoption process itself can be emotional and stressful.

We advise families to pause fertility treatments or pregnancy attempts while pursuing adoption to focus fully on the adoption journey. Moving from infertility to adoption often involves experiencing stages of grief and loss, including denial, anger, bargaining, sadness, and acceptance.

It’s essential for both partners to openly discuss and process these emotions, recognizing that everyone moves through grief at their own pace. Both parents must feel emotionally ready to embrace adoption. Adoption should never be pursued solely to please a spouse.

If you’re unsure about your feelings or need support during this transition, consider joining an infertility support group, speaking with other couples who have gone through similar experiences, consulting with a counselor, or exploring books on the topic.


Yes. Counseling at Heart to Heart is free and available before you make any decision. You can talk through all your options with no pressure and no obligation to move forward with anything.

Yes. All calls, texts, and counseling sessions are completely confidential. We will not contact anyone in your life without your permission. Heart to Heart has a full-time staff member dedicated to compliance and privacy protection.

Yes. Open adoption is common, and you can agree with the adoptive family on what feels comfortable.

Call or text us anytime. Heart to Heart Adoptions has staff available 24 hours a day, seven days a week. Call 844-522-7700 or text 844-522-7700. Someone will answer: days, nights, weekends, and holidays. If we don’t answer immediately, it is because we are on the phone with someone else. Text or call back immediately.

Yes. You won’t get “paid” to place your baby, but you shouldn’t have to struggle. We help with housing, clothing, food, transportation, and more.

Every adoption journey is unique, so timelines vary based on factors like your preferences, completed home study, and when you’re matched with an expectant parent. We’ll help you understand what to expect at every stage of the process.

A birth mother in Utah must wait at least 24 hours after birth before signing relinquishment papers. Consent cannot be given before the baby is born. It must be signed in front of a judge or authorized official, voluntarily, and without coercion.

The cost of adoption depends on several factors, but we’ll provide clear information about agency fees, expected expenses, financial resources, and available grants so you can plan with confidence.

A home study is a required part of every domestic adoption. It includes education, interviews, background checks, and a home visit to help prepare your family and ensure you’re ready to adopt.

Absolutely. You’ll be able to view family profiles, ask questions, and find someone who feels right.

Yes, under certain conditions. Birth father consent is required if he is married to the birth mother, has established legal paternity, or has filed with Utah’s putative father registry and provided financial support. If none of these apply, his consent is generally not required.

Yes. Most domestic infant adoptions today include some level of openness. Together with the expectant parent, you’ll determine the type of relationship and ongoing contact that feels right for everyone involved.

Yes. Many single individuals successfully adopt. Requirements vary by state, but our team can help you understand eligibility, answer your questions, and guide you through the process.

Under Utah law, there is help for pregnancy-related expenses, including housing and support after the birth. SB154 requires full disclosure of all payments. Heart to Heart documents and complies with all requirements.

After you’re matched with an expectant parent, we’ll continue guiding you through communication, hospital planning, placement, post-placement requirements, and legal finalization until your adoption is complete.

Yes. Every birth mother working with Heart to Heart Adoptions is given her own independent attorney. This is legal representation away from the agency and away from the adoptive family. Your attorney represents only your interests throughout the process.

Every family’s timeline is different, and factors like your preferences and openness affect how quickly a match happens. Most Heart to Heart families complete their adoption within a year, though some journeys take longer. Your specialist will help you understand what to expect at each stage.

Your family profile is typically created after your home study is underway or completed. We’ll help you develop a profile that authentically shares your family’s story with expectant parents considering adoption.

Yes. Most adoptions today involve some level of openness. We’ll discuss your preferences and help facilitate an adoption plan that reflects the comfort level of everyone involved.

Once you’re matched, you’ll work closely with your adoption specialist to prepare for placement, communicate according to the adoption plan, and navigate the legal steps leading to finalization.

Finalization is the court hearing that makes your adoption legally permanent. It typically takes place three to six months after placement, once any required post-placement supervision is complete — the exact timing varies by state. Your adoption attorney and specialist will guide you through this final step.

Absolutely. From your first conversation through finalization, your dedicated adoption specialist will answer questions, provide resources, and support you every step of the way.

As many as you want. Heart to Heart has over 100 pre-approved waiting families, with detailed profiles that include photos, personal letters, and information about their home, values, and lifestyle. New families join regularly. Your case manager can help you search.

Yes. The federal adoption tax credit allows eligible families to claim qualified adoption expenses on their taxes, which can significantly offset the cost of adoption. Credit amounts and income limits are adjusted each year, so check with a tax professional or the IRS for current figures.

Yes. You can meet your chosen family by phone, video call, or in person before placement. Many birth mothers find this reassuring. If you prefer not to meet beforehand, that is equally valid. The choice is yours.

Many families combine several resources: the federal adoption tax credit, employer adoption benefits, adoption grants like the Heart to Heart Adoption Grant, and fundraising or savings plans. Your adoption specialist can point you toward assistance options during your consultation.

Talk to your case manager. Heart to Heart works with families from across the country, so the pool is large. We keep looking until we find families that match what you are looking for. You will not be pressured to choose someone who doesn’t feel right.

Adoption fees are paid in stages throughout the adoption process rather than all at once. Your adoption specialist will explain the payment schedule, review estimated costs, and answer your questions before any financial commitments are due.
Adoption fees are paid in stages throughout the adoption process rather than all at once. Your adoption specialist will explain the payment schedule, review estimated costs, and answer your questions before any financial commitments are due.

Yes. Open, semi-open, and closed adoption are all available in Utah. With open adoption, you and the adoptive family agree on ongoing contact — letters, photos, calls, or visits. Utah courts can enforce these agreements to protect your rights.

Yes. Utah law supports your right to make this choice based on your own wishes and values. Heart to Heart and Utah’s SB154 legislation both honor and protect your right to choose the family that feels right, with no pressure and no deadline.

Some medical and legal expenses are separate from the agency fee and vary based on each adoption. Depending on the circumstances, certain medical costs may be covered by insurance or other available resources. Your adoption specialist will discuss any anticipated expenses before you move forward.

Yes. Heart to Heart Adoptions offers an Adoption Grant program for qualifying families. Grant availability and eligibility are based on financial need and available funding. Your adoption specialist can explain the application process and answer any questions.

If an adoption opportunity does not move forward before placement, Heart to Heart Adoptions has policies designed to help protect families and explain how previously paid agency fees may apply to a future adoption opportunity. Your adoption specialist will review these policies with you before you move forward.

Yes. Heart to Heart provides free, confidential counseling for birth mothers at any point. You can talk to someone before, during, or after placement. There is no charge and no obligation. You do not need to be committed to adoption to call. You can simply talk.

Yes. Everything you share with a Heart to Heart counselor is completely private. We will not contact your family, your partner, or anyone else without your explicit permission. Confidentiality is protected throughout every interaction.

No. You can call before you have made any decision at all. Many women call just to understand their options. A counselor will listen, answer your questions honestly, and support whatever you decide. And you may decide to parent your baby. If that is the right option for you, we are here to support you and help you find the help you need.

An adoption counselor can help you process your emotions, understand all your options, prepare for difficult conversations with family, plan for your hospital experience, and find support after placement. They answer your questions honestly and without pressure

Yes. Heart to Heart Adoption has staff available 24 hours a day, seven days a week. This includes nights, weekends, and holidays. If someone doesn’t answer, they are on a phone call with another caller, but will call you back as soon as possible. Call 844-522-7700 or text 844-522-7700 anytime.

An adoption home study is a required evaluation completed by a licensed social worker. It includes interviews, education, background checks, documentation, and a home visit to help prepare your family for adoption and ensure a child will be placed in a safe, supportive environment.

The timeline varies depending on your state, your home study provider, and how quickly paperwork and required documents are completed. Your adoption specialist can help you understand what to expect based on your situation.

No. Social workers are not looking for a perfect home—they’re looking for a safe, stable, and loving environment where a child can thrive. The home study is designed to prepare and support your family, not to find reasons to deny your adoption.

Requirements vary by state but commonly include background checks, medical forms, financial information, personal references, and other supporting documentation. Your home study provider will explain exactly what you’ll need.

Heart to Heart Adoptions works with licensed home study providers and can help connect you with the appropriate professional based on your state and adoption plan. We’ll guide you through the process and coordinate with your provider throughout your adoption journey.

Once your home study is approved, you’ll be ready to move forward in the adoption process, including creating your family profile, being presented to expectant parents, and preparing for a potential match.

An adoptive family profile introduces your family to expectant parents through photos, videos, personal stories, and your online Family Portal. It helps expectant parents learn about your personality, lifestyle, values, and the life you hope to share with a child.

An adoptive family profile introduces your family to expectant parents through photos, videos, personal stories, and your online Family Portal. It helps expectant parents learn about your personality, lifestyle, values, and the life you hope to share with a child.

Your profile should provide a genuine look at who you are as a family. Consider including:

  • Photos of everyday life
  • Short videos introducing your family
  • Your adoption journey
  • Family traditions and hobbies
  • Information about your home and lifestyle
  • Your hopes for becoming parents
  • An interactive digital profile book

The goal is to help expectant parents feel like they’re getting to know the real you.


No. Some of the most meaningful profile photos are candid moments that reflect your everyday life. High-quality images are helpful, but authenticity is far more important than perfection.

Yes. Your Heart to Heart Family Portal is designed to grow with your family. You can update photos, videos, milestones, and profile information throughout your adoption journey.

The best profiles are honest, personal, and authentic. Instead of trying to present a perfect family, focus on sharing your personality, traditions, values, and everyday life so expectant parents can make a genuine connection.

Yes. The Heart to Heart Family Portal allows expectant parents to explore family profiles that include photos, videos, personal information, and an interactive digital profile book, creating a richer experience than a traditional printed profile alone.

Your profile book is displayed in a digital page-turning reader, giving expectant parents the familiar experience of flipping through a traditional profile book while viewing it online from anywhere.

As you complete your profile, you’ll share information about your family, lifestyle, interests, and values that helps create a richer picture of who you are. A complete, authentic profile makes it easier for expectant parents to learn about your family and discover the qualities that matter most to them.

Yes. Our team is here to answer questions, provide guidance, and help you create a family profile that reflects your unique story while making the most of the Heart to Heart Family Portal.

Open adoption can include letters, photos, phone calls, video chats, or occasional visits. Every adoption is unique, and the level of communication is agreed upon by everyone involved, always with the child’s best interests in mind.

No. Adoptive parents are the child’s legal parents and make all parenting decisions. Open adoption is about maintaining healthy, appropriate connections—not sharing parental responsibilities.

Yes. Relationships naturally evolve as children grow and family needs change. Communication plans can be adjusted over time through mutual agreement and ongoing support from your adoption professional when needed.

How does Heart to Heart Adoptions support open adoption?

Yes. Open adoption is not one-size-fits-all. Before placement, birth parents and adoptive families work together to discuss expectations and create a communication plan that feels comfortable for everyone involved. Every relationship is unique.

As children grow, their curiosity and needs change. Many open adoption relationships adapt to include more communication when it serves the child. If your child expresses a desire for more contact, your adoption specialist can help you and the birth family navigate that conversation thoughtfully.

We help before and after placement: guiding you and the birth parents through creating a communication plan, providing Our Hearts Connect for secure private sharing, and remaining available for support and mediation as your relationship evolves over the years.

You’re not locked into anything. In Illinois, you don’t sign papers until after the baby is born and you’ve spoken with an attorney.

Maybe,but more people will admire your courage than you realize.

You’re allowed to be unsure. We’ll walk with you while you figure it out.

Yes. The Multiethnic Placement Act of 1994 and the Interethnic Adoption Provisions of 1996 prohibit agencies receiving federal funding from denying or delaying placements on the basis of race, color, or national origin.

Research shows they can develop strong, healthy identities — but outcomes are significantly shaped by how intentionally families engage with race and cultural heritage. Children in families that actively nurture racial identity fare measurably better.

MEPA, amended by the Interethnic Adoption Provisions, requires agencies receiving federal funding to make diligent recruitment efforts reflecting the racial/ethnic diversity of children in the system, while prohibiting race as the sole basis for denying a placement.


Yes. Birth mothers in domestic infant adoption have broad rights to select the family that will raise their child, and race is a factor they are legally permitted to consider. An ethical agency will support whatever criteria matter to her.

Mandatory pre-adoption training on racial identity development, experience with transracial families, honest conversations about community and readiness, and respect for the birth mother’s role in cultural identity. If an agency makes it sound simple, look elsewhere.

Ask directly about their community, neighborhood, church, social circle, what they have read, and what training they have done. Families who have done the work will have specific answers. Generalities are a warning sign.

Families that engage with diverse populations and are race and culturally aware have children who fare much better.

The first step is completing an adoption application and speaking with one of our adoption specialists. We’ll walk you through the process, answer your questions, and help you begin your home study so you can move toward becoming an approved adoptive family.

We welcome individuals and couples from a variety of backgrounds who meet our agency and state requirements. During your consultation, we’ll discuss eligibility, answer your questions, and help determine the best path forward for your family.

Every adoption journey is unique, so timelines vary based on several factors, including your preferences, home study completion, and adoption opportunities. Your adoption specialist will help you understand what to expect throughout the process.

After submitting your application, you’ll meet with an adoption specialist to discuss your goals, complete required paperwork, and begin your home study. We’ll guide you through each step until you’re approved and ready to be presented to expectant mothers.

A home study is a required evaluation that helps ensure you’re prepared to adopt. It includes interviews, education, background checks, home visits, and documentation. The process is designed to prepare families—not eliminate them.

Yes. Many single individuals successfully adopt through Heart to Heart Adoptions. We’ll discuss your goals, support system, and state requirements to determine whether adoption is the right fit for your family.

Yes. Heart to Heart Adoptions works with families from many backgrounds. During your consultation, we’ll discuss your adoption goals, applicable state requirements, and help you navigate the process.

No. You don’t need to own a home to adopt. Whether you rent or own, the focus is on providing a safe, stable, and loving environment for a child.

Every expectant mother has unique hopes and preferences for her child’s future. Our placement specialists carefully review family profiles and adoption plans before discussing potential matches to help create the best possible connection.

Maria from Corpus Christi called us late one night worried about medical bills, you might be concerned about the costs of adoption. Let us be clear: placing your baby for adoption in Texas is completely free for you. 

Real Support for Real Needs 

We recently helped Sarah, a birth mother from Austin, who needed: 

  • A safe place to live during her pregnancy
  • Transportation to doctor appointments
  • Help with maternity clothes 
  • Support with grocery and utility bills 
All of these needs were met through our program, as they will be for you.

Waiting times vary because every adoption situation is different. Factors such as your preferences, openness, and current adoption opportunities all influence your timeline. Your adoption specialist will keep you informed throughout the process.

Current adoption situations are shared for informational purposes. Our placement specialists review each expectant mother’s preferences before identifying families who may be a good fit. If your family is being considered, we’ll contact you directly.

es. If an expectant mother’s preferences align with your family’s profile and adoption goals, your placement specialist will contact you to discuss the opportunity and explain the next steps.

Open adoption allows birth parents and adoptive families to maintain some level of ongoing communication after placement. Every relationship is unique, and communication plans are created together based on everyone’s comfort level.

No. Adoptive parents are the child’s legal parents and make all parenting decisions. Open adoption simply allows for agreed-upon communication that benefits the child and supports healthy relationships.

Yes. Communication plans are flexible and often evolve as children grow and relationships develop. Any changes are discussed together with respect for everyone involved.

Many adoptive families exchange photos, updates, messages, or occasional visits through an open adoption plan. The level of contact depends on the communication plan created together before placement.

Adoption costs vary depending on your individual journey and services provided. We’ll review all fees with you upfront so you understand what’s included and can plan with confidence.

Adoption fees typically include professional services such as case management, counseling, matching, legal coordination, education, and ongoing support throughout your adoption journey.

Many families use grants, employer adoption benefits, tax credits, fundraising, or financing options to help offset adoption expenses. Our team can provide resources to help you explore available opportunities.

Adoption plans can change at any time. While every situation is handled individually, we’ll communicate openly with you, explain your options, and continue supporting you throughout your adoption journey.

No. Adoption is always free for birth mothers.

You can still receive assistance and are not obligated to proceed with adoption.

After placement, you’ll begin adjusting to life as a family while completing required post-placement visits. Your adoption specialist remains available to provide guidance and support throughout this important transition.

Finalization timelines vary by state and individual circumstances. After required post-placement supervision is complete, your attorney will guide you through the legal process to finalize your adoption.

Yes. Our relationship doesn’t end at placement. We continue providing guidance, education, and support for adoptive families as questions and needs arise throughout the years.

Heart to Heart Adoptions offers ongoing education, support, referrals, and resources to help families navigate parenting, open adoption relationships, and each stage of their adoption journey.

Only after your baby is born. New York law doesn’t allow consent to be signed during pregnancy, no matter how ready you feel.

If you signed outside of court, yes, within a window your lawyer will explain. If you signed in court before a judge, it’s usually final right away.

Current adoption situations are updated as new adoption plans become available and existing situations change. Because adoption is dynamic, information may change at any time.

It depends on whether he’s married to you and, if not, what steps he’s taken toward paternity and caring for the child. Your lawyer will walk through what applies to your situation.

To protect the privacy of expectant mothers, only basic information is displayed initially. Additional details are shared directly with families being considered for a potential match.

Your caseworker and lawyer will explain New York’s specific requirements for this situation, which still allow your adoption plan to move forward through the proper legal steps.

Yes. If an expectant mother’s preferences align with your family’s profile, your placement specialist will contact you to discuss the opportunity and explain the next steps.

Can I request to be considered for a specific situation?

New York’s rules for unmarried fathers are different from married fathers, based on the steps he’s taken toward paternity and contact with the child. Your lawyer will assess this for your specific case.

The number of current adoption situations changes frequently. Some situations are matched quickly, while others may not be appropriate for every approved family based on an expectant mother’s preferences and adoption plan.

Yes, if you’re an adult. New York law doesn’t require you to involve your parents in your own adoption decision. If you’re a minor, your caseworker can explain what does and doesn’t apply to your situation.

Your adoption specialist is your best resource. They can answer questions about the matching process, explain what to expect, and provide guidance throughout your adoption journey.

If you choose a family from another state, additional federal and state steps apply to make sure both states’ laws are followed. Heart to Heart and your lawyer handle these steps for you.

Yes. Adoption plans naturally evolve, and details may change as an expectant mother’s circumstances or preferences change. We recommend checking the portal regularly for the most current information.

You have the right to counseling, your own free lawyer, and full information about the process. This is all before you’ve made any final decision or signed anything.

Not necessarily. Current situations are shared with approved families for informational purposes. If your family is identified as a potential match based on an expectant mother’s preferences, your placement specialist will contact you directly.

Yes. There’s no point in pregnancy where it’s too late to start exploring adoption. Heart to Heart Adoptions has helped women make plans in their final weeks.

Yes. Some women decide after their baby is born that adoption might be the best thing for both them and their baby. Adoption consent in New York can only be signed after birth anyway, so deciding at or after delivery is completely normal.

That doesn’t change your options. Many birth mothers already have children. Your caseworker will talk with you about your full situation, including how this decision fits with the family you already have.

Yes, starting at month 8 of pregnancy under New York law. If you need rent help earlier, your caseworker can connect you with New York State programs that can help sooner.

Your caseworker will walk you through what New York law requires in this situation. It does not stop you from moving forward with an adoption plan.

No. Heart to Heart works with birth mothers at any stage of pregnancy, including the third trimester and after birth. We can build a plan in days, help with emergency housing, and still give you the chance to choose your baby’s family.

Yes. You review real family profiles and choose yourself. No one chooses for you, and no one pressures you toward any one family.

Yes. New York lets you set up a contact agreement with the adoptive family that a judge can approve and enforce. You decide how much contact feels right.

Nothing. Counseling, legal help, and case management are all free to you. Living-cost help is also available starting at month 8 of pregnancy.

Yes, at any point before you sign final consent. After you sign, New York gives you a window of time to reconsider if you signed outside of court.

It depends on your timeline and your pregnancy. Some women start the process months before their due date; others reach out during labor or shortly after birth. Your caseworker builds your plan around your pace, not a fixed schedule.

Yes. Heritage, language, faith, and lifestyle are all things you can ask for when reviewing families. Tell your caseworker what matters to you, and they’ll search with that in mind.

That’s the most common place to start. Counseling and support are there before you decide anything. Many women who call us end up choosing to parent, and we help connect them with resources for that too.

That’s a completely valid preference. Tell your caseworker, and they’ll search for families who already have children at home, if that’s what feels right to you.

Yes. Heart to Heart works with single parents as well as couples. If that’s your preference, your caseworker will include single-parent profiles in your search.

Yes. Faith and religious upbringing are common and legitimate preferences. Tell your caseworker what matters to you, and they’ll search with that in mind.

Your caseworker and lawyer will explain New York’s specific requirements for this situation, which still allow your adoption plan to move forward through the proper legal steps.

Yes, if you’d like to. Most families are open to a call, video chat, or in-person meeting before anything is decided. Meeting isn’t a commitment.

Questions about how they handle conflict, how they plan to talk to your child about adoption, what their daily life looks like, and how they picture staying in touch are all good starting points. See the downloadable list above for more.

Yes, if both you and the family want to. Many birth mothers build a relationship with their chosen family well before their due date.

Keep looking. You’re never limited to the first set of profiles you see. Heart to Heart has dozens of waiting families, and partnerships with other agencies can open up even more options.

You can change your mind at any point before consent is final. Picking a family doesn’t lock you in. Tell your caseworker. They handle the conversation with the family, and you go back to reviewing profiles.

New York lets you set up a contact agreement a judge can approve and enforce — that gives it real legal weight. Heart to Heart also stays involved after placement. If the agreement isn’t being honored, your caseworker speaks up for you directly.

In most open and semi-open adoptions, yes. How much and how often depends on the agreement you and the adoptive family set up together.

Yes. Photos are one of the most common forms of contact in open and semi-open adoptions, often shared through OurHeartsConnect.

Yes, if that’s part of the agreement you and the adoptive family set up. Visits are possible in open adoption and can be written into your Post-Adoption Contact Agreement.

Talk to your caseworker. Many families are open to adjusting contact over time, and your caseworker can help start that conversation.

That’s okay too. Your caseworker can help you navigate that conversation with care, for your sake and the adoptive family’s.

Your contact agreement doesn’t depend on the family staying in one place. If they move, the agreement still applies, and Heart to Heart stays available to help if logistics need to be worked out.

In open adoption, often yes, depending on what’s been agreed to and your child’s age. Many open adoption relationships continue and grow as the child gets older.

Yes, once a judge approves the agreement as part of the adoption. That’s one of New York’s strongest protections for birth mothers who want ongoing contact.

Yes. Some women decide during labor or right after birth. Your caseworker can talk with you at the hospital or right after you’ve left, whatever works for your situation.

No. Call now. Heart to Heart has helped women build plans in their final days of pregnancy. The sooner you call, the more options your caseworker can help you explore, but it is not too late.

Yes. New York law actually requires that consent be signed after birth, so plenty of women finalize their decision once their baby has already arrived.

That’s completely fine. Naming your baby doesn’t change your options or commit you to anything. Many birth mothers name their baby and still choose adoption.

That’s okay too. You can continue talking with your caseworker after you’ve left the hospital. New York law requires that consent happen after birth, but there’s no deadline for when after birth you have to decide.

Yes, if you’d like to. Many birth mothers meet or talk with their chosen family by phone, video, or in person before their due date. It’s entirely your choice whether and when to meet.

You can change your mind at any point before you sign consent, which can only happen after birth anyway. Nothing during pregnancy locks you into a decision.

It depends on the situation. New York treats married and unmarried fathers differently, and an unmarried father’s rights depend on the steps he’s taken. Your caseworker and lawyer will walk you through what applies to you specifically.

Yes, starting at month 8 of pregnancy under New York law. If you’re earlier than that and behind now, your caseworker can connect you to New York State emergency housing programs right away.

Yes, as part of the living-cost help available starting at month 8 of pregnancy. Earlier in your pregnancy, WIC and New York’s 211 system can help with food costs.

Yes. Being unemployed doesn’t disqualify you from any of Heart to Heart’s services, including living-cost help starting at month 8 of pregnancy or counseling, which starts right away.

Yes. Rides to medical appointments are part of the living-cost help available starting at month 8 of pregnancy under New York law.

Yes. Living-cost help continues through 30 days after birth under New York law, and counseling and post-placement support continue for as long as you need them.

Rent, utilities, groceries, medical costs not covered by insurance, transportation to appointments, maternity clothing, and legal fees — all starting at month 8 of pregnancy through 30 days after birth.

Talk to your caseworker right away. If you’re in an unsafe situation, Heart to Heart can help connect you with emergency resources, regardless of where you are in your pregnancy.


Yes. Counseling is completely free and starts with your very first call, with no waiting period and no connection to the month-8 rule for living-cost help.

No. All of Heart to Heart’s services, legal, counseling, case management, medical coordination, are free to birth mothers. Living-cost help is also available starting at month 8 of pregnancy, under New York law.

New York law, like federal law, bans paying someone specifically for placing a baby for adoption. What’s legal is help with real pregnancy costs: rent, groceries, utilities, medical care. The line is: paying you for the adoption is illegal; supporting you through a pregnancy is legal.

Counseling and case management begin with your first call. Money help under NY law begins once you reach month 8 of pregnancy. We can connect you to state programs right away if it’s urgent.

Yes. Heart to Heart Adoptions is a licensed, nonprofit adoption agency in Florida (License #100033775). We are a 501(c)(3) organization and have been serving birth mothers and adoptive families in Florida for more than 25 years.

No. There is no cost to birth mothers at any point. The adoptive family covers all agency fees. You may also qualify for help with housing, food, medical care, and transportation during your pregnancy. Florida law allows agencies to provide this assistance.

Yes. Florida law supports your right to choose the adoptive family. Heart to Heart gives you access to 100+ approved family profiles. You can review them, ask questions, and meet families before making your decision. There is no deadline.

We offer housing assistance, medical care, living expense coverage, 24/7 counseling, legal representation, transportation help, and post-placement support. Your case manager is available day and night throughout the entire process.

Open adoption means you and the adoptive family agree to stay in contact after placement — through letters, photos, calls, or visits. The level of openness is set before placement and can grow over time. Utah courts can enforce open adoption agreements.

The timeline is entirely in your hands. Some women complete an adoption plan in a matter of weeks. Others take months. Heart to Heart has helped women who called the day they went into labor. You are never rushed. There is no deadline — not early in pregnancy, not late in pregnancy, and not after your baby is born.

Open adoption means you and the adoptive family agree to stay in contact after placement. This could be through letters, photos, calls, or visits. How open and how much contact you have and how that contact is handled is up to you.

No. Heart to Heart Adoptions is prepared to work with you regardless of where you are in your pregnancy or if you are already parenting. We can talk to you and help you from this point forward. If you are unsafe where you are at we can help you get safe housing. We have done this with emergency speed.

Your baby goes home with the adoptive family right after placement from the hospital. The legal finalization process typically takes three to six months in Florida and happens in court after the placement period. During that time, Heart to Heart remains available to you for counseling and support. Your baby is with the family you chose, in a safe and loving home, from day one.

After you placement we are still here for as long as you need counseling. Legally we can only provide finances for a few weeks after the birth, but we won’t disappear when it comes to you needing a friend or someone to talk with.

Not before 48 hours after birth (Florida Statute §63.082). No one can ask you to sign earlier. This waiting period is a legal protection for birth mothers.

Only in cases of fraud or duress. Before signing, you can change your mind at any point, for any reason. After signing, reversal requires proving fraud or duress in court.

It depends on the father’s legal status. If he is your husband or has established paternity, his consent is required. An unmarried biological father who has not registered with the Florida Putative Father Registry may not have protected rights. Your case manager and attorney will advise based on your specific situation.

Post-adoption contact agreements are legal in Florida but are only automatically enforceable if incorporated into the final adoption order. Heart to Heart recommends requesting this incorporation for any contact terms that matter to you.

Yes. Heart to Heart provides independent legal counsel at no cost to you before you sign any consent documents. This attorney represents only you.

No. Florida law does not allow payment for placing a baby. You can receive support for pregnancy-related living expenses including rent, food, and medical care. This, however, is assistance. It is not compensation for a baby.

A state registry where unmarried biological fathers must register to have legally protected rights in an adoption. Failure to register within the required timeframe may waive the right to notice and consent.

Yes, but additional requirements apply. A parent or guardian must also consent, or the court must approve the adoption. Your counselor and attorney will explain exactly what is needed for your situation

Contact an attorney immediately. Consent obtained through fraud or duress is the legal basis for reversal. Heart to Heart provides you with independent legal counsel specifically to prevent this from happening.

Typically three to six months. During that time, your baby is legally with the adoptive family, and Heart to Heart remains available to you for counseling and support.

Ask for their Florida Department of Children and Families license number and verify it. Heart to Heart’s Florida license number is #100033775.

A local Florida agency with a physical Florida office and Florida-based counselors understands the state’s specific legal requirements and has relationships with Florida hospitals, courts, and attorneys. National agencies with call centers can miss local nuance. Heart to Heart’s Florida office is in Gainesville with statewide coverage.

Yes. Heart to Heart Adoptions is a 501(c)(3) nonprofit adoption agency. Our focus is the people we serve, not agency profit.

Call or text 689-208-2050. A counselor answers right away. The first call costs nothing and commits you to nothing.

Yes. Heart to Heart has helped women make adoption plans the same day they went into labor. Call 844-522-7700 right now.

You can request a different case manager. Heart to Heart’s goal is for you to have a relationship that feels safe and right. If it is not working, we want to fix it.

Typically three to six months after placement. Your baby is with the adoptive family during this time. You do not need to attend court.

Your baby goes home with the adoptive family immediately after placement. Finalization is a legal process that happens in the background while your baby is already in their permanent home.

Yes, if you want. You control your hospital experience. You decide who will be there and when they are allowed to come. Heart to Heart Adoptions works with the hospital ahead of delivery to make sure your plan is honored.

Yes. Heart to Heart has approved families across the country. You are not limited to Florida families when you choose your baby’s adoptive family.

No. Heart to Heart provides independent legal counsel at no cost to you before you sign any consent documents.

Before consent is signed, you can change your mind at any point, for any reason. After signing, reversal is only possible in cases of fraud or duress.

Add your content here about grief, healing, counseling services H2H provides, and how birth mothers are supported long-term.


Yes. There is no deadline for choosing a family. Some women choose a family within days of calling. Others take weeks or months.

Yes. Heart to Heart has approved families across the country. You are not limited to Florida families when you choose your baby’s adoptive family.

Post-placement support includes ongoing counseling for grief, adjustment, and open adoption contact. It continues at no cost for as long as you need it. We don’t close your case at finalization. We continue to help you. 

Disrupted matches are rare. If one occurs, Heart to Heart will support you and help you find another family if you still want to proceed with adoption.

Heart to Heart will keep looking. There is no deadline and no pressure to choose quickly. If the right family is not in the current pool, your counselor will continue working to find them.

The timeline is determined by you, not by the agency. Heart to Heart can move as quickly as a same-day stork situation or as slowly as you need over months of decision-making.

The best Florida adoption agency for you depends on what you need. For birth mothers, look for a licensed nonprofit that is free, provides a dedicated case manager, offers 24/7 support, gives you the right to choose the adoptive family, and provides post-placement counseling. Heart to Heart Adoptions (FL License #100033775) meets all of these criteria and has served Florida birth mothers for more than 25 years.

Ask for the agency’s Florida Department of Children and Families license number and verify it. A licensed agency will provide this information immediately. Heart to Heart’s Florida license number is #100033775.

No legitimate adoption agency charges birth mothers. Adoption is always free for birth mothers. All agency fees are paid by the adoptive family. If an agency asks you to pay anything, walk away.

Both types can be licensed and legitimate. A nonprofit agency  operates without a profit motive. Decisions about your case should not be influenced by considerations about how much the agency may profit.  A for-profit agency must balance service quality with business sustainability. Ask both types the same questions and compare the answers.

Wait times to adopt a baby can vary a lot. We try to give you honest wait time estimates. But truthfully it is difficult to say. We have had families adopt within a few weeks after having their family profile active. We have also had families wait several months and occasional years.  Heart to Heart gives honest wait time estimates based on current placement activity rather than inflated numbers designed to attract families. Call 844-522-7700 for a current, honest answer specific to your situation.

Yes. Interstate adoption requires ICPC (Interstate Compact on the Placement of Children) compliance. Heart to Heart coordinates all ICPC paperwork for out-of-state adoptive families.

OurHeartsConnect is a private post-placement communication computer app that Heart to Heart uses to keep birth mothers and adoptive families connected after placement. Family can exchange photos, message, and videos as often as they want with only individuals who have been allowed in the group. 

Yes. Heart to Heart places babies with approved families from across the country. You do not need to be a Florida resident to adopt through Heart to Heart. ICPC handles the interstate legal requirements.

Open adoption means the birth mother and adoptive family choose to have contact after placement. This contact can take on various forms. Most families choose to exchange message, photos, and videos. some families make regular or infrequent phone calls and some arrange visits.  Heart to Heart does not require open adoption, but strongly encourages it based on research showing better outcomes for children and birth mothers. Adoptive families are vetted for their genuine commitment to honoring open adoption agreements.

Yes. All testimonials on this page and throughout the Heart to Heart Florida cluster are from real birth mothers, shared with their permission. Named and city-attributed testimonials reflect the actual experience of real women.

For most women the process of adoption was easy. The hardest part was making the decision. Many women recognized that once the decision was made there was a peace and the process was made manageable with the support offered them.

Adoption outcome for women who have placed their baby for adoption is complex with many layers. For most women, there is grief as well as a peace. Sometimes the grief feeling intensifies. Sometimes the peace is the strongest feeling. These emotions can change, but most women report that for the most part, they feel peace with their decision.  Heart to Heart’s post-placement counseling is designed specifically to support women through this.

Heart to Heart serves all of Florida. Testimonials on this page are attributed to specific cities including Miami, Orlando, Tampa, Jacksonville, St. Petersburg, and others. Over the years, we have served women all over the state of Florida. 

Reach out to Heart to Heart through the contact page or call 844-522-7700. Your story, on your terms and with your permission, can help another woman facing a similar decision.

These days, open adoptions are getting more popular. In these adoptions, birth parents and adoptive parents stay in touch even after the adoption. They share pictures, videos, and messages to stay connected.

 At Heart to Heart Adoptions, we have a free online app called Our Hearts Connect that makes it easy for adoptive families and birth families to talk. This app allows users to send messages, pictures, and videos.

In the previous section, we talked about the support that Michigan law allows for birth mothers when they place a child for adoption in Michigan. At Heart to Heart Adoptions, we also offer counseling for Michigan birth mothers after the adoption, along with a few weeks of support to help them adjust and move forward with their lives.

No. Adoption is always free for birth mothers. Heart to Heart Adoptions covers all legal services, counseling, case management, and medical care coordination at no cost. All fees are paid by the adoptive family.

Yes. Heart to Heart can help with rent and utility costs during pregnancy. This help begins as soon as you reach out and is available whether or not you have made a final adoption decision.

At Heart to Heart Adoptions, we ensure you get the proper medical care and support during labor.

As a birthmother, you have the opportunity to decide what you want in an adoptive family. You can tell us what is important to you and we will go through the hundreds of potential adoptive families and fine those that fit your desires. You can look through their family profiles. If you want, we can help you meet on a phone call or what feels comfortable to you. You can ask them whatever you want and you can meet as many as you want. This is your decision. 

Heart to Heart covers pregnancy-related medical costs not covered by your insurance or Medicaid, including prenatal appointments, labor and delivery, and any other pregnancy-related medical care you need.

No. Financial assistance for birth mothers is never a loan. It is support, not debt. If you decide not to place your baby for adoption, you do not owe anything.

Yes. Transportation to and from all medical appointments, agency meetings, and hospital visits is covered

Yes. If your current living situation is unsafe, Heart to Heart can help you find and pay for alternative housing. Call 844-522-7700 and tell your counselor what is happening.

No. Florida law does not allow payment for placing a baby for adoption. What you can receive is help with legitimate pregnancy-related living expenses. You can receive support, but babies are not for sale. You can’t receive compensation for a child. 

Agency fees are what the adoptive family pays Heart to Heart for the full adoption service. Financial assistance is a different thing. and is not connected. You can have pregnancy-related support. The agency fees are to help pay for those who are there as qualified support. 

Yes. Grocery assistance and meal support for you and your other children throughout your pregnancy are covered.

First, contact Heart to Heart Adoptions.

A caring case manager will help you with legal, emotional, and financial support.

Follow these steps to place your child for adoption in Michigan:

1- Visit your doctor for pregnancy checkups. Get in touch with Heart to Heart Adoptions for help.

2- With your case manager, make an adoption plan and decide how much contact you want.

3- Choose the perfect adoptive family after looking at profiles and meeting them. Plan for the hospital stay and give your consent to the adoption, with time for bonding.

4- Get support after placement, including counseling and ongoing help.

Call 844-522-7700 right now. Counselors are available 24/7. Tell the counselor your situation is urgent. Emergency situations are prioritized.

No. Financial assistance is available to birth mothers throughout Florida. The amount may reflect local costs, but the support program is statewide.

Usually within days of your first conversation. Urgent situations move faster.

Usually within days of your first conversation. Urgent situations move faster.

Yes. You can receive counseling and support whether or not you have made any decision about your pregnancy. Many women call Heart to Heart simply because they are pregnant and scared and need someone to talk to.

Yes. Post-placement counseling is available for birth mothers regardless of the level of openness they chose. Your counselor helps you find peace and process your experience in a way that fits your situation.

Yes. A Heart to Heart counselor can be with you at the hospital during labor and delivery if you want. You are in control of who is present and when.

Post-placement counseling continues at no cost for as long as you need it. Heart to Heart does not close your case when the paperwork is signed. Ongoing support for grief, adjustment, and open adoption contact is part of the service.

Yes, grief after placing a baby is completely normal and does not mean you made the wrong decision.  Heart to Heart counselors are trained specifically in post-placement grief support.

Yes. Heart to Heart counselors will support you regardless of what you decide. If you decide to parent, your counselor can help connect you with parenting resources, housing support, and community services.

We can help with rent or mortgage payments. If your present location feels unsafe, we can help you relocate to a place where you have less to worry about. We want you to feel comfortable so you can deal confidentially with your pregnancy.

Please call or text right now: 844-522-7700. Heart to Heart counselors are available 24/7. You can also text HOME to 741741 (Crisis Text Line) or call or text 988 (Suicide and Crisis Lifeline). You do not have to carry this alone.

Yes. Heart to Heart counselors are available 24 hours a day, seven days a week — by phone and text. There are no business hours when you are in crisis.

Yes. Everything you share with Heart to Heart is confidential. Your information is never shared outside the legal process without your permission.

We’ll cover electric, water, or telephone bills that are necessary for your living situation.

You and your minor children living with you will have food expenses covered.

We’ll assist with travel costs for medical appointments or essential trips related to your pregnancy.

Your medical expenses related to the pregnancy and birth will be taken care of.

If you’re hospitalized or unable to care for your children, we’ll provide support for their care.

We’ll cover legal costs related to the adoption process, ensuring you have proper representation and understanding of your rights.

Start the adoption process by contacting us.

A compassionate case manager will assist you with legal, emotional, and financial support.

  • Medical Care: Visit your doctor for pregnancy confirmation and prenatal care. 
  • Guidance and Support: Connect with Heart to Heart Adoptions for guidance throughout the process. 
  • Adoption Plan: Collaborate with your case manager to create an adoption plan and decide on the level of openness you prefer. 
  • Adoptive Family Selection: Review profiles and meet with potential adoptive families to choose the right fit.
  •  Hospital Plans: Develop plans for the hospital stay and consent to adoption, allowing time for initial bonding.
  •  Post-Placement Support: Receive ongoing support, including counseling and guidance, after the adoption.

You can complete the contact form, call, or text us. Someone will answer your phone call or respond to the contact information. We don't believe in pressuring you one way or another. We are here to give you the information you might need about placing a baby in Washington, DC.

 We are prepared to discuss the type of financial assistance you might need, prenatal care options, the type of adoptive family you prefer, and any other concerns you are having about placing a child for adoption.

To give you the best care possible, we'll need confirmation of your pregnancy, due date, and prenatal medical records. A medical release form will be necessary to obtain these records.

Involving the baby's father in the adoption process can benefit everyone involved. With your consent, he can actively participate in meetings alongside you, our social worker, and the chosen adoptive family. If needed, counseling can also be provided to support this process. However, we understand that there are circumstances where the birth father may not be involved, cannot be located, or should not be part of the adoption journey.

 We respect the rights of birth fathers, and we're experienced in handling situations where their involvement varies. Whether the birth father's participation is limited or not possible, we'll manage all necessary legal aspects to ensure a seamless adoption process. Your unique situation is crucial to us, and the more details we understand, the better we can tailor our support to meet your needs effectively.

You'll review potential adoptive family profiles, and you can select the one you feel is best for your baby. Each family has undergone a thorough screening and is well-prepared to provide a loving home.

Once you have looked through the profile and have chosen a family or a few families, we can have you speak with them. Often, we facilitate a phone call or online meeting. You can decide which family meets your desires. Once you feel confident in your decision, you can start communicating online and getting to know one another even better.

 Some women prefer having less contact with the adoptive family, and we honor that decision, too.   

We'll assist you in creating a hospital plan, including preferences for the baby's stay in your room, naming the baby, visitor restrictions, and other considerations. We'll also coordinate with the hospital staff to ensure they understand your adoption plan.

When you go into labor, notify us. If you want, the chosen adoptive family will come to the hospital to meet the baby. We will support you during and after delivery, ensuring everything goes smoothly.

Some birth mothers want to be induced so they can better plan. Whatever feels the most comfortable to you is what we will support.

Often, adoption documents are signed a day or two after birth. These documents MUST be signed before you or the baby is discharged. You will sign a consent, giving Heart to Heart Adoptions authority to place the child for adoption with the family you choose.

Often, adoption documents are signed a day or two after birth. These documents MUST be signed before you or the baby is discharged. You will sign a consent, giving Heart to Heart Adoptions authority to place the child for adoption with the family you choose.

Hopefully, you feel confident in your decision about the adoption and the potential adoptive family by the time you give birth. However, the District of Columbia allows you the opportunity to change your mind for two weeks from the day you sign placement.

Until the adoption is finalized, Heart to Heart Adoptions is the guardian of the baby. During this interim, usually six months, a social worker will visit with the adopting family and the baby at least three times and will file written reports describing the baby and the new home. Finalization can be completed after six months.

Reasonable and necessary living expenses include:

  • Housing expenses.
  • Essential utilities such as electricity, water, or telephone bills.
  • Food for the birth mother and any minor children residing with her.
  • Transportation expenses related to medical appointments or essential errands, such as gasoline or bus fares.
  • Medical costs associated with the pregnancy and childbirth.
  • Childcare or foster care services if the birth mother is unable to care for her children due to hospitalization or other reasons.

 However, it's important to note that reasonable and necessary living expenses do not cover:

  • Expenses already covered by your existing resources.
  • Expenses for supporting other family members, except for minor children residing with you.
  • Costs related to recreational or leisure activities.
  • Purchase of a vehicle.

After the delivery, our social worker will contact you based on your preferences. We can arrange counseling services and finances for a few weeks. We're committed to assisting you in the foreseeable future.

The process of putting a child up for adoption in the District of Columbia may initially seem overwhelming. However, rest assured that Heart to Heart Adoptions has experience helping you get your life back together while taking care to know your baby is doing great.

1- There are a lot of levels of open adoption. But whatever level there is, there will be some communication between you as a birth family and the adoptive family. This can sometimes occur indirectly using a medicator or direct communication. At Heart to Heart Adoptions, we encourage those involved in the adoption triad in Washington, DC, to at least start their adoption journey with an online app called Our Hearts Connect. This is a monitored, secure online app that allows you to exchange an unlimited number of messages, pictures, and videos.

2- There is no one way to have an open adoption. These relationships in an open adoption tend to evolve, grow, and change over time.

3- An Open Adoption–

  •  DOES MEAN: You can see your child grow up in a loving environment.
  •  DOES NOT MEAN: You and your child's parents raise the child together.
  •  DOES MEAN: Your child and their parents can talk to you about adoption.
  •  DOES NOT MEAN: You can take your baby back after adoption.
  •  DOES MEAN: You're always important as their birth parent.
  •  DOES NOT MEAN: Confuse kids about who their parents are. They understand birth parents and the parents raising them.

Washington DC law allows the kind of support we listed above for a birth mother placing a child in Washington DC. At Heart to Heart Adoptions, we also provided Washington DC birth mothers counseling after the adoption as well as a month or two of support to help them get back into their lives.

At Heart to Heart Adoptions, we help you find quality medical care and support you during labor.

Adopting a child in Washington, DC, usually falls within the national average adoption costs, varying from $20,000 to $50,000. At our adoption agency, we prioritize transparency. We provide you with the exact cost upfront, without any hidden fees. Our goal is to openly discuss the costs with you, ensuring clarity and confidence throughout the adoption process. 

 One thing to note is that some expenses, like those legally provided to birth mothers, are covered by the fees we charge as an agency. So, if you're ready to take the next step or have questions about the costs and process, let's chat. We're here to support you and make the adoption experience as smooth as possible.

Adoption in Washington, DC, can be a bit uncertain regarding timing. Sometimes, families find a match within a few months of finishing their home study. But it can also take much longer, even years. How long you wait depends on several factors, including how flexible you are about different adoption situations. On average, though, the wait for a baby in DC ranges from about 9 to 18 months. 

 Once you welcome a child into your home, there's a final step called the finalization hearing. This usually happens around six months after the child joins your family. At this hearing, a judge reviews a report from your home study professional about how things are going post-placement.

Welcome to the journey of adoption in Washington, DC! You're embarking on an incredible path towards expanding your family through adoption. The adoption home study is one of the initial and crucial steps in this process. Let's dive into what this entails and how you can easily navigate it. 

1- Understanding the Adoption Home Study — The adoption home study is a comprehensive snapshot of your life as a potential adoptive family. It's conducted by a licensed social worker specializing in home studies and aims to showcase your readiness and suitability to become loving parents. 

2-Gathering Essential Documentation — This phase involves meticulous attention to detail, as you'll need to compile various documents such as criminal background checks, financial records, health statements, references, and autobiographical statements. These documents paint a picture of your stability, health, and commitment to parenthood. 

3-The In-Home Visit — Once your documentation is in order, the social worker will schedule an in-home visit. This visit includes an inspection to ensure your home is safe and conducive to raising a child. It's not about perfection but about creating a nurturing environment. 

4-The Interview Process — Interviews with the social worker are an essential part of the home study. They delve into your motivations for adoption, knowledge about the process, and attitudes toward parenting. It's a chance for the social worker to understand your family dynamics and readiness for adoption. 

5-Post-Placement Visits and Updates — After completing the home study and welcoming a child into your home, post-placement visits ensure everyone is adjusting well. Updates may be required for significant life changes, but these are standard steps in finalizing your adoption journey.

Absolutely. Your social worker understands that everyone has a unique journey, and past challenges won't necessarily hinder your adoption process. Honest communication is key.

While cleanliness and safety are important, your home doesn't need to be flawless. Focus on creating a comfortable and secure environment for a child.

References provide additional insights into your character and support system, offering a holistic view to the social worker.

Everyone in your household who interacts regularly with the child will likely be interviewed, ensuring a thorough understanding of your family dynamic.

In Washington, most of the time, the following people need to agree to the adoption for it to happen:

  • You (the birth mom)
  • The baby’s dad (if known)

You’ll need to sign a paper agreeing to the adoption. This paper can’t be used right away, though. You have 48 hours to change your mind after signing it or 48 hours after the baby is born, whichever comes later. There are some special rules for Native American children.

The paper you sign will say a few things:

  • That a judge has to approve the adoption
  • That you can change your mind before the judge says yes
  • Whether you and the baby’s dad are Native American or Alaskan Native

Someone you trust, 18 or older, needs to be there when you sign the adoption papers. They’ll write down their name and address on the paper.

The court can decide to let the adoption happen even if someone who usually needs to agree doesn’t, if the judge thinks it’s the best thing for the child. This can occur if the person hasn’t been taking care of the child or has hurt them in the past.

The baby’s dad usually has a say in the adoption if he’s married to you when the baby is born or if he lived with you and the baby. There are other ways the dad might have rights, too, but this is an excellent general rule.

Considering adoption is a brave decision. Contact us at Heart to Heart Adoptions if you have questions or need someone to talk to. We can help you understand your options and make the best choice for you and your baby.

Adoption is typically free for birth mothers in Wyoming. Most medical care, legal services, and counseling are covered as part of the adoption process.

Wyoming law allows adoptive families to assist with reasonable living expenses. This may include support for rent, utilities, groceries, transportation, and maternity clothing during your pregnancy and in some situations for a limited time after birth.

Yes, adoption is fully legal in Wyoming, and you have the right to make decisions about your adoption plan.

You cannot sign legal consent until after your baby is born, which gives you time to rest and feel confident in your decision. Once consent is signed, it becomes a serious legal step, and you’ll have access to guidance and legal support beforehand so you fully understand your rights.

Yes. You can choose the adoptive family if you want to.

You can explore different families and decide what feels right to you, including preferences around lifestyle, location, values, and level of openness. You can also choose whether you’d like an open, semi-open, or more private adoption experience.

You may be eligible for a range of support services during your pregnancy.

In addition to financial support, this may include medical care, emotional support, professional counseling, and help coordinating safe, stable housing if needed. All support is provided within Wyoming legal guidelines and based on your individual situation.

You do not have to decide right away.

The timeline is yours. Some women begin making a plan early in pregnancy, while others reach out much later. In Wyoming, legal consent cannot be signed until after your baby is born, so you have time to explore your options.

Yes. You remain in control of your decision until you choose to sign legal consent after birth. 

You can take time to explore your options and decide what feels right for you. We’re here to support you through that process, without pressure.

In an open adoption, yes. You and the adoptive family agree on the level of contact before placement. This can include in-person visits, video calls, letters and photos, or any combination you agree on.

Semi-open adoption means contact is exchanged through the agency or a social worker rather than directly between you and the adoptive family. You receive letters and photos, but the adoptive family does not have your direct contact information

Research shows that children in open adoptions have healthier emotional outlook on life. This includes a stronger sense of identity, less confusion about their origins, and stronger emotional wellbeing. Heart to Heart Adoptions usually encourages openness. However, we have been involved with birth mothers and adopted children who are not interseted in an open adoption.

Research shows that children in open adoptions have healthier emotional outlook on life. This includes a stronger sense of identity, less confusion about their origins, and stronger emotional wellbeing. Heart to Heart Adoptions usually encourages openness. However, we have been involved with birth mothers and adopted children who are not interseted in an open adoption.

Yes. When you review family profiles, you will be able to see each family’s openness level and what they are comfortable with. Heart to Heart will match you with a family whose openness genuinely matches what you want.

Contact levels can be adjusted by mutual agreement with the adoptive family. Heart to Heart remains available to facilitate these conversations.

No. Open adoption is not co-parenting. The adoptive family is the legal parent. Open adoption means your child grows up knowing you and knowing they are loved by you — but parenting decisions belong to the adoptive family.

Only if incorporated into the final adoption order. Heart to Heart recommends requesting this if contact is important to you. Your independent attorney will advise you.

Open adoption agreements travel with the adoption. If the agreement is incorporated into the order, it remains legally in force regardless of where the family lives. Heart to Heart maintains contact with adoptive families long-term.

No. Closed and semi-open adoptions are available. Heart to Heart will help you think through what is right for you. There is no pressure to choose one or the other.

It varies by family agreement. A common pattern: photos and a letter at 3 months, 6 months, 12 months, then annually. Video calls on birthdays. In-person visits once or twice a year as the child grows. Every agreement is personal and unique.

Call or text 689-208-2050. A counselor answers right away. That first conversation costs nothing, commits you to nothing, and can start the process of getting you immediate help.

The timeline is entirely in your hands. Some women complete the process in weeks. Others take months. Heart to Heart has helped women who called the day they went into labor. There is no deadline at any stage of pregnancy or after birth.

No. ‘Giving up’ implies abandonment. Placing a baby for adoption is an active, loving decision — you choose the family, you decide the level of contact, and your child grows up knowing you made this choice out of love. Heart to Heart never uses the phrase ‘give up your baby.’

Yes, at any point before consent is signed. You can change your mind about the agency, the family, the level of openness, the hospital plan. You cannot sign consent documents for placement until at least 48 hours after birth.

Not necessarily. Florida law has specific procedures for situations where the father is unknown, absent, or unwilling to participate. An unmarried biological father must register with the Florida Putative Father Registry to have legally protected rights. Your counselor will explain exactly what applies to your specific situation

You decided what you want to happen at the hospital. You get to decide who is there with you. We will have your case manager available to be your support. You can have the adoptaive family present, or you can just take the time in the hospital to be with your baby uninterrupted. You get to decide.

No. Heart to Heart works with birth mothers at every stage of pregnancy, including the third trimester and after birth. Call 844-522-7700 right now if your situation is urgent. Someone should be available right now.

A stork situation is adoption agency language for a last-minute placement. This is when a birth mother decides to place her baby very close to her giving birth, or sometimes after she has given birth. We do this regularly and can match you with a family and get you financial and emotional support quickly. We also have attorneys in Florida who can talk to you about your legal rights. This, of course, is all free to you.

After giving birth, you can still expect free counseling or just someone to talk with. We’re her through the time it takes you to get back on your feet and then for help down the road.

Yes. Marital status has no bearing on a birth mother’s right to make an adoption plan in Florida. All of Heart to Heart’s services are available regardless of your relationship status.

An adoption agency like Heart to Heart handles the full process. this includes someone to talk with, finding the right family, financial support, and coordination with legal counsel. An adoption attorney handles the legal filings only. Heart to Heart provides you with your own independent attorney at no cost as part of the agency service.

That’s all right. These pages cover regions, not every single town. If your town isn’t named, look for the region it falls inside, or just call. You’ll get the same support no matter which page you started on.

No. Every birth mother in New York gets the same free counseling, the same legal rights, and the same living-cost help starting at month 8 of pregnancy. These pages cover local color — nearby resources, what other women in your area have asked — but the core support is the same everywhere in the state.

Yes. Remote counseling by phone or video reaches every part of New York. Distance is never a barrier.

No. These are free to download and free to use, whether or not you ever call Heart to Heart Adoptions.

No. These are tools to help you think and prepare. These are definitely not a substitute for your own caseworker, counselor, or independent attorney, who can speak to your specific situation.

Call or text 518-557-1722and ask your caseworker. They can help arrange that if printing isn’t easy for you.

If you know you want to grow your family but you are not sure what type of adoption is the best for you and your family, then we want to help you answer any questions you have. There is more than one way to adopt, and the experience can be very different depending on the path you choose.

Heart to Heart Adoptions is an agency that provides domestic infant adoption services. But we can help you understand other types of adoption so you can decide how domestic adoption fits with the other choices you have. We’re willing and happy to steer you to the best situation for you. Before we spend the rest of this Guide talking about domestic infant adoption through Heart to Heart Adoptions, it helps to see where it fits among your other choices.

What Are the Main Types of Adoption?

Families can grow through several different adoption paths. The five most common are domestic agency adoption, independent adoption, kinship adoption, international adoption and adoption from foster care. Each has its own process, costs, timelines and legal requirements.

What Is Domestic Agency Adoption?

You work with an adoption agency that helps with preparation, matching, support and the legal steps of adoption where the adoptive parents and the birth parents live in the same country. Heart to Heart Adoptions works primarily in domestic infant adoption. But we have friends and colleagues who work with other types of adoption, especially foster care adoption and international adoption. We’d love to introduce you.

What Is Independent Adoption?

An independent adoption is arranged without an adoption agency. Attorneys and other professionals usually help the birth parents and adoptive parents complete the legal process.

What Is Kinship Adoption?

Kinship adoption happens when a relative, such as a grandparent, aunt, uncle or other family member, adopts a child.

What Is International Adoption?

International adoption involves adopting a child from another country. Families must meet the requirements of the child’s country as well as U.S. immigration and adoption requirements. If this is of interest to you, we suggest you go to Hand in Hand International and meet Bonnie and her staff.

What Is Foster Care Adoption?

Foster care adoption involves adopting a child whose case has moved from foster care toward adoption. The children available for adoption through foster care are often older than infants, and sibling groups may also need families.

Are Surrogacy and Embryo Donation Types of Adoption?

No. Surrogacy and embryo donation are ways families may grow, but legally they are not adoption. They follow different processes and laws.

A few more questions

Which type of adoption does Heart to Heart Adoptions provide?

Heart to Heart Adoptions works primarily with families pursuing domestic infant adoption.

Is foster care the same as domestic infant adoption?

No. Foster care and domestic infant adoption have different goals, processes and legal paths.

Is surrogacy an adoption?

No. Surrogacy is a different legal and family-building process.

Do we need to choose an adoption path before contacting Heart to Heart Adoptions?

No. You can ask questions and learn more before deciding whether domestic infant adoption fits your family.


There is not one type of adoption that is right for every family. We have families who adopted domestically and then grew their family again by going international. We have families who adopted through us and now have foster children in their home. Each of these families is unique. What feels comfortable to you may feel completely different to another family.

This is the time to talk openly about what you hope adoption will look like, what you are prepared for and where you may need more information before making a decision.

What Should We Think About Before Choosing an Adoption Path?

You do not need to have every answer today. You need to think through these questions and answer yourself honestly. You also need to recognize how this will affect extended family and if their attitudes will have an effect on your child.

The goal is to notice which questions matter most to your family and learn enough to make a thoughtful decision.

How Important Is a Genetic Connection to Us?

How important is a genetic connection to you? This is worth talking about before moving forward. Do you need a genetic connection to your child? Do you need your child to look like you and your extended family? Are you okay with every stranger and every acquaintance instantly recognizing that adoption was how your child entered your family?

How Do We Feel About Contact With a Child’s Birth Family?

Domestic infant adoption often includes some form of openness with a child’s birth mother or birth family. Think about what kind of relationship you can genuinely support over time. Are you willing to send pictures? Are you willing to have visits? There are birth mothers who want no contact. Some birth mothers just want infrequent communications. Some want to have visits. Talk with us about those options and how you feel about them.

Are We Open to Different Ages, Races or Backgrounds?

Different adoption paths involve children of different ages and backgrounds. Be honest with yourself about what you are prepared to support, including the responsibilities that come with transracial adoption and adoption of older children. Recognize these children deserve and need a family, but they also come with challenges you may need help with.

What Can We Realistically Afford?

The cost of adoption can vary significantly. Recognize these differences. It might feel uncomfortable to think about cost when it is tied to the love you feel for a child. But be realistic about what is involved financially. Before committing, understand what is included, what can vary and when payments are due.

How Much Legal Uncertainty Are We Comfortable With?

Every adoption has legal steps. Some situations may involve more uncertainty than others, including questions about a biological father’s rights. Heart to Heart Adoptions will explain known concerns before you decide whether to move forward with a specific situation.

How Does Availability Affect Our Decision?

The number and ages of children needing families, the preferences of birth mothers, your own preferences and the adoption path you choose can all affect how long the process takes.

What Do We Need to Know About Prenatal Substance Exposure?

Some expectant mothers may report alcohol, tobacco, prescription medication or other substance use during pregnancy. Some mothers have and are using harmful substances and don’t report. We tell every potential adoptive family everything we know about the birth mother’s situation as it relates to the baby. Learning what is known, what is not known and what questions to ask can help you make informed decisions.

What Do We Need to Know About Birth Father Risk?

Birth fathers have different rights in different states. We are aware of these rights and the variation in laws across state borders. Heart to Heart Adoptions will discuss all of this with you. Your team will explain the known legal concerns and what remains uncertain in a particular situation.

Do We Have to Decide Everything Right Now?

No. Some of your answers may change as you learn more. Heart to Heart Adoptions works primarily with families pursuing domestic infant adoption, so that is where the rest of this Guide will take you. We will talk much more about prenatal substance exposure, birth father risk, cost, openness and matching before you are asked to make decisions about a particular adoption situation.

A few more questions

What should we compare when choosing an adoption path?

Think about the age of the child, contact with birth family, cost, timing, legal process, race and culture, medical history and the kind of relationship you hope to have with the child’s birth family.

What if my spouse and I are comfortable with different things?

That is worth discussing before you apply. You do not need identical reactions to every issue, but you should understand where each of you has firm boundaries and where you are open to learning more.

Can our preferences change while we wait?

Yes. Families often learn more as they move through the process. Talk with Heart to Heart Adoptions before changing preferences that affect the situations you may be considered for.


Domestic agency adoption is adoption within the same country with the support of a licensed adoption agency. Heart to Heart Adoptions specializes in domestic infant adoption. Independent, kinship, foster care and international adoption follow different paths, as explained above.

Domestic infant adoption is a process in which an expectant parent makes an adoption plan for a baby and chooses an approved adoptive family. The process includes preparation, matching, legal consent, placement, post-placement supervision and finalization.

Domestic infant adoption is a process in which a birth mother makes an adoption plan for a baby and chooses an approved adoptive family. The process includes preparation, matching, legal consent, placement, post-placement supervision and finalization.

What is domestic agency adoption?

Domestic infant adoption is an adoption in which an expectant parent makes an adoption plan for a baby and chooses an approved adoptive family. In a Heart to Heart Adoptions adoption, the family completes its approval work before matching, the birth mother receives support while making her decisions, and the legal steps happen after birth according to the law that applies to the adoption.

Who Chooses the Adoptive Family?

The birth mother chooses the adoptive family. Heart to Heart Adoptions helps identify approved families whose preferences and abilities fit the known circumstances, then she reviews their profiles and decides which family she wants to know more about. The agency helps with the process, but it does not simply assign a baby to the next family on a list.

What Do We Need to Do Before We Can Be Matched?

Before matching, you need an approved home study and approval from Heart to Heart Adoptions. You will also prepare an adoptive family profile and continue your adoption education. Your home study establishes that you are approved to adopt; your profile helps a birth mother learn who you are. the “What Is an Adoption Home Study?” answer for the home study and Questions 12 and 11 for family profiles.

What Does It Mean to Be Matched?

A match begins when a birth mother chooses an approved family and the family decides to move forward with her adoption situation. Matching creates a relationship and begins more detailed planning, but it does not guarantee that placement will occur. The birth mother still has the right to make decisions about her pregnancy and child before valid consent or relinquishment.

Is a Match the Same as an Adoption?

No. A match is an agreement to move forward with an adoption plan, not a completed adoption. Birth, legal consent or relinquishment, placement, post-placement supervision and finalization still come later. Understanding those separate stages can make the process much less confusing.

What Is the Difference Between Placement and Finalization?

Placement is the legal transfer of physical custody of the child to the adoptive parents after the required legal steps allow it. Finalization is the later court process that legally completes the adoption. Families begin parenting at placement, but the adoption is not legally final until the court enters the final adoption decree.

A few more questions

Does an adoption agency choose the adoptive family?

Heart to Heart Adoptions helps identify families whose preferences fit the situation, but the birth mother reviews profiles and chooses the family she wants to consider.

Can we be matched before our home study is complete?

You will need an approved home study before you can move forward as an approved adoptive family.

What does matched mean?

A match begins after a birth mother chooses a family and both sides decide to move forward together.

Is matching the same as placement?

No. Matching happens before birth or placement. Placement is the legal transfer of physical custody after the required legal steps are complete.

When is the adoption final?

Finalization happens later through the court process, usually after post-placement requirements are completed.


Domestic infant adoption can be a good path for many families, but it asks families to prepare for uncertainty, openness, legal processes and a relationship with a child's birth family. This page helps you decide whether that fits your family.

Why Do We Want to Adopt?

Start with the reasons adoption appeals to your family. If infertility or another loss is part of your story, give yourself room to talk about that. Adoption should not ask a child or a birth parent to heal you. Give yourself room to grieve. The question is whether you are ready to parent a child that is not genetically related to you. A child who also has another story that you need to respect.

Are We Ready for the Uncertainty of Adoption?

Domestic infant adoption includes a lot of uncertainty. You may wait longer than expected. A match may not lead to placement. Medical or family information may be incomplete. Legal questions can arise. Being ready does not mean you are comfortable with every possible outcome. It means you understand that some parts of the process cannot be controlled.

How Do We Feel About Open Adoption?

Most families considering domestic infant adoption should expect to talk seriously about contact with the biological family. This contact normally starts before birth and continues in some form after placement of the child. Many birth mothers want openness and once they have met the adoptive family they even want more because of the bond that occurs. Open adoption can include messages, photographs, calls, visits or a combination that fits the people involved. Before moving forward, talk honestly about what kind of relationship you can maintain over time, not just what feels easy to promise while you are waiting.

Also recognize that open adoption and the relationship with the birth mother changes as the child grows. Open adoption, however, does not mean co-parenting. You are the parent.

What Circumstances Are We Prepared to Consider?

Birth mothers are placing their baby for a multitude of reasons. Usually, it is because there are problems in her life. As a potential adoptive family, you need to think about the circumstances you are genuinely prepared to accept. That can include prenatal substance exposure, medical uncertainty, race and culture, birth father risk, openness. You do not need to say yes to every situation. If there are risks you are unwilling to accept, say something. You are making a monumental decision.

How Will Adoption Affect the Rest of Our Family?

Adoption affects more than the people completing the application. You must involve the children already in your home. You do this in an appropriate manner. You should also talk with relatives who will have regular roles in the child's life. Think about how your family talks about race, birth families, privacy and belonging. If some of the language is inappropriate it doesn’t mean you don’t adopt. It does mean you have to be ready to educate them or limit contact. You probably can’t get everyone to use perfect language immediately. But they need to be willing to learn and support your decision to parent an adopted child.

What Support Will We Need?

To varying degrees, you will need support. Maybe that support is someone who will listen, someone who will give you a break. What is your employer willing to do for you? Think beyond the first weeks with a baby. Heart to Heart Adoptions provides education and case support throughout the process, and families should be willing to ask for help when they need it.

A few more questions

How do we know if we are ready to adopt?

Readiness is less about feeling completely certain and more about understanding the process, talking honestly as a family and knowing which circumstances you are prepared to consider.

Do we have to be comfortable with open adoption?

You should be willing to learn about open adoption and think carefully about the contact you can honestly maintain.

What if spouses have different comfort levels?

Talk through the differences before moving forward. Adoption decisions should not depend on one person hoping the other will become comfortable later.

Should we decide now what substance exposure we can accept?

You should begin learning now. the “What Should Adoptive Parents Know About Prenatal Substance Exposure?” answer gives you a framework for asking medical questions and thinking about uncertainty.

Should finances be part of this decision?

Yes. Adoption is also a financial commitment. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer before applying.


Prenatal substance exposure means a baby may have been exposed during pregnancy to alcohol, nicotine, prescribed medication or other substances. The amount of information available can vary, and exposure alone does not tell you exactly what a child's future will be.

What Does Prenatal Substance Exposure Mean?

Prenatal substance exposure means a baby may have been exposed during pregnancy to alcohol, nicotine, prescribed medication or other substances. The type of substance, amount, timing and frequency may all matter, but families do not always receive complete information about each of those factors. We only know what we can test for and what the birth mother tells us.

What Information Might Be Available?

Information can come from the birth mother's self-reported history, prenatal or hospital records, testing and observations from medical professionals. Heart to Heart Adoptions shares the information available for the situation. Families should pay attention to the source of the information as well as the information itself.

What Information Might Be Missing?

Sometimes no one knows the exact amount, frequency or timing of an exposure. Prenatal care may have started late, records may be incomplete, or information may be based mainly on self-report. An unknown is not the same thing as a negative result. Ask what is known, what is not known and whether additional information is expected.

Does Exposure Always Predict a Child's Future?

No. A disclosed exposure does not tell you exactly what a child's development or health will look like. Outcomes can vary, and the information available during a match may not answer every long-term question. Families should avoid treating one disclosure as either a guarantee of a problem or a guarantee that there will be no effect.

What Questions Should We Ask?

Ask what substance was reported, when and how often it was reportedly used, what prenatal care occurred, what medical records are available and whether a medical professional has reviewed the information. Also ask which facts are self-reported and which are documented. If you need medical help understanding the information, seek an appropriate professional before deciding.

How Do We Decide What Our Family Can Handle?

You should really consider what Make this decision before emotion takes over during a presenting call. Learn about the types of exposure you may encounter, talk together about uncertainty and decide when you would want medical input. You are not required to accept a situation. A thoughtful no is better than saying yes to circumstances your family is not prepared to support.

A few more questions

Will we always know exactly what a baby was exposed to?

No. Information may be incomplete or based on self-report, medical records or testing that is available at the time.

Does prenatal exposure guarantee long-term problems?

No. Outcomes vary. Families should avoid treating one disclosed exposure as a certain prediction of a child's future.

Can we ask a medical professional to review a situation?

Yes. Families may want an appropriate medical professional to help them understand the information available and the limits of that information.

Can we decline a situation because we are not comfortable with the exposure information?

Yes. You are not required to accept an adoption situation.

Should we decide our limits before a presenting call?

It helps to discuss your comfort level in advance so you are not making every decision for the first time during an emotional call.


Birth father risk is Heart to Heart Adoptions' term for legal uncertainty involving the biological father's rights, identity, notice, consent or actions required under applicable law. The facts and legal requirements can differ from one adoption to another.

What Does Birth Father Risk Mean?

Birth father risk is Heart to Heart Adoptions' term for legal uncertainty involving the biological father's identity, rights, notice, consent or actions required under applicable law. The level of uncertainty can be very different from one adoption situation to another.

Why Can Birth Father Rights Be Uncertain?

The legal answer can depend on facts such as marriage, established paternity, notice, support, registration and whether the biological father takes action within the time required by law. Those rules also vary by state. That is why one family's birth father situation should not be used as the legal rule for another adoption.

What Information Does Heart to Heart Adoptions Review?

Heart to Heart Adoptions and the attorneys handling the adoption review the information available about the biological father and the legal steps required for that situation. During a presenting call, the family should be told what is known, what legal work has already occurred and what remains uncertain.

What Questions Should We Ask Before Accepting a Situation?

Ask whether the biological father has been identified, what is known about his relationship with the birth mother, whether he supports or opposes the plan, what notice or legal steps may be required and what uncertainty remains. Ask whether additional legal work could affect timing or expenses. You are trying to understand the situation, not become the lawyer.

Can We Decline a Situation With Birth Father Risk?

Yes. A family is not required to accept a situation when the level of legal uncertainty is outside its comfort level. Ask questions until you understand the risk as it is currently known, then decide whether your family is prepared to proceed.

How Is This Different From Birth Father Rights?

Birth father risk describes the uncertainty an adoptive family may need to consider before accepting a situation. Birth father rights are the actual legal rights and required actions that apply to the biological father under the facts and law of that adoption. the “What Rights Does the Birth Father Have in Adoption?” answer explains birth father rights in more detail.

A few more questions

Does every adoption have the same birth father issues?

No. The facts, relationships and state laws differ.

Does an unmarried biological father automatically have no rights?

No. Rights and required actions depend on the facts and applicable law.

Who evaluates birth father issues?

Adoption attorneys review the facts and applicable legal requirements.

Can we ask about known legal risk before matching?

Yes. The presenting call should include known legal concerns available at that time.

Can additional legal work affect cost?

Sometimes. Ask about known legal and financial implications before accepting a match and review the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer.


A home study is the legal document and evaluation used to determine whether you are approved to adopt.

A licensed social worker gathers information about you, your family, your home and your preparation for adoption. For Heart to Heart Adoptions families, completing the home study is the first formal step.

Why Do Adoptive Families Need a Home Study?

A home study gives the placing agency and the courts a professional evaluation of your readiness to adopt. It is not simply permission from Heart to Heart Adoptions. It becomes part of the legal adoption record.

The process usually includes interviews, a home visit, written records, references, background clearances and adoption education.

What Will the Social Worker Want to Know About Us?

Expect to talk about your childhood, relationships, family, work, finances, health, support system, parenting ideas and reasons for adopting.

You will also talk about adoption itself, including birth families, open adoption and how you plan to talk with your child about adoption. Some questions may lead to conversations you have not had with each other before. That is part of the preparation.

Do We Have to Talk About Difficult Things in Our Past?

Yes. If something significant has happened in your life, discuss it honestly with your home study provider.

A difficult experience does not automatically mean you cannot adopt. Hiding important information can create a much larger problem later.

What Happens During the Home Visit?

The social worker visits your home and talks with you there. Your home needs to meet applicable requirements, but the visit is not a decorating contest.

You do not need a finished nursery, and you do not need to spend three days cleaning the baseboards. The social worker is looking at the home as part of the larger picture of your family and your preparation to parent.

Do We Have to Own a Home to Adopt?

No. Families can adopt while renting. The question is whether your living situation is appropriate for your family and meets applicable requirements, not whether your name is on a mortgage.

How Much Does a Home Study Cost?

For Utah families using Heart to Heart Adoptions, the current fee for a complete home study is $850. A home study update is currently $250.

Because adoption costs involve more than the home study, use the full cost question when planning your budget.

A few more questions

Is a home study just a house inspection?

No. The home visit is one part of a broader evaluation of your family and preparation to adopt.

Do we need a finished nursery?

No. A completed nursery is not the purpose of the home study.

Can we rent our home?

Yes. Owning a home is not a general requirement for adoption.

Can something in our past prevent us from adopting?

It depends on the circumstances. Talk honestly with your home study provider rather than trying to decide on your own that something will disqualify you.

Do we need the home study before applying to Heart to Heart Adoptions?

Yes. Heart to Heart Adoptions' current process asks families to complete the home study first.

How much does Heart to Heart Adoptions charge for a Utah home study?

The current complete home study fee is $850. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer for the complete fee schedule.


Once you know what a home study is, the next question is practical: How do we get it done?

The exact requirements depend on your state and provider, but most families move through the same basic pieces: paperwork, background clearances, interviews, a home visit and adoption education.

Who Can Complete Our Home Study?

If you live in Utah, Heart to Heart Adoptions can complete your home study. Families outside Utah need an appropriately licensed or authorized home study provider in their own state, and Heart to Heart Adoptions can help identify providers.

Heart to Heart Adoptions' current orientation notes that New York residents must use a licensed adoption agency for the home study.

What Documents Will We Need?

Your provider will give you the exact list. Expect records involving identity, family history, health, finances, insurance, references and background clearances.

Start gathering requested documents early. A home study can slow down simply because one form, clearance or reference has not arrived.

What Happens During the Interviews?

The interviews help the social worker understand your family rather than simply verify paperwork. You may talk together and separately.

Expect questions about your relationship, childhood, parenting, work, finances, health, support system, adoption expectations and the kind of openness you are prepared to maintain.

What Adoption Education Is Required?

Heart to Heart Adoptions' current orientation calls for approximately 10 to 12 hours of adoption education. Ask your Heart to Heart team how this guide applies to your education requirement. Heart to Heart Adoptions also provides Creating a Family resources.

Keep your completion certificates. More important, keep learning after the required hours are finished.

How Long Does a Home Study Take?

There is no single timeline. It depends on the provider, how quickly you complete paperwork, background-clearance timing and state requirements.

The part you can control is responsiveness. Return forms, schedule interviews and complete education promptly.

What Does a Heart to Heart Adoptions Home Study Cost?

For Utah families, the current Heart to Heart Adoptions fees are $850 for a complete home study, $250 for an update and $150 for each post-placement visit.

A few more questions

Can Heart to Heart Adoptions complete our home study outside Utah?

If you live outside Utah, you will generally use an appropriate provider in your state. Heart to Heart Adoptions can help identify providers.

How much education should we plan for?

Heart to Heart Adoptions' current orientation calls for approximately 10 to 12 hours.

Does this guide count?

Ask your Heart to Heart team how this guide applies to your education requirement, and keep your completion documentation.

What slows a home study down?

Missing documents, delayed clearances, scheduling and provider or state processing can all affect timing.

What happens when it is complete?

You are ready to submit your Heart to Heart Adoptions application.


Once your home study is complete, you are ready to submit your application to Heart to Heart Adoptions.

The order matters: complete the home study first, then apply.

What Do We Need Before We Apply?

You need your completed home study and the information requested in Heart to Heart Adoptions' application. If something is missing, the approval process may pause while the team waits for it.

How Much Is the Application Fee?

The current application fee is $2,000 and is paid after the home study is complete.

Heart to Heart Adoptions has intentionally kept the initial application fee lower than the larger fees that come later in the process.

What Happens After We Submit the Application?

Heart to Heart Adoptions' approval committee reviews the application and completed home study. The committee may ask for clarification or additional information before making a decision.

Most complete files are currently reviewed in approximately two to four weeks.

What Should We Do While We Wait?

Start working seriously on your adoptive family profile and continue your adoption education.

You do not need to sit still while the application is being reviewed. The work you do now can make the next stage easier.

What Happens When We Are Approved?

You will receive an approval notice and move into onboarding with Heart to Heart Adoptions. That is when the focus shifts from qualifying to adopt to preparing to be considered for adoption situations.

A few more questions

Do we apply before our home study is complete?

No. Heart to Heart Adoptions' current process puts the home study first.

What is the current application fee?

$2,000. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer for the complete financial picture.

Who reviews the application?

Heart to Heart Adoptions' approval committee reviews the application and home study.

How long does review usually take?

Can we work on our profile while waiting?

Yes. This is a good time to begin your profile and continue education.


Approval is an important milestone, but it is not a match.

It means Heart to Heart Adoptions has reviewed your completed file and you can move into the next stage: preparing to be considered for adoption situations.

How Will We Know We Are Approved?

Heart to Heart Adoptions sends an approval notice. The team then moves you into onboarding so you know what to expect next.

What Happens During Our Onboarding Call?

Heart to Heart Adoptions' current process includes an onboarding call with Haley. Use the call to review the process, ask questions and make sure your preferences are current. The onboarding call is important, but it does not have to be completed before you can be presented with adoption situations.

If something has changed since you applied, say so now.

What Should We Work on Next?

Your family profile becomes one of your main jobs. Your home study explains that you are approved to adopt. Your profile helps an expectant mother understand who you are.

Should We Continue Adoption Education?

Yes. Required education gives you a starting point. Waiting gives you time to learn more about open adoption, prenatal exposure, birth-parent relationships and parenting an adopted child.

What If Something Changes After Approval?

Tell Heart to Heart Adoptions and your home study provider about meaningful changes involving your household, address, employment or other circumstances that may affect the home study or your ability to proceed.

Do not wait until a presenting call to mention a major change.

A few more questions

Does approval mean we are matched?

No. Approval means you can move into the next stage of the process.

What is onboarding for?

It helps you understand the next steps, ask questions and confirm current preferences.

What should we work on after approval?

Your family profile and continued adoption education.

Should we report meaningful changes after approval?

Yes. Tell Heart to Heart Adoptions and your home study provider.

What is the next major stage?

Preparing your profile and waiting to be considered for matching.


An adoptive family profile introduces your family to an expectant mother who is considering adoption.

It is not a résumé and it is not a contest to see which family can look the most impressive. Its job is to help someone get a real sense of who you are and what life with your family might be like.

How Does an Birth mother Use Our Profile?

When an adoption situation fits your stated preferences and abilities, an expectant mother may review your profile along with other appropriate families.

She can look at photographs, read about your family and begin deciding who she wants to know more about.

Does the Birth mother Really Choose the Family?

Yes. Heart to Heart Adoptions helps identify appropriate approved families, but the expectant mother makes the choice about which family she wants to pursue.

That is why your profile should sound like you rather than like an advertisement.

What Is the Difference Between a Public and Private Profile?

Heart to Heart Adoptions uses both public and private profile options. A public profile may be searchable or viewable by birth mothers, while other information can remain private within the matching process.

Your Heart to Heart Adoptions team will explain how the current profile system is being used.

Is Our Family Profile an Advertisement?

No. You are not selling a lifestyle. Avoid promises you cannot make and language that makes your family sound flawless.

Specific ordinary details often tell someone more than broad claims. Sunday breakfast, a noisy dog, cousins down the street or the way your family spends a Saturday can help a reader picture real life.

What Should We Say About Open Adoption?

Say what you genuinely believe you can maintain. If you hope for an ongoing relationship, explain what that means to you.

Do not promise a level of contact simply because you think it will make your profile more appealing.

Do We Need to Be a Perfect Family?

No. There is no universal 'best' adoptive family. Different expectant mothers are looking for different qualities, relationships, locations, traditions and family structures.

Your goal is to be understandable and honest.

A few more questions

Who chooses the adoptive family?

The birth mother chooses the family she wants to consider.

Should our profile sound like a sales brochure?

No. Clear, specific and honest information is more useful.

Should we promise as much contact as possible?

No. Promise only the openness you believe you can maintain.

Can profiles include photos and video?

Yes. Heart to Heart Adoptions' profile process can include images and video.

What happens if an expectant mother wants to know more?

The process may move toward a presenting call or other matching steps.


A good profile answers the question a birth mother is really asking: Who are these people?

You do not need a clever slogan. You need enough real information for someone to begin imagining your family, relationships and everyday life.

What Should We Write About?

Write about your family, relationships, work, interests, traditions, community and the people who would be part of a child's life.

Choose details that reveal something. 'We love the outdoors' is broad. 'We spend summer evenings at the neighborhood pool and camp with my sister's family every August' gives a clearer picture.

What Photos Should We Use?

Use clear photographs that show your family naturally. Include a mix of people, relationships, home life and activities rather than dozens of nearly identical posed photos.

Photographs should support what the text says. If extended family is important, show them. If you talk about your neighborhood or traditions, give the reader a glimpse.

What Should We Say to an Expectant Mother?

Write to her as a person making a serious decision. Avoid language that assumes she will choose adoption or assumes you already have a relationship with her.

You can express gratitude for her willingness to learn about your family without telling her what she should feel.

How Should We Talk About Why We Want to Adopt?

Explain your path honestly, but do not make a birth mother responsible for repairing a loss or completing your family.

Keep the focus on what you have learned and why you are prepared to parent through adoption.

How Should We Talk About Open Adoption?

Be concrete. If you hope for visits, messages, photos or calls, explain how you imagine making room for that relationship.

Should We Include Video?

Video can help someone hear your voices and see how you interact. Keep it natural. A simple conversation or short look at your everyday life can be more effective than an elaborate production.

What Makes a Profile Memorable?

Specificity. A profile becomes memorable when it sounds like actual people rather than a collection of adjectives.

Before publishing, ask: Could this paragraph describe almost any family? If yes, add a detail that belongs to yours.

A few more questions

What should our profile help an expectant mother understand?

Who you are, what everyday life is like and how you think about adoption and ongoing relationships.

Do we need professional-looking perfection?

No. Clear, thoughtful and genuine is more useful than flawless.

How many photos should we use?

Heart to Heart Adoptions should provide the current profile specifications. Do not invent a number that may change.

Should we include extended family?

If they are an important part of your life, yes.

Can video help?

Yes, when it helps someone hear and see your family naturally.


Waiting can feel passive because there may be days when nothing seems to be happening.

It is still part of the adoption process. There are useful things you can do while Heart to Heart Adoptions continues working with birth mothers and considering appropriate families for situations.

What Is Heart to Heart Adoptions Doing While We Wait?

Heart to Heart Adoptions continues outreach, intake, support for expectant mothers and matching work. Not every situation will fit every approved family.

When a situation fits both the birth mother's preferences and your stated preferences and abilities, your family may be considered.

What Should We Be Doing While We Wait?

Keep your profile current. Continue adoption education. Talk about openness. Revisit the medical and legal circumstances you are prepared to consider.

Waiting is also a good time to prepare for the practical changes that can happen quickly after a match.

What If Our Preferences Change?

Tell Heart to Heart Adoptions. Your preferences are not a test you pass once. Families learn as they go, and sometimes their comfort level changes.

Do not quietly expand your preferences because you are tired of waiting. Make decisions because you understand the circumstances and believe they fit your family.

What If Something Changes in Our Family?

Tell Heart to Heart Adoptions and your home study provider about meaningful changes involving your household, address, employment or other circumstances that may affect your approval.

How Do We Prepare Financially?

Review the full adoption budget, make sure you understand the payment schedule and think about expenses that can arise quickly, including travel.

Is It Normal for Waiting to Be Hard?

Yes. You can be committed to adoption and still find the uncertainty difficult.

Try not to measure every week as evidence that something is wrong. Use the time to prepare, stay connected with your team and keep your decisions grounded in what your family can genuinely handle.

A few more questions

Will we hear about every adoption situation?

Not necessarily. Matching depends on the expectant mother's preferences and the family's stated preferences and abilities.

Can we change our preferences?

Yes. Talk with Heart to Heart Adoptions when your thinking changes.

Should we update the agency if our family circumstances change?

Yes.

What can we do financially while waiting?

Keep the budget current, review the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer and prepare for possible travel and match-related expenses.

Should we stop adoption education once approved?

No. Waiting is a useful time to keep learning.


There is no guaranteed wait time for domestic infant adoption.

Some Heart to Heart Adoptions families may wait weeks. Others may wait more than a year. The difference is not necessarily a sign that one family is doing something right and another is doing something wrong.

Why Can't Heart to Heart Adoptions Give Us an Exact Wait Time?

Because a birth mother chooses the family she wants to consider. Heart to Heart Adoptions cannot know in advance which family a particular woman will choose or when a situation that fits your preferences will arise.

What Can Affect How Long We Wait?

Your preferences can affect which situations fit your family. An expectant mother's preferences also matter. Your profile, location and the circumstances of individual situations can all play a part.

No single factor guarantees a faster match.

Will Being Open to More Situations Shorten the Wait?

Broader preferences may mean your family can be considered for more situations, but they do not guarantee a quick match.

Do not say yes to substance exposure, legal uncertainty, openness or other circumstances you are not prepared to handle simply to shorten the wait.

Does Our Profile Affect the Wait?

Your profile is one way a birth mother gets to know you, so it matters. But there is no formula that guarantees selection.

What If We Have Been Waiting a Long Time?

Talk with Heart to Heart Adoptions. Review your profile and preferences. Ask for a candid discussion about where your family stands.

Heart to Heart Adoptions' orientation says the team will tell families honestly where they stand.

Should We Change Our Preferences Because We Are Tired of Waiting?

Not for that reason alone. Waiting can make any new possibility feel urgent. Your decisions still need to be based on what you understand and what your family can support.

A few more questions

Can Heart to Heart Adoptions guarantee a match date?

No.

Do all approved families wait about the same amount of time?

No. Some may wait weeks and others more than a year.

Will broader preferences guarantee a faster match?

Should we accept circumstances we are not prepared for because we have waited a long time?

What can we do if the wait feels unusually long?

Ask Heart to Heart Adoptions to review your profile, preferences and current position with you.


Matching is not Heart to Heart Adoptions assigning a baby to the next family on a list.

Heart to Heart Adoptions generally begins the matching process when an expectant mother is approximately six to eight weeks from her due date. Her preferences and the approved family's preferences both matter.

How Does Heart to Heart Adoptions Identify Families for a Situation?

The birth mother shares what she hopes for in an adoptive family. Depending on her preferences, factors can include family structure, occupation, religion, willingness to maintain the desired level of openness, whether a parent stays home, race, location and family size. Heart to Heart Adoptions then looks for approved families whose preferences and abilities fit the known circumstances.

Heart to Heart Adoptions also considers the adoptive family's preferences and the facts of the situation. The expectant mother reviews the profiles presented to her and decides which family or families she wants to consider.

What Is a Presenting Call?

A presenting call is the conversation in which Heart to Heart Adoptions gives an adoptive family the information currently available about an adoption situation.

This is not a sales call. Your job is to listen, ask questions and decide whether the situation is one your family is prepared to accept.

What Information Will We Receive?

Available information may include self-reported social and medical history, disclosed prenatal substance use, photographs, professional observations, known legal concerns and estimated expenses.

Some information may be incomplete. Ask what is known, what is not known and what could still change.

Do We Have to Accept a Situation?

No. You are never required to accept a situation because Heart to Heart Adoptions presented it to you.

Declining a situation that does not fit your family is better than accepting because you feel pressured by the possibility of finally being matched.

What Should We Review Before Saying Yes?

Review the medical information, known legal issues, birth father risk, openness expectations, travel considerations and the financial agreement.

Who Makes the Final Choice?

The birth mother chooses the adoptive family she wants to move forward with. The family also decides whether to accept the situation.

When both sides choose to proceed, the match begins.

A few more questions

Who chooses the adoptive family?

The expectant mother chooses from appropriate approved families.

What is a presenting call?

It is the call where Heart to Heart Adoptions shares the information currently available about a possible adoption situation.

Do we have to accept a presented situation?

No.

What should we ask before accepting?

Ask about known medical, legal, financial and openness information and about what remains unknown.

When does Heart to Heart Adoptions generally begin matching?

The current orientation says approximately six to eight weeks before the due date.


Once an expectant mother chooses your family and everyone decides to proceed, you are matched.

The next stage is about communication, preparation and building a relationship while Heart to Heart Adoptions coordinates the practical pieces around the adoption.

Who Supports Us After the Match?

Heart to Heart Adoptions assigns an adoptive-family caseworker. This person becomes a central point of contact for updates, questions and preparation.

Heart to Heart Adoptions also continues supporting the birth mother through her own team.

How Will We Receive Updates?

The team provides regular updates as information becomes available. Heart to Heart Adoptions also sets up a private group for you and the birth family in Our Hearts Connect and can support calls, messages and meetings between you and the expectant mother.

Our Hearts Connect may be used as a private place for communication and sharing.

What Happens Financially at Matching?

Under Heart to Heart Adoptions' current fee schedule, the first $24,000 of the $48,000 agency placement fee is due at matching.

You will also review the situation-specific financial agreement.

Should We Keep Adoption Expense Records?

Yes. Save agency statements, invoices, receipts, attorney bills, court costs and travel records.

The IRS says qualified adoption expenses can include adoption fees, attorney fees, court costs, travel and certain other expenses directly related to a legal adoption. Tax treatment depends on the applicable tax year and your circumstances.

What Should We Know About the Federal Adoption Tax Credit?

A federal Adoption Tax Credit may be available to eligible families, but the rules and dollar limits can change.

Do not rely on an amount someone received in a previous year. Check current IRS guidance for the tax year that applies to your expenses and consider talking with a qualified tax professional.

What Should We Prepare for Next?

Now is the time to build the relationship, understand the hospital plan, prepare for travel if needed and stay in close contact with your caseworker.

A few more questions

Who supports the adoptive family after matching?

Heart to Heart Adoptions assigns an adoptive-family caseworker.

What is currently due at matching?

The first $24,000 portion of the agency placement fee. the “How Much Does Adoption Through Heart to Heart Adoptions Cost?” answer.

Should we save adoption-related receipts?

Yes.

Can we rely on last year's Adoption Tax Credit amount?

No. Check current IRS guidance for the applicable tax year.

What comes next after matching?

Relationship building and preparation for delivery and placement.


After matching, you are not only preparing for a baby. You are getting to know another person.

The strongest relationships usually begin with ordinary conversation, honesty and the willingness to let trust develop instead of trying to force instant closeness.

What Should We Talk About?

Talk about everyday life. Ask about her interests, family, work, favorite foods, plans and the things she wants you to know.

Share your own life too. A relationship cannot grow if every conversation feels like an interview.

What Should We Avoid?

Avoid treating every call as a pregnancy update. Avoid making promises you have not thought through. Avoid asking questions in a way that makes her feel she has to reassure you that she will place.

She is still making decisions about her child.

What If We Are Nervous?

That is normal. She may be nervous too.

You do not need perfect questions. Start with ordinary conversation. Heart to Heart Adoptions can help you prepare when you are unsure how to approach a topic.

When Should We Talk About Open Adoption?

Before placement. Talk about the kind of contact each side hopes for and what you realistically believe you can maintain.

What If Something Feels Uncomfortable?

Tell your Heart to Heart Adoptions team. Small misunderstandings are easier to address early than after resentment builds.

Support does not mean someone takes sides. It means helping people communicate clearly.

What Does She Need From Us?

Honesty and dependability matter. If you say you will call, call. If you are unsure about something, say that instead of making a promise because the moment feels emotional.

Trust is built in small repeated actions.

A few more questions

Should every conversation be about the baby?

No. Get to know the birth mother as a person.

What if conversation feels awkward?

That is common. Start simply and ask Heart to Heart Adoptions for help when needed.

When should openness expectations be discussed?

Before placement.

What if we disagree about contact?

Talk about the difference before making promises.

What builds trust?

Honesty, dependability and consistent follow-through.


Meeting in person can make a match feel much more real.

It can also make everyone nervous. The goal is not to impress each other. It is to spend enough time together that the relationship begins to feel like a relationship between actual people.

Why Meet Before Delivery?

When circumstances allow, meeting before delivery gives you time together without the intensity of the hospital.

You can talk, ask questions and begin building familiarity before a day when emotions and medical needs may be much bigger.

Who Helps Prepare Us?

Heart to Heart Adoptions helps both sides prepare for the first meeting. A member of the Heart to Heart Adoptions team will be there to support you and the birth mother when you meet for the first time, and can help with questions, boundaries and what she is comfortable with.

Heart to Heart Adoptions should confirm the exact staff-support arrangement for each situation before the meeting.

What Should We Talk About?

Start with normal conversation. Learn about each other's families, interests and lives. If she wants to talk about the pregnancy, hospital or adoption plan, follow her lead.

Open-adoption expectations may also come up naturally.

What Should We Avoid?

Do not turn the meeting into an interrogation. Do not ask her to reassure you that she will place. Do not make promises about the future simply to make the meeting go well.

How Long Should the Meeting Last?

There is no required length. Some people connect quickly. Others need time.

The best meeting is not the longest one. It is one where everyone leaves feeling respected and clearer about the relationship.

What Happens After the Meeting?

Talk with your Heart to Heart Adoptions team about questions or concerns that came up. Keep communicating in the way everyone has agreed.

A few more questions

Does every match include the same kind of first meeting?

No. Circumstances and comfort levels differ.

Do we need to impress the expectant mother?

No. The goal is to get to know each other honestly.

Should we ask her to promise she will place?

No.

Can Heart to Heart Adoptions help us prepare?

Yes.

What comes next?

Continue the relationship and prepare for the hospital plan and delivery.


Delivery day is one of the most emotional parts of an adoption plan, and there is no single script for it.

The birth mother's hospital plan guides the experience. Her medical needs, wishes and the hospital's policies determine what happens.

Who Makes the Hospital Plan?

The expectant mother directs her hospital plan. She can express who she wants present, how much time she wants with the baby and what contact she wants with the adoptive family, subject to medical circumstances and hospital policies.

Until she leaves the hospital, follow her lead.

What Is the Adoptive Family's Role?

Your role depends on her plan. You may spend significant time with her and the baby, or she may need more private time.

Do not treat access to the baby as something you are owed because you are matched.

How Does Heart to Heart Adoptions Support the Birth mother?

When possible, a Heart to Heart Adoptions traveler is with the expectant mother to provide support and help with coordination.

How Does Heart to Heart Adoptions Support Us?

Your adoptive-family caseworker coordinates with you and supports you from afar, helping you understand updates and next steps.

When Can We See or Hold the Baby?

That depends on the hospital plan, the birth mother's wishes, the baby's medical needs and hospital policy.

Ask your Heart to Heart Adoptions team what has been planned rather than making assumptions.

What Happens After the Hospital?

Leaving the hospital and legal placement are not automatically the same event. Consent or relinquishment and other required legal steps must occur before the agency can legally place the child.

A few more questions

Who directs the hospital plan?

The expectant mother, subject to hospital and medical circumstances.

Are adoptive parents guaranteed time with the baby?

No.

Who supports the birth mother when possible?

A Heart to Heart Adoptions traveler.

Who coordinates with the adoptive family?

The adoptive-family caseworker.

Does hospital discharge automatically mean legal placement?


Consent and relinquishment are legal steps. They are not simply a conversation in the hospital or a verbal promise made before birth.

The exact documents, timing and revocation rules depend on the state and circumstances, so the attorney handling the adoption must confirm what applies in each case.

What Is Adoption Consent?

Consent is a legal agreement to the adoption when the person signing has the legal right to give that consent. The form and requirements vary by jurisdiction.

What Is Relinquishment?

Relinquishment generally refers to the legal surrender of parental rights or custody needed for the adoption process. The terminology used can differ by state.

The important point for families is that these are formal legal acts.

When Can a Birth Mother Sign?

State law controls when valid documents can be signed after birth. Do not rely on a rule from another state or another family's adoption.

Heart to Heart Adoptions and the adoption attorney will explain the timing for the specific adoption.

What Happens Before She Signs?

She should have the opportunity to review the documents and receive the legal or professional support required for the situation.

Financial support, a match or time spent with the adoptive family does not require her to sign.

Are Adoptive Parents Present When She Signs?

Do not assume you will be present. The signing process should protect the birth parent's privacy, legal rights and ability to make the decision without pressure.

What Happens After Relinquishment?

Once the required consents, relinquishments and other legal steps allow the agency to proceed, placement can occur.

A few more questions

Can every state use the same consent timing?

No. State laws differ.

Does receiving pregnancy-related support require a woman to sign?

No.

Is a verbal promise the same as legal consent?

Should adoptive parents assume they will be present for signing?

What happens after the required legal steps allow placement?

The agency can proceed with legal placement.


Before valid consent or relinquishment, a birth mother is making decisions about her pregnancy and her child.

Adoption professionals and adoptive parents can provide information and support, but they do not get to make those decisions for her.

Can She Choose the Adoptive Family?

Yes. Heart to Heart Adoptions' matching process is built around the expectant mother reviewing appropriate approved families and choosing the family she wants to consider.

Can She Direct the Hospital Plan?

Yes. Subject to hospital policy and medical circumstances, she can express who she wants present, how she wants to spend time with the baby and what role she wants the adoptive family to have.

Can She Decide What Kind of Openness She Wants?

She can describe the kind of ongoing contact she hopes for. The adoptive family also needs to be honest about what it can maintain.

Those expectations should be discussed before placement.

Can She Change Her Mind Before Signing?

Yes. Before valid consent or relinquishment, she may decide to parent.

A match is not a legal obligation to place.

What Happens After She Signs?

The effect of signed documents, including whether and how they can be revoked, depends on applicable state law.

Do not publish one nationwide rule. The attorney handling the adoption should explain the law for the specific case.

Can She Receive Support?

Heart to Heart Adoptions provides counseling and support, and lawful pregnancy-related assistance may be available depending on the circumstances and applicable law.

That support does not purchase consent and does not require placement.

A few more questions

Can a birth mother choose the adoptive family?

Yes.

Can she change her mind before valid consent or relinquishment?

Does lawful financial support obligate her to place?

No.

Can she express the kind of open adoption she wants?

Are post-signing revocation rules the same in every state?

No. The attorney must confirm applicable law.


Birth father rights can be one of the more complicated parts of domestic adoption because the answer depends on both facts and state law.

Marriage, established paternity, notice, registration, support and timely legal action can all matter. There is no one sentence that accurately describes every case.

Does the Birth Father Have to Consent?

Sometimes. Whether consent is required depends on the facts and applicable law.

The adoption attorney evaluates the relationship, legal status and actions taken by the biological father.

What If He Supports the Adoption?

The attorney determines what documents or legal steps are required. Support for the plan does not eliminate the need to complete the correct legal process.

What If He Does Not Support the Adoption?

The legal team evaluates his rights and the options available under applicable law. The level of uncertainty can be very different from one situation to another.

What If His Identity or Location Is Uncertain?

The agency and attorneys follow the searches, notices or other procedures required for the situation.

Families should ask what has been done, what remains unknown and what legal risk remains.

What Is a Putative Father Registry?

Some states use registries through which an unmarried man may need to take action to preserve or assert certain rights.

Requirements differ by state. Do not assume the rule from one state applies in another.

What Information Will We Receive About Birth Father Risk?

Heart to Heart Adoptions should share the known legal information available during the presenting process and explain what remains uncertain.

Additional legal work can sometimes affect expenses.

A few more questions

Does every biological father have the same consent requirement?

No.

What if the birth father supports the plan?

The correct legal documents and procedures still need to be completed.

What if his location is unknown?

The legal team follows the required search, notice or other procedures.

Are putative father registry rules nationwide?

No. Requirements vary by state.

Can birth father issues affect legal expenses?

Sometimes. Ask about known legal and financial implications before accepting the match.


Placement is the legal transfer of physical custody of the child to the adoptive parents. In the process described in Heart to Heart Adoptions’s current orientation, Heart to Heart Adoptions maintains legal custody until finalization.

It is one of the biggest milestones in the process, but it is not the same as finalization.

When Can Placement Happen?

Placement can occur after the required legal steps allow the agency to place the child with the adoptive family.

The exact timing depends on the state and circumstances.

What Do Adoptive Parents Sign?

Adoptive parents sign placement documents required for the agency to transfer physical custody. In the process described in Heart to Heart Adoptions’s current orientation, Heart to Heart Adoptions maintains legal custody until finalization.

Your Heart to Heart Adoptions team and attorney will explain the documents for your case.

Is Placement the Same as Finalization?

No. Placement begins daily family life with the child, while finalization is the later court process that legally completes the adoption.

What Happens Financially at Placement?

Under Heart to Heart Adoptions' current fee schedule, the second $24,000 portion of the agency placement fee is due at placement.

What If the Baby Was Born in Another State?

If the child is being placed across state lines, ICPC may require you to remain in the birth state until written interstate approval is received.

What Happens After Placement?

Post-placement supervision begins. You start parenting while also completing required visits and reports before finalization.

A few more questions

Is placement just taking the baby home from the hospital?

No. Placement is a legal transfer of physical custody.

Is the adoption final at placement?

No.

What is currently due at placement?

The second $24,000 portion of the agency placement fee.

What if the child was born in another state?

ICPC may require the family to remain in the birth state until approval.

What begins after placement?

Daily family life and the post-placement supervision period.


ICPC stands for the Interstate Compact on the Placement of Children.

When a child is placed for adoption across state lines, the required interstate review generally must be completed before the adoptive family can take the child home to another state.

When Does ICPC Apply?

ICPC generally applies when a child is placed across state lines, subject to the facts and applicable rules.

Your adoption team will tell you whether ICPC applies to your placement.

Why Can't We Go Home Right Away?

Both the sending and receiving states review the placement and confirm the required information and approvals. Heart to Heart Adoptions prepares and files the ICPC paperwork for the family. The purpose is to make sure the interstate placement meets applicable requirements.

Do not leave the birth state with the child until the required written approval has been received.

How Long Does ICPC Take?

Timelines vary by state, office workload and the circumstances of the case. Heart to Heart Adoptions cannot promise an exact number of days.

Plan for uncertainty rather than booking travel around a guaranteed approval date.

What Should We Budget for While Waiting?

You may need lodging, meals, local transportation, a rental car or changed airline reservations.

Because the exact length of the stay can be hard to predict, build some flexibility into the travel budget.

What Do We Do While We Wait?

Care for the baby, stay in contact with your Heart to Heart Adoptions team and be ready to provide information if something else is requested.

Do not interpret a quiet day as a sign that something is wrong. Interstate processing involves offices outside your direct control.

What Happens After We Receive Approval?

Once the required interstate approval is received, you can travel home with the child and continue the post-placement process.

A few more questions

What does ICPC stand for?

Interstate Compact on the Placement of Children.

Can we leave the birth state before the required approval?

No. Wait for the required written approval.

Can Heart to Heart Adoptions promise an exact ICPC timeline?

No.

What expenses should we plan for?

Possible lodging, meals, transportation and changes to travel arrangements.

What happens after approval?

The family can travel home and continue post-placement requirements.


If you know you want to grow your family but you are not sure what type of adoption is the best for you and your family, then we want to help you answer any questions you have. There is more than one way to adopt, and the experience can be very different depending on the path you choose.

Heart to Heart Adoptions is an agency that provides domestic infant adoption services. But we can help you understand other types of adoption so you can decide how domestic adoption fits with the other choices you have. We’re willing and happy to steer you to the best situation for you. Before we spend the rest of this Guide talking about domestic infant adoption through Heart to Heart Adoptions, it helps to see where it fits among your other choices.

What Are the Main Types of Adoption?

Families can grow through several different adoption paths. The five most common are domestic agency adoption, independent adoption, kinship adoption, international adoption and adoption from foster care. Each has its own process, costs, timelines and legal requirements.

What Is Domestic Agency Adoption?

You work with an adoption agency that helps with preparation, matching, support and the legal steps of adoption where the adoptive parents and the birth parents live in the same country. Heart to Heart Adoptions works primarily in domestic infant adoption. But we have friends and colleagues who work with other types of adoption, especially foster care adoption and international adoption. We’d love to introduce you.

What Is Independent Adoption?

An independent adoption is arranged without an adoption agency. Attorneys and other professionals usually help the birth parents and adoptive parents complete the legal process.

What Is Kinship Adoption?

Kinship adoption happens when a relative, such as a grandparent, aunt, uncle or other family member, adopts a child.

What Is International Adoption?

International adoption involves adopting a child from another country. Families must meet the requirements of the child’s country as well as U.S. immigration and adoption requirements. If this is of interest to you, we suggest you go to Hand in Hand International and meet Bonnie and her staff.

What Is Foster Care Adoption?

Foster care adoption involves adopting a child whose case has moved from foster care toward adoption. The children available for adoption through foster care are often older than infants, and sibling groups may also need families.

Are Surrogacy and Embryo Donation Types of Adoption?

No. Surrogacy and embryo donation are ways families may grow, but legally they are not adoption. They follow different processes and laws.

A few more questions

Which type of adoption does Heart to Heart Adoptions provide?

Heart to Heart Adoptions works primarily with families pursuing domestic infant adoption.

Is foster care the same as domestic infant adoption?

No. Foster care and domestic infant adoption have different goals, processes and legal paths.

Is surrogacy an adoption?

No. Surrogacy is a different legal and family-building process.

Do we need to choose an adoption path before contacting Heart to Heart Adoptions?

No. You can ask questions and learn more before deciding whether domestic infant adoption fits your family.


Placement starts daily family life, but the legal process is not finished.

During the post-placement period, a social worker visits your family, documents how everyone is doing and prepares the reports required before finalization.

What Are Post-Placement Visits?

Post-placement visits are supervisory meetings after the child is placed with you. They give the social worker a chance to see how the child and family are adjusting and to document required information.

Why Are Post-Placement Visits Required?

They are part of the legal and professional process before finalization. The number and timing of visits can depend on state requirements and the circumstances of the adoption.

What Happens During a Visit?

Expect conversation about the baby's health, routines, attachment, medical care, family adjustment and any concerns you have.

This is not the time to pretend everything is effortless. If something is hard, say so.

What If We Are Struggling?

Tell your social worker and Heart to Heart Adoptions. Asking for support is more useful than trying to make a post-placement report look perfect.

The goal is to help the family and child adjust safely.

How Much Do Post-Placement Visits Cost?

For Utah families using Heart to Heart Adoptions, the current fee is $150 per post-placement visit.

What Should We Do About Health Insurance?

Notify your insurance company promptly after placement. Coverage timing can vary. Heart to Heart Adoptions’s current orientation notes that some plans may cover from birth while others begin coverage after placement paperwork. Confirm the effective date directly with your insurer and tell your adoption team when coverage begins.

What Happens With the Birth Family?

Continue the contact you agreed to and communicate if circumstances change. Our Hearts Connect can provide a private space for messages, photos and videos.

What Should We Do Before Finalization?

Complete required visits and reports, stay in contact with your attorney and keep your adoption records organized.

A few more questions

Why are post-placement visits required?

They document adjustment and help complete requirements before finalization.

Should we hide problems from the social worker?

No. Talk honestly about concerns and ask for support.

How much is a current Heart to Heart Adoptions Utah post-placement visit?

$150 per visit.

Does open-adoption contact stop during post-placement?

No. Continue the agreed contact and communicate about changes.

What is the next legal milestone?

Finalization.


Finalization is the court process that legally completes the adoption.

Heart to Heart Adoptions' current orientation says many adoptions finalize approximately three to six months after placement, although timing varies by state and circumstance.

What Has to Happen Before Finalization?

Required post-placement visits and reports must be completed, and the legal case must be ready for the court.

Your attorney coordinates the legal requirements and tells you what is needed for your adoption.

Do We Need an Attorney?

Yes, adoption finalization is a legal process. Your adoption attorney prepares the required filings and guides you through the court process.

What Happens at the Finalization Hearing?

The exact procedure varies by court. The judge reviews the case and, when the legal requirements are satisfied, enters the final adoption decree.

Many families experience finalization as a happy court day, but it is still a formal legal proceeding.

How Much Does Finalization Cost?

Finalization is a separate expense. Review the cost breakdown in Lesson 1 and ask your attorney for an estimate for your situation.

Finalization expenses are separate from the agency placement fee.

What Should We Know About the Federal Adoption Tax Credit?

The federal Adoption Tax Credit may help eligible families with qualified adoption expenses. The IRS lists adoption fees, attorney fees, court costs, travel and certain other expenses directly related to a legal adoption among potentially qualified expenses.

Tax rules change. Check the IRS guidance for the tax year that applies to your expenses rather than relying on an old guide figure or another family's return.

What Records Should We Keep?

Keep fee statements, invoices, receipts, attorney bills, court costs, travel records and other adoption-related financial documents.

Consider a qualified tax professional if you need help determining what applies to your return.

What Happens After Finalization?

The court case may be complete, but adoption remains part of your family's life. Your child's questions and your relationship with the birth family will continue to develop.

A few more questions

Is the adoption final at placement?

No.

How long does Heart to Heart Adoptions currently tell families finalization often takes?

Approximately three to six months after placement, although timing varies.

How much should families currently estimate for finalization?

Finalization is a separate expense. Review the cost breakdown in Lesson 1 and ask your attorney for an estimate for your situation.

Can families use an old Adoption Tax Credit amount?

No. Check current IRS guidance for the applicable tax year.

What records should families keep?

Adoption-related fee statements, receipts, attorney and court costs, travel records and other relevant documents.


Open adoption is not one conversation before placement and it is not a promise that stays frozen forever.

It is an ongoing relationship involving real people whose needs, schedules and comfort levels can change. The goal is to keep communication centered on the child and to be dependable about the commitments you make.

What Is a Post-Adoption Contact Agreement?

A post-adoption contact agreement, often called a PACA, records expectations for contact after placement. It may address messages, photos, calls, visits or other forms of connection.

The legal effect of these agreements varies by jurisdiction, so legal questions belong with the attorney handling the adoption.

Why Is It Important to Be Realistic About Contact?

Promises made before placement matter. Do not agree to a level of contact you already suspect you will not maintain.

It is better to have an honest conversation before placement than to create expectations that later become a source of hurt.

What Is Our Hearts Connect?

Our Hearts Connect is Heart to Heart Adoptions' private platform for open-adoption communication. You can share messages, photos and videos, and the level of monitoring can change as the relationship changes.

It also creates a long-term record of communication.

Why Not Just Use Social Media?

Social media can blur boundaries between private family life and public identity. A private adoption-specific space gives families more control over who sees communication and how it is preserved.

What If the Relationship Changes?

Talk about it. A move, new relationship, changing work schedule or a child's changing needs may affect how contact works.

Heart to Heart Adoptions can help families work through changes rather than letting silence become the answer.

How Do We Talk With Our Child About Adoption?

Adoption should not arrive as a surprising disclosure years later. Use simple, truthful language from the beginning and let the conversation grow as your child's understanding grows.

Your child may have questions that are different from yours. Make room for those questions without requiring your child to feel grateful, sad or curious in a particular way.

What Should We Remember as We Finish This Guide?

You do not need to know today exactly what every stage of your family's adoption relationship will look like.

Keep learning. Keep your promises. Ask for help when you need it. Make room for your child's understanding of adoption and birth-family relationships to grow along with them.

A few more questions

What is a PACA?

A post-adoption contact agreement records expectations for contact after placement.

Does open adoption always mean in-person visits?

No. Contact can include messages, photos, calls, visits or other arrangements.

What is Our Hearts Connect?

Heart to Heart Adoptions' private platform for sharing adoption-related messages, photos and videos.

What if contact expectations need to change?

Communicate early and ask Heart to Heart Adoptions for support.

When should children learn they were adopted?

Adoption should be part of their story from the beginning, using age-appropriate truthful language.


Follow the five main lessons for the course. The deeper answers are there when you want more detail. You can open them without leaving the lesson.

Yes. These lessons are public resources you can revisit whenever a new question comes up. The lesson menu shows where you are; there are no locked lessons.

At the end of Lesson 5, use the certificate request form. You will enter your name and email and confirm that you reviewed the five main lessons. Heart to Heart can tell you how this course applies to your education requirements.

Every adoption is unique, and costs vary depending on your adoption plan and individual circumstances. Heart to Heart provides transparent pricing with no hidden fees, and financial assistance resources may be available to qualifying families.

Your timeline depends on factors such as your adoption preferences, profile, and when an expectant parent chooses your family. We’ll help you understand what to expect at every stage.

Many individuals and couples may be eligible to adopt. Requirements vary by state, but most families complete an application, home study, background checks, and adoption education before being matched.

A home study is a required part of the adoption process that evaluates your readiness to adopt. It includes interviews, background checks, paperwork, education, and a home visit to prepare your family for adoption.

Yes. Most domestic infant adoptions today include some level of openness. Birth parents and adoptive families work together to determine the type and amount of ongoing contact that feels right for everyone.

Your family profile shares your story, values, and hopes with expectant parents. Our placement team takes time to understand what your family is looking for and what each expectant parent is hoping for. With your approval, we present your profile only when we believe it may be a good match for both you and the expectant parent.

It depends on paternity, marital status, and state law, not automatic in every situation.
In many states, yes, some maintain a putative father registry that allows adoption to proceed without his direct consent.
Yes. Whether you are in recovery or still struggling with addiction, you have the same rights as a birth mother. We have worked with many women in various stages of recovery. You do need to realize that if the baby has drugs in their system, you will need someone there to take responsibility for the child until you are clean.

Heart to Heart works with women from all circumstances. Your history does not disqualify you from making an adoption plan or from having access to the full support Heart to Heart provides.

No. Heart to Heart works with women who discover their pregnancy at any stage, including late in the third trimester or women who are already parenting. Call 844-522-7700 right now if your situation is urgent.

Choosing adoption is always going to be a difficult decision. As as Josephine’s story reveals, it can also be one of the most unselfish decision you can make. Josephine’s story is an example that grief is real, but so is a life of peace. We are always there to work with you through the post-placment period.

Yes. There are, of course, laws that prohibit paying for a child. But certainly there is financial assistance for housing, food, medical care, and other pregnancy-related expenses is available to birth mothers in Florida regardless of their circumstances. Call 844-522-7700 to talk about what you need.

No, starting young, before your child fully understands language, tends to work better than waiting for a single big reveal.
As early as possible, even before your child understands language, so it becomes a normal part of their story from the start.

It's okay not to have every answer. Validating their feelings and staying open to the conversation matters more than a perfect response.

Most adult adoptees say the earlier the better, so it never feels like a hidden secret revealed later.

Yes, according to many adoptees. Starting young means the topic becomes normal rather than a big, difficult reveal.

Address it calmly and honestly in the moment. Kids often take their emotional cue from how the parent responds.

Authenticity. Birth mothers are reading dozens of profiles and can tell when a family is performing rather than being real. However, you do your family profile, let it represent you. You can contact us for specifics on what should be included in the family profile.

This is a question that doesn’t have a simple answer. It varies widely. In this story, a birth mother chose within 12 hours. Others take weeks or months. Heart to Heart keeps families’ profiles active and updated throughout the wait.

ICPC stands for Interstate Compact on the Placement of Children. It is the legal process required when an adoptive family in one state adopts a baby born in a different state. In this story, the family was not in Florida. ICPC was required. Heart to Heart coordinates all ICPC paperwork.

Yes. Heart to Heart regularly matches Florida birth mothers with adoptive families from other states. ICPC ensures all legal requirements in both states are met.

OurHeartsConnect is a private messaging app Heart to Heart uses to help birth mothers and adoptive families stay connected safely after placement. It allows photos, updates, and messages without requiring direct contact information exchange.

Not wrong, but the label doesn't need to be attached to every introduction, your child's story is theirs to share, not a public fact about them.

She has the legal and emotional right to reconsider at any point before consent is signed. Heart to Heart supports birth mothers through uncertainty without pressure. In this story, meeting the family in person resolved the second thoughts, but that is the birth mother’s choice to make.

Not wrong, but it doesn't need to be attached to every introduction. Your child's story is theirs to share, not a public fact about them.

With doctors, close family, or in private conversations with other adoptive parents, not with strangers or casual acquaintances.

A simple, calm redirect works well, such as saying it's private family information and changing the subject.

In Sayoko’s case, she and the birth mother message each other nearly every day through OurHeartsConnect. Open adoption contact varies widely. In this case, the women send messages almost daily at first. Even today after a few years, the are weekly in contact talking about the child they both love.

Yes. In this particular situation, the birth mother was uneasy with her decision. She knew adoption was the best for her baby, but it wasn’t until she met personally with the adoptive mother, that she finally felt peace. That peace has been sustainable. The two of them enjoy their relationship. The decision to place and the decision to maintain contact are separate. Heart to Heart supports both decisions without pressure.

OurHeartsConnect is a computer app that allows you to message in a private manner. It is not social media. The only people that can use your app have to be added to your group. This computer app allows you to get photos, message, videos in a secure manner. Another great advantage of using OurHeartsConnect is that you can take all the messages, picture or just choose the ones you want and create a book. Your child will be able to see this book that has pictures of them as well as pictures of their birth mothers.

All women, women who appear certain of their decision and women who are wondering if they are making the right decision, are not pressured. We believe that they should be given the space and time they need to make a decisions. We always want women to be given the space to make a decision that they can live with.

It happens. Heart to Heart actively supports this. The relationship between a birth mother and adoptive mother can be one of the most meaningful things that comes from an open adoption. this is meaningful for the adoptive mother, the birth mother and the child who will grow up knowing that both of them love them.

That's common, and teachers can offer flexibility with assignments like Punnett Squares when asked.

It can help to talk through it beforehand so your child has an answer or approach ready if the topic comes up.

It can help. A brief conversation ahead of time can prevent awkward moments during genetics lessons.

Yes, peer curiosity, even when well-intentioned, can make adopted kids feel like an anomaly rather than normal, which is worth preparing them for.

Yes. Even well meaning curiosity from classmates can make adopted kids feel different rather than normal.

How can parents help kids handle intrusive questions from peers?

Yes. At any point before consent is signed. A birth mother in Florida cannot sign legal consent until at least 48 hours after birth. Until that moment, she can change her mind about the adoption, the agency, the family, or the plan for any reason. Heart to Heart supports birth mothers through this process without pressure toward any particular decision.

An adoption disruption is when a planned adoption does not proceed. This typically happens because the birth mother decides to parent. Disruptions are painful for adoptive families, but they are also the birth mother exercising a legal right she is entitled to.

Give her space and time. The decision belongs to her. What Sayoko modeled in this story was genuine empathy for the birth mother’s difficulty, patience without pressure, and openness to whatever outcome was right. this is what Heart to Heart Adoptions coaches all families to do. Recently, we had a family travel thousands of miles because a birth mother had chosen them. She changed her mind. The family went to Costco and bough diapers, wet wipes, food, formula, and several cases of canned goods which they left with the new mother. They showed her love even though she had changed her mind. We aren’t suggesting that every family has the resources to do this, but they did and they were incredible human beings.

A dedicated case manager stays in close contact with both the birth mother and the adoptive family throughout uncertain periods. Heart to Heart communicates honestly about what is known and what is not, helps manage logistics, and provides emotional support to both parties.

Open adoption means the birth mother and adoptive family agree to some form of ongoing contact after placement. In Sayoko’s case, she and the birth mother began messaging each other nearly daily through OurHeartsConnect after placement.

OurHeartsConnect is a private computer app that Heart to Heart Adoptions uses to help birth mothers and adoptive families stay connected after placement. It allows both parties to share messages, photos, and updates safely and privately.

Yes. Waiting for a birth mother’s decision is one of the most emotionally intense experiences in the adoption process. Heart to Heart counselors support adoptive families through these periods with honest communication and consistent contact.

Several of the recommended titles touch on staying connected with birth family, which pairs well with an open adoption arrangement.

Several of the recommended titles touch on staying connected with birth family, which pairs well with an open adoption arrangement.

The list includes options for both preschoolers and school age children, organized by age range.

Yes, trust is earned over time in every family, adoptive or biological, and that's a normal, not concerning, process.

Yes. Trust is earned over time in every family, adoptive or biological, and that's a normal process.

Dishonesty, even when well intentioned, tends to break trust faster than difficult truths.

Yes. Phone and video counseling mean you can do this entirely from home, without traveling off the Island.

Yes, if that’s your preference. Heart to Heart has waiting families across Long Island and the wider New York area

Yes, starting at month 8 of pregnancy under New York law. This can include rent, utilities, groceries, and more.

Heart to Heart has worked with hospitals across Nassau and Suffolk Counties. Your caseworker can coordinate with your specific hospital ahead of time.

Yes. Phone and video counseling are available and many Long Island birth mothers prefer this for privacy.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent — housing, safety — we can move fast.

Not replace, blend. The goal is a bridge between the child's past and their new family, not a substitution.

Start small, with simple conversations or one new tradition at a time, and let your child's interest guide the pace.

Not replace, blend. The goal is combining traditions, not substituting one for another.

In Sayoko’s case, she and the birth mother message each other nearly every day through OurHeartsConnect. Open adoption contact varies widely. In this case, the women send messages almost daily at first. Even today after a few years, the are weekly in contact talking about the child they both love.

Yes. In this particular situation, the birth mother was uneasy with her decision. She knew adoption was the best for her baby, but it wasn’t until she met personally with the adoptive mother, that she finally felt peace. That peace has been sustainable. The two of them enjoy their relationship. The decision to place and the decision to maintain contact are separate. Heart to Heart supports both decisions without pressure.

OurHeartsConnect is a computer app that allows you to message in a private manner. It is not social media. The only people that can use your app have to be added to your group. This computer app allows you to get photos, message, videos in a secure manner. Another great advantage of using OurHeartsConnect is that you can take all the messages, picture or just choose the ones you want and create a book. Your child will be able to see this book that has pictures of them as well as pictures of their birth mothers.

All women, women who appear certain of their decision and women who are wondering if they are making the right decision, are not pressured. We believe that they should be given the space and time they need to make a decisions. We always want women to be given the space to make a decision that they can live with.

It happens. Heart to Heart actively supports this. The relationship between a birth mother and adoptive mother can be one of the most meaningful things that comes from an open adoption. this is meaningful for the adoptive mother, the birth mother and the child who will grow up knowing that both of them love them.

It can normalize their experience and show that adoption doesn't limit what someone can achieve or express through their identity.

Yes. Feeling grounded in your life and still curious about your origins can exist at the same time.

Yes. Many adoptees find that creative expression helps them explore questions about origin and identity. 

Yes. Heart to Heart serves birth mothers in Miami, Fort Lauderdale, Boca Raton, Hialeah, Hollywood, Coral Springs, and all of South Florida.

Yes. Heart to Heart serves birth mothers in Orlando, Kissimmee, Sanford, Ocala, Daytona Beach, and across Central Florida. Counselors are available 24/7 by phone and text, with in-person support when needed.

Yes. Heart to Heart serves the full Tampa Bay region — Tampa, St. Petersburg, Clearwater, Sarasota, Bradenton, and Lakeland. The Tampa Bay area is one of Heart to Heart’s most active Florida regions.

Yes. Heart to Heart serves Jacksonville and all of Northeast Florida, including St. Augustine, Palm Coast, and Gainesville. Jacksonville is Florida’s largest city by area — Heart to Heart has experience across the full metro.

Yes. Heart to Heart serves Tallahassee, Pensacola, Panama City, Fort Walton Beach, Destin, and the full Panhandle. Remote counseling is available everywhere; in-person support can be arranged.

Yes. Heart to Heart serves birth mothers in smaller communities and rural counties throughout Florida. Phone and video counseling are available everywhere in the state, 24 hours a day. Call 689-208-2050 and tell your counselor where you are.

No. All services are completely free to birth mothers regardless of where in Florida you are located. Distance from the office has no effect on what support you receive.

Yes. Heart to Heart Adoptions places babies with approved families from across the country. You are not limited to Florida families. Interstate adoptions require ICPC coordination, which Heart to Heart handles.

Yes. Heart to Heart Adoptions places babies with approved families from across the country. You are not limited to Florida families. Interstate adoptions require ICPC coordination, which Heart to Heart handles.

Yes. Heart to Heart Adoptions places babies with approved families from across the country. You are not limited to Florida families. Interstate adoptions require ICPC coordination, which Heart to Heart handles.

No. The legal process is consistent statewide. The timeline is determined by you and your adoption plan, not by your location.

Call Heart to Heart Adoptions now and tell we’ll listen to you about your situation and what is important to you. One thing we know about you, you are unique and your desires for your life and the life of your baby is specific to you. We know that you might move, or you’re not sure where you can get medical help. We have been with women who need safer housing or need medical advice. Heart to Heart Adoptions has helped birth mothers whose location changed during their pregnancy.

No. You can decline respectfully, and protecting your child's story from becoming public talk is worth the occasional awkward moment.

Heart to Heart can arrange rides to medical appointments starting at month 8 of pregnancy, and most other conversations can happen by phone or video.

A simple, calm redirect works well, such as saying it's private family information and changing the subject.

Yes. Heart to Heart has worked with hospitals across the Buffalo area. Your caseworker can coordinate ahead of time.

Yes. Women throughout Western New York, including Niagara Falls and Lockport, work with the Buffalo-area team.

Call now. It’s not too late to start, even this close to your due date.

Yes, if you’d like to. You can also wait until after birth if that feels right for you.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support, this include including counseling, starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent — housing, safety — we can move fast.

It claimed to measure a child's willpower or self control by testing whether they'd wait for a bigger reward.

Not as strongly as once believed. A replication study found no statistical link between delayed gratification and future success.

No. A single test says very little about a child's character or future, especially given how individual temperament varies.

Yes. Many women in Syracuse’s college community have built adoption plans while in school, with support that works around class schedules.

Your caseworker can connect you to local and state resources, including housing, food, and medical support, alongside Heart to Heart’s own services.

Yes. Some women decide during labor or shortly after birth, and Heart to Heart can coordinate with hospitals across the region.

Heart to Heart can arrange interpretation support so language is never a barrier to understanding your options or your rights

Heart to Heart can arrange interpretation support so language is never a barrier to understanding your options or your rights

Yes. Heart to Heart pays for everything. Living-cost help also starts at month 8 of pregnancy, under New York law.

Counseling and emotional support start right away.

Heart to Heart had hundreds of families that have been interviewed and vetted psychologically, financially, legally and in every other way. You can see their family profiles. You can speak with them on the phone. Haley will find you families that fit what you want for your baby and for the kind of openness you want in the coming years.

We don’t decide what you look for in a family. You get to decide what matters to you. Do you care about religion, lifestyle, other children in the home, location, how open they are to contact, shared interests, cultural background. There is no absolute list. You decide. One birth mother saw that a specific adoptive family loved Halloween. She also loved Halloween and that small connection blossomed into a lifetime of connection.

As quickly as you need. In Josephine’s case, she chose a family within 48 hours. Heart to Heart can move as fast as you need. This mean some day matching if things are moving quickly.

Yes, at any point before consent is signed you can change your mind about anything. If a family does not feel right, Heart to Heart Adoptions will help you find another family. There is no pressure and no penalty for changing your mind.

Heart to Heart Adoption follows state law in the kind of help and support they can provide for you. This usually includes help with housing, medical care, hospital planning, and finalizing your adoption plan. You will know exactly what to expect on delivery day, including who will be there and when the adoptive family arrives.

There is no absolute for everyone. There is no absolute over the days and weeks following placing a baby for adoption. Every woman’s experience is different. Some feel peace quickly. Others carry grief for months or years, usually around birthdays and milestones. Post-placement counseling continues at no cost for as long as you need it.

Yes. Many women in the Capital Region’s college community have built adoption plans while in school. Your caseworker can work around your class schedule.

You’re still fully served. Women from Troy, Schenectady, Saratoga Springs, Glens Falls, and other nearby communities regularly work with the Albany office.

Yes. Your caseworker coordinates closely with your medical team regardless of the complexity of your pregnancy.

Yes, if that’s what you’d like. Because the Capital Region office is local, in-person hospital support is often possible here.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support — including counseling — starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent — housing, safety — we can move fast

It means the emotional and legal risk sits differently than you might expect, which is exactly why agency support and legal counsel matter.

Adoption law is built mainly to protect the child and birth family. Adoptive parents rely on the agency and legal counsel for protection instead.

That doesn’t change your options. Your caseworker will talk with you about your full situation, including your existing family.

Yes. Many calls and check-ins can happen by phone during breaks or after hours, around your work schedule.

Yes, or by phone and video if that’s easier for your schedule and privacy.

Yes. New York law requires consent to be signed after birth, so deciding at or after delivery is completely normal.

Yes. Heart to Heart pays for everything: legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

No. Adoption is an active parenting plan you choose. .You decide the family, the level of openness, and the kind of ongoing contact you want.
More than you think. Most birth mothers have several weeks to consider their options before any decision is final.

Yes. Everything can be handled locally or remotely. A trip to the city is never required.

Most birth mothers don’t regret their decision, though many feel sad sometimes. Grief and regret are different things.

You’re fully served. Heart to Heart works with women throughout the region, from larger towns like Poughkeepsie to smaller river communities.

Yes. Phone and video counseling are available throughout the Hudson Valley, which many commuters find easiest to fit into their schedule.


Yes, if that’s your preference. Heart to Heart has waiting families throughout the region and across New York.

Yes. Heart to Heart pays for everything — legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away

No. Some birth mothers wait, some tell family immediately, and both are okay.
That’s a valid place to be. Exploring adoption doesn’t commit you to it.
That’s a common starting point. Many birth mothers explore every option before finding the one that fits.
No. Most adoptions today are open, with ongoing contact through apps, visits, and updates.
There’s no script. Many birth mothers start with one trusted person before telling everyone else.

Yes. Wherever you live in the city — any borough, any neighborhood — you have full access to Heart to Heart’s support.

Yes. Housing status doesn’t change your access to counseling or to living-cost help starting at month 8 of pregnancy. Your caseworker works with your situation as it is

Tell your caseworker right away. They can connect you to emergency housing resources alongside Heart to Heart’s own support, regardless of where you are in your pregnancy.

That’s all right. Many women who call us are doing this without family support. Your caseworker and counselor become part of your support system through the process.

Yes. Heart to Heart has worked with women at hospitals across all five boroughs. Your caseworker can coordinate with hospital staff ahead of time if that’s helpful.

Yes, if you’d like to. Many birth mothers choose and even meet their family before their due date, though you can also decide after birth if that feels right for you.

Yes. Heart to Heart pays for everything. This includes legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support which for sure includes counseling, starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

Call or text 518-557-1722 right now. Someone answers 24/7. If it’s urgent we can move fast.

We offer remote counseling by phone or video, so you do not need to be seen visiting an office or driving somewhere unfamiliar.

We can help arrange transportation and work around the distance you need to travel.

No. All of our services are free, including legal help, counseling, and money for living expenses.

Yes. You review profiles and choose the family yourself.

Yes. Heart to Heart serves birth mothers in every part of Utah, including rural and small-town communities far from Salt Lake City. Counseling is available by phone or text 24/7, case managers can travel to you when needed, and financial assistance covers transportation to medical appointments. Distance has never been a reason a woman in Utah couldn’t access our services

No. Heart to Heart comes to you. We have case managers who know Southern Utah — Washington County, Iron County, and the communities along the Colorado Plateau. Remote counseling by phone or video is available 24/7, and in-person visits can be arranged in Cedar City, St. George, and surrounding areas.

Yes. Heart to Heart understands the geographic isolation of the Uintah Basin and the specific circumstances women in Roosevelt, Vernal, Duchesne, and nearby communities face. Case managers travel to the Basin when needed, and all counseling and support is available remotely. We also have experience with late-pregnancy situations, which are more common in medically underserved areas.

Heart to Heart works with students across Utah’s universities. Confidentiality is a particular priority for students who need to manage an unexpected pregnancy without their campus community or family knowing. Remote counseling ensures privacy, and financial support covers pregnancy-related costs that a student budget can’t absorb.

Call or text 844-522-7700 right now. A real person answers 24 hours a day, seven days a week. Support can often begin within 24 to 48 hours of your first call. Urgent situations move faster.

Work with a reputable agency that screens carefully and communicates honestly about the risks involved in each situation.

Distance is not a barrier. Phone and video counseling reach every part of the state, no matter how remote.

Most of the process happens by phone or video. For anything that requires an in-person step, your caseworker works around your location.

Yes. Many women complete their entire plan with minimal to no travel beyond their existing medical appointments.

Help getting to medical appointments is part of Heart to Heart’s support starting at month 8 of pregnancy. Your caseworker will help figure out what you need.

Yes. Distance from a city doesn’t limit your choices. You review the same family profiles and have the same say as any birth mother in New York.

Yes. Heart to Heart pays for everything. This includes legal help, counseling, case management, medical coordination. Living-cost help also starts at month 8 of pregnancy, under New York law.

Support which includes counseling, starts with your first call, before you’ve decided anything. The month-8 rule under NY law only affects money for living costs. Counseling and emotional support start right away.

It might, and that's okay, the point of this time is clarity, not a test of your resolve either way.

No. Many birth mothers start with one trusted person before telling others.

Fear of a bad reaction is common, but as this story shows, sometimes the people you’re most afraid to tell respond with the most support.

There’s no single right time. Some birth mothers wait until they’re certain, others tell family early for support through the whole pregnancy.

Yes. We offer confidential counseling by phone or video, so you do not have to be seen visiting an office.

We can work with your schedule no matter how long you plan to stay in the area.

No. All of our help is free, including legal support, counseling, and money for living expenses.

Yes. You choose the amount of contact that feels right to you.

Yes. You look through profiles and make the choice yourself.

It depends on your state, some enforce them as contracts, most don’t, but a written moral agreement still carries real weight.

The adopted child if they’re over 12, the adoptive family, the birth family, and in some cases an Indian tribe.

You can still create a written moral agreement. It won’t be legally binding, but it shows good faith and helps prevent misunderstandings.

Most adult adoptees say the earlier the better, so it never feels like a hidden secret revealed later.

Regret means wishing you’d made a different choice. Grief means feeling sad about loss even within the right decision — most birth mothers experience grief, not regret.

It usually eases over time, especially with good support, contact through open adoption, and seeing your child thrive.

Once an adoption is finalized it’s permanent, though most states allow a window to reconsider before that point — laws vary by state.

Yes, according to many adoptees. Starting young means the topic becomes normal rather than a big, difficult reveal.

Address it calmly and honestly in the moment. Kids often take their emotional cue from how the parent responds.

Many families route gifts through the agency or Our Hearts Connect, especially in the early years.

No — it’s never too late to send something, big or small; the gesture itself is what communicates that she’s remembered.

As relationships mature, many adoptees want input on how their birth mother is honored — that involvement can be a meaningful part of the tradition.

Transracial adoption is the placement of a child with an adoptive family of a different racial or ethnic background. In domestic infant adoption in the United States, this most commonly involves white families adopting Black or biracial children

It involves additional complexity, particularly around racial identity development, cultural connection, and community building. Research shows that transracially adopted children can thrive when their families engage intentionally with these dimensions. The challenge is real. So is the reward.

Heart to Heart Adoptions requires pre-adoption education that includes racial identity development, cultural humility, and open adoption. We have direct, honest conversations with prospective adoptive families about community, diversity, and readiness before a match is made.

Yes. Birth mothers in domestic infant adoption have the right to select the family they feel is best for their child, and race is a factor they’re legally permitted to consider in either direction.

Yes, the grief is real even though the loss doesn't look like a typical loss to people outside the situation.

It varies, some families process it with sadness rather than bitterness by understanding the pressures the birth mother was under.

No, it's a common and reasonable worry, not a sign you shouldn't pursue adoption.

Yes, support exists specifically for this kind of loss, separate from the adoption planning process itself.

The adoption plan for the surviving baby can continue, though the loss itself requires its own support and space for grief.

Yes, many families who eventually adopt successfully faced multiple failed situations first.

You keep going, and you keep learning. No family is perfectly prepared. The families that succeed aren’t the ones who got it right from the beginning. They’re the ones who kept asking questions, kept seeking community, and kept putting their child’s needs ahead of their own comfort. Heart to Heart offers post-adoption support for exactly this reason.

Yes. We work around your schedule, whether you have steady hours or shifts that change week to week.

No. Everything you share with us stays private. It is your choice who you tell and when.

It depends on paternity, marital status, and state law, not automatic in every situation.

No. All of our services are free, including legal help, counseling, and money for rent or other living expenses while you are pregnant.

In many cases, yes. You have real say in whether he provides consent, is simply notified, or isn't involved at all, depending on your state's laws.

Yes. You look through family profiles and choose. No one chooses for you.

His legal rights depend on paternity, involvement, and your state's laws, not on marital status alone.

No. Many of our birth mothers handle everything by phone or video call, which can be easier if you are working irregular hours.

Yes. We support women throughout Southwest Florida, not just in Naples or Fort Myers, including smaller agricultural towns.

We can arrange transportation to medical visits and other appointments.

No. All of our help, including legal support and counseling, is free.

Yes. You review profiles and choose yourself.

You can change your mind at any point before signing final adoption papers.

No. Most women have several weeks to think through their options before any decision is final.

Yes. Pregnancy confirmation, counseling, and case management through Heart to Heart Adoptions are free to birth mothers.

You don’t need one to get started. A case manager like Kathy or Wendi can be your first conversation, confidential and judgment-free, before you’ve told anyone else in your life.

In many states, yes, some maintain a putative father registry that allows adoption to proceed without his direct consent.
Many states allow adoption to proceed without his consent in this situation, sometimes using a putative father registry.

Usually the birth parent’s state law applies, but birth parents may choose to proceed under the adoptive parents’ state law in some situations.

It depends on state law. An adoption specialist can help coordinate the proper steps and documentation.

This depends on state law. Some states allow revocation within a specific time period, while others do not.

Yes, if paternity is legally established. State laws vary and may include putative father registries.

Many states allow certain adoption-related expenses, but all payments must follow state law and court guidelines.

We explain legal options, connect you with professionals, and support you through every step of the adoption process.

In some situations, yes. Some birth parents choose another state's law if it offers a shorter waiting period or different consent process.

Yes, if paternity is legally established. Rules vary by state and may involve a putative father registry.

We have worked with this situation many times. We can explain how it affects the adoption plan and keep things moving even if he is not local.

Adoption plans can work across state lines. We will help you understand what changes and what stays the same if you relocate.

No. All of our help is free, including legal support, counseling, and money for living expenses.

Yes. You choose the level of contact that feels right to you, from regular updates to an open relationship

Yes. You review family profiles and make the choice yourself.

Yes. Many students continue their classes while working with us. Everything you share stays private.

We offer remote counseling by phone or video, so you do not have to be seen coming and going from an office.

We have experience with this. We can explain how it may affect timing and paperwork.

No. You can hold your baby, take time, and decide when you feel ready, not before.

No. All of our services are free, including legal help and counseling.

No. Meeting a family is a chance to see if it feels right. It doesn't obligate you to move forward.

Yes. You choose from family profiles we share with you.

That's normal after birth. Case managers are there to give you space and support, not to rush you.

Yes. We have stepped in for emergencies like this before. If something urgent comes up, call or text us and we will see what we can do quickly.

We can set up rides to medical appointments and other important visits.

No. Heart to Heart Adoptions never charges a birth mother. All of our help, including legal support and counseling, is free

Yes. You look through profiles and pick the family that feels right to you.

You can change your mind at any point before signing final papers. We will walk you through what that means in Florida.

It's skin to skin contact between a caregiver and a premature baby, shown to help with bonding and stability.

Yes, when NICU staff allow it. It's an important part of early bonding for adoptive families too.

Yes. Studies show it can help stabilize heart rate, breathing, and temperature in premature infants.

Yes. Rachel’s story is a real example of doing exactly that when something felt off.

Rachel’s story includes repeated ER visits and a late pregnancy diagnosis. Medical complications can absolutely happen alongside an adoption plan, and support continues through them.

It happens, as it did for Rachel a week before her due date. A good agency will help you find another family quickly rather than leaving you without options.

Yes. It is less common than newborn placement, but it is a real, supported option, and Heart to Heart Adoptions retains a licensed family therapist to help with the bonding and transition process.

Not necessarily. Many placements are open adoptions, and tools like Our Hearts Connect let birth mothers stay updated with photos, messages, and milestones.

Yes, guilt is one of the most common feelings in this decision, but choosing adoption can be a thoughtful, loving decision rooted in your child’s long-term needs, not a failure

Yes. Many adoptive parents describe exactly this, especially as they watch their children grow into who they are.

Not necessarily. Writing it can be its own act of reflection and gratitude, whether or not it’s ever delivered.

Many use the agency or a platform like Our Hearts Connect, especially for something this personal.

Yes. Many families face fertility treatments, failed matches, or long waits before their adoption finally comes together.

It varies widely. Some families wait months, others longer, depending on circumstances and flexibility.

Many describe leaning on faith, support networks, and trust that the right match is still ahead.

Yes. Many adopted toddlers experienced inconsistent care early in life. Attachment takes time and patience.

Cocooning is a period where parents limit caregivers and meet all of the child’s needs to build trust and attachment.

Every child is different. Some bond quickly, while others take months or longer. Consistency is key.

Often it's measured in small milestones, like moving from a feeding tube to a bottle.

As a percentage of feeds given by tube versus bottle, with babies graduating once that percentage is low enough.

It's a milestone showing the baby needs less intensive equipment and support than before.

RAD is a condition that can develop when a child has not formed a secure attachment early in life. With proper support, children can heal and grow.

If concerning behaviors continue for several months or worsen over time, it is helpful to speak with your pediatrician or an attachment-informed therapist.

Love matters enormously, but acknowledging their early experience, not erasing it, is what actually builds trust.

These behaviors are often survival skills from a time when their needs weren’t consistently met, not signs of being difficult.

Love matters enormously, but acknowledging their early experience, not erasing it, is what actually builds trust.

It’s less common than newborn placement, but it’s a real and supported path when circumstances change.

You can reach a case manager directly; you don’t need an existing support system to get started.

No. Isolation during an unplanned pregnancy is common, not a sign of weakness. Needing support is human, not a failure.

You don’t need someone with the same experience to talk to — a case manager understands the situation and can connect you with other birth mothers if that would help.

Yes — many birth mothers explore every option before finding the one that fits.

Yes — this real account is one example of a birth mother exploring every option before landing on the one that felt right.

Not immediately — but this birth mother describes the loneliness easing over time as she connected with support at the agency.

Yes, with guidance from NICU staff. Gentle touch can be an important part of early bonding.

Many describe it as reassuring, a sign that their baby is already loved and in the right place.

Outcomes vary, but many extremely premature babies go on to thrive with strong NICU care and support.

Many meet the baby during the NICU stay, becoming part of the bonding process from the very beginning.

Light therapy treats high bilirubin levels, which are common in premature babies.

It varies by baby, often a few days to a couple of weeks, depending on how bilirubin levels respond.

Yes. Many birth mothers explore every option before finding the one that fits.

Yes. This real account is one example of a birth mother exploring every option before landing on the one that felt right.

Not immediately. But this birth mother describes the loneliness easing over time as she connected with support at the agency.

This can include monitors, feeding tubes, and light therapy beds, depending on the baby's needs.

Not usually. Progress often includes both milestones and temporary setbacks along the way.

Yes. Most NICU journeys include both real progress and temporary steps back.

Often it's measured in small milestones, like moving from a feeding tube to a bottle.

As a percentage of feeds given by tube versus bottle, with babies graduating once that percentage is low enough.

No. Curiosity about origins is separate from love and loyalty to the parents who raised them

It's a milestone showing the baby needs less intensive equipment and support than before.

It varies by baby, but stays of several weeks to a couple of months are common for premature infants.

With support rather than fear. Curiosity about biological family is normal and doesn't threaten the relationship you've built

Families take the baby home, often continuing to monitor milestones with their pediatrician.

It doesn't require co-parenting. Adoptive parents keep full legal rights and responsibilities for raising the child.

Many do. NICU nurses often form real bonds with families during an extended stay.

Yes, the grief is real even though the loss doesn't look like a typical loss to people outside the situation.

It varies, some families process it with sadness rather than bitterness by understanding the pressures the birth mother was under.

No, it's a common and reasonable worry, not a sign you shouldn't pursue adoption.

Yes, the grief is real even though the loss doesn't look like a typical loss to people outside the situation.

It's grief without the usual closure, like mourning a child who was never officially yours to begin with.

It's a common reaction, though case managers encourage families to remember the birth mother is grieving too.

Honestly and gently, as this family did, while still allowing excitement for the next opportunity.

Yes. Many families who experience a failed adoption go on to have a successful placement afterward.

Reactions vary by age, but many children feel real disappointment, as this family's three year old did.

It varies, some families process it with sadness rather than bitterness by understanding the pressures the birth mother was under.

Often due to pressure from family members or complicated circumstances in her own life, not a lack of care for the baby.

Some find it helps to remember the pressures the birth mother was facing, rather than focusing only on their own loss.

No, it's a common and reasonable worry, not a sign you shouldn't pursue adoption.

Yes. It's a common worry and doesn't mean adoption isn't the right path for your family.

Many describe leaning on faith, support networks, and the belief that the right match is still ahead.

Yes, support exists specifically for this kind of loss, separate from the adoption planning process itself.

Yes. It's its own kind of loss, separate from an adoption plan not moving forward.

Support exists specifically for this kind of loss, separate from the standard adoption planning process.

The adoption plan for the surviving baby can continue, though the loss itself requires its own support and space for grief.

Doctors continue to monitor and support the surviving baby closely, and delivery may need to happen earlier than planned.

Many stay close by and present, offering support to the birth mother through delivery and recovery.

Yes. Many open adoption arrangements evolve over time.

It means the agency keeps searching until they find a family that matches what you specifically want and need, even when that takes longer than expected.

Yes. Tara’s story shows how specific shared details, like a love of fishing or a Midwest background, can be exactly what makes a family feel right.

Yes, many families who eventually adopt successfully faced multiple failed situations first.

It varies widely. Some families match quickly, others face several situations that don't work out first.

Many describe holding back full excitement until a placement feels certain, as a way to guard against repeated disappointment.

It's a fair concern, asking directly how an agency handles this is one of the best ways to evaluate them.

They still have a place, but a well-written, regularly updated family profile now tends to matter more.

Often yes, families open to unpredictable or higher-need situations tend to match faster.

Recent research shows it's not either-or, the interaction between the two is more complex than either side of the old debate assumed.

It's a fair concern, asking directly how an agency handles this is one of the best ways to evaluate them.

By prioritizing informed consent, avoiding coercion, and not matching a birth mother with a family until she feels at ease with the plan.

Yes. Even in the best circumstances, adoption can involve grief and complex emotions. Ethical agencies provide ongoing support for that.

They still have a place, but a well-written, regularly updated family profile now tends to matter more.

They still have a place, but a well written, regularly updated family profile tends to matter more today.

Specific, authentic details, like a favorite holiday tradition or a shared interest, often connect more than a polished narrative.

Often yes, families open to unpredictable or higher-need situations tend to match faster.

Often, yes. Families open to a wider range of situations tend to match more quickly.

Sibling groups, medically fragile newborns, and situations with some unknowns are common examples.

Recent research shows it's not either-or, the interaction between the two is more complex than either side of the old debate assumed.

Not in favor of either side alone. Current research shows a complex interaction between genetics and environment.

It's the study of how environment and experience can affect whether and how genes are expressed, without changing the genes themselves.

It depends on your state, some allow legally binding contact agreements, others treat them as good-faith arrangements.

Yes. Many families start with one level of contact and adjust it as everyone's needs change.

The birth mother chooses the starting level of contact, and both families can revisit it together as the child grows.

Not automatically, what matters is that the level of openness is chosen thoughtfully, centered on the child's needs, not a fixed formula.

Yes. Knowing where they came from tends to help children grow up with a stronger, clearer sense of who they are.

It's not ideal. Platforms like Facebook weren't built for adoption relationships. A monitored app like Our Hearts Connect is a safer, more private option.

Yes, asking direct questions before placement is exactly how you protect the relationship you want afterward.

Yes. Asking directly about boundaries, communication, and meeting expectations before placement is one of the best ways to protect the relationship afterward.

Hesitation about meeting before the birth can be an early sign that the family isn't ready for the kind of openness you want.

Every situation is different, but with strong NICU care, many babies born as early as 25 weeks go on to thrive, as Elias's story shows.

Expect a mix of real progress and setbacks. NICU teams communicate closely with families throughout the stay.

No, financial wealth isn't the deciding factor; what matters is the ability to meet a child's basic needs and provide a stable, comfortable life.

Many NICU units allow parents extended time with their baby, though policies vary by hospital.

No. Financial stability matters, but emotional readiness, communication skills, and a genuine commitment to openness matter just as much.

Ask direct questions about discipline, values, and how they plan to talk with their child about adoption. Their answers will tell you a lot.

It happens more often than people expect, especially in open adoptions where regular contact builds real trust over time.

It can become a genuine source of support, as this birth mother's story shows, without replacing the relationships already in her life.

That uncertainty is common. Many birth mothers decide gradually, after getting to know the adoptive family better.

No, some birth mothers relocate for safety or support reasons, and agencies like Heart to Heart provide housing to make that possible.

Ask about their credentials, how much say you'll have in the process, and whether you can meet potential adoptive families before deciding.

Yes. Reaching out to a few agencies to compare costs and services is a normal part of finding the right fit.

Yes, these are reasonable questions about the home your child will grow up in, and a good family will answer honestly.

No. Questions about financial security, background, and stability are reasonable, and a good family will answer honestly.

Start with what matters most to you, whether that's faith, education, or openness, and let the conversation grow from there.

Yes, a specific conversation about how they expect you to be involved in later years is worth having before you feel unheard.

What if a family's profile barely mentions me? That can be a warning sign. A family focused only on the baby, with little discussion of your role, may not be ready for real openness.

Before. A face to face conversation about boundaries and expectations should happen while everyone is still relatively unattached emotionally.

Not necessarily wrong, but it does mean the trust that openness depends on needs to be repaired or clearly addressed.

Reach out through the agency first. Tools like Our Hearts Connect also help prevent lost messages and missed updates.

It can. Birth mothers remember whether promises were kept, which is part of why consistent communication matters so much.

No. Grief is normal even within the right decision; remorse is much less common, especially with open adoption.

Some people unfamiliar with modern adoption may hesitate at first. Education tends to help those around you feel more comfortable with your decision.

No. Exploring every option, including adoption, is itself a responsible way to consider your child’s needs, not an avoidance of responsibility.

No, starting young, before your child fully understands language, tends to work better than waiting for a single big reveal.

Not wrong, but the label doesn't need to be attached to every introduction, your child's story is theirs to share, not a public fact about them.

No, you can decline respectfully, and protecting your child's story from becoming public folklore is worth the occasional awkward moment.

Yes, peer curiosity, even when well-intentioned, can make adopted kids feel like an anomaly rather than normal, which is worth preparing them for.

Several of the recommended titles touch on staying connected with birth family, which pairs well with an open adoption arrangement.

Yes, trust is earned over time in every family, adoptive or biological, and that's a normal, not concerning, process.

Not replace, blend. The goal is a bridge between the child's past and their new family, not a substitution.

Simple, low-pressure gestures. This may include a card, a photo, a small keepsake.

Mother’s Day is a natural anchor point, but many families build small recognitions into birthdays, holidays, or ‘firsts’ throughout the year too.

Yes. Follow your child’s comfort level and let their interest in the relationship develop at their own pace.

Why would they not want to talk about race? Children talk about hair color, fingernails, freckles, and other physical differences. If they are not talking about the color of their skin, then they might feel that the topic makes the adults around them uncomfortable. You don’t want to force the conversation. But there should be no concern about the conversation.

 We can not emphasize this enough. As a birth mother, you have the right to ask any question you want. Ask about the demographics of the area where the family lives. Ask if they have real friendships with a diverse group of people. Ask what training they have received about race. You have the right to ask anything. This is your child.

 Children notice race early, but it’s usually not assigned a negative or positive value unless you assign an emotion to it. When adults don’t say anything, children start believing that there is a reason to stay silent and that talking about race is wrong. Children don’t just decide race is irrelevant.

Some parents worry that talking this early is a negative. But instead, it is telling children that they can have these kinds of conversations. Race is a fact of life. Talk about life.

A racial mirror is an adult in your child’s life who shares their racial identity. This is good for kids. Much better than just a book or movie. Children need to see adults who look like them living the kind of lives that they will want.

 You probably will. It’s kind of what parenting is about. But then again, you’ll probably say something wrong about the special needs child in their class, or the woman who is bald due to cancer. That is what communication is about.

Yes, these are reasonable questions about the home your child will grow up in, and a good family will answer honestly.

Yes, support exists specifically for this kind of loss, separate from the adoption planning process itself.

The adoption plan for the surviving baby can continue, though the loss itself requires its own support and space for grief.

Yes, many families who eventually adopt successfully faced multiple failed situations first.

Only if the adoptive family is intentional about building that connection — and only if you, as the birth mother, share your story, your culture, and your family with them over time. Open adoption creates the path. Both families have to walk it.

Post-adoption contact is any ongoing connection between birth and adoptive families after placement — visits, letters, photos, phone calls, social media. At Heart to Heart, contact arrangements are agreed upon before placement and can adjust over time.

Yes — and you should. Ask where they live, who is in their community, what they have read, what training they have done. Ask specifically. A family that has done the work will have specific answers.

Contact arrangements can evolve. Heart to Heart supports ongoing communication between birth and adoptive families and can help mediate when expectations shift. The goal is always what is best for the child.

A racial compliment is praise that lifts one person by implying the rest of their racial group falls short. Phrases like “you’re good-looking for a Black person” or “I wish more Black people would act like you” are framed as kindness but are basically negative because they suggest the rest of the race is not so good.

Bragging about their open-mindedness by using a relationship with someone of another race. The friendship probably isn’t a real friendship but a way for one person to manage their own reputation.

Black people have to prove that they have the qualities that are respected by whites. These include social etiquette and language skills. Whites don’t face this. This kind of constant proofing themselves can be really exhausting.

Children need to see realistic portrayals of Blacks on social media. Too often, Blacks are the horrible villains or the perfect characters. Blacks should be portrayed as complex personalities. With realistic lives.

Your child’s place in the home, nor the love you have for them, is not based on how “white” they act.

Not necessarily, but where you live matters. Look for diverse churches, sports programs, cultural organizations, and professionals — barbers, pediatricians, coaches — who share your child’s racial background and build those relationships consistently over time.

A racial mirror is an adult who shares your child’s racial identity and is a consistent, positive presence in their life. Research shows that children of color with meaningful relationships with adults who look like them develop stronger, healthier racial identities.

Start with your child’s interests. Look for coaches, teachers, artists, and mentors who share those interests and your child’s racial background. Seek out diverse churches, schools, and neighborhoods. Build relationships, not just presence.

Absolutely. Moving to a more diverse community for the sake of your child’s identity development is exactly the kind of intentional parenting transracial adoption requires.

A stork situation is when a birth mother makes an adoption plan very close to or after the baby is already born. Usually this is between 48 to 72 hours of the birth of a child that is going to be placed for adoption. Heart to Heart Adoption handles stork situations regularly and can match a birth mother with a family and complete the legal process quickly.

No. Heart to Heart has helped birth mothers make adoption plans the same day their baby was born. Call 844-522-7700 right now if your baby is already here and you need help.

Heart to Heart Adoptions maintains a pool of approved, waiting families who have agreed to be available for urgent placements. When a stork situation arises, a case manager reaches out to compatible families immediately and works to make a match as quickly as possible.

The birth mother receives the same full support as any other placement. She will receive legal counsel, post-placement counseling, and open adoption contact if she chose it. The timeline is compressed, but the care is not. When the office staff is told that there is a stork situation, women scurry to get everything done. Our legal department goes into high gear to make sure all the right forms are available. The matching department starts immediately to find families that meet the right situation. Often times a lot of our staff come into the office on a weekend or at night to make sure this can happen to meet the birth mother’s needs. To meet the baby’s needs.

The baby goes with the adoptive family directly from the hospital. There are a lot of legal requirements including ICPC (Interstate Compact for the Placement of Children) Heart to Heart coordinates with the hospital to make the transition smooth. Legal finalization happens in the following months.

Call Heart to Heart right now: 844-522-7700. A counselor is available 24/7. Late pregnancy discovery is more common than you might think. It is not too late to make an adoption plan, get financial support, or simply talk through your options.

No. Heart to Heart works with birth mothers at every stage of pregnancy, including women who discovered their pregnancy late. Call 844-522-7700 if you are in this situation.

Florida law requires that the birth father be notified in certain situations, depending on his legal relationship to you and whether he has established paternity. In Josephine’s case the birth father was in prison. That does not mean he doesn’t have rights. Josephine took the time to discuss the baby’s future with him and explained about an open adoption and how he would always know how the baby was doing. Your case manager and independent attorney will explain exactly what applies to your situation.

Financial assistance for rent, food, medical care, and other pregnancy-related expenses starts as soon as you reach out. If your situation is urgent, call 844-522-7700 right now and tell the counselor what you need.

Immediately. Heart to Heart counselors are available 24/7. for emergency planning.

Take it seriously. Validate your child’s grief fully. Help them attend the funeral or memorial if they want. Provide practical support — transportation, finances, time — without waiting to be asked. Then stay close and let them process on their timeline.

Resist the urge to manage the grief or redirect it. What they need from you is permission — to love, to grieve, to be present in both families without guilt.

Open adoption means the relationships are real, which means the losses are real too. The answer to that complexity is not less openness. It is more support.

Recognize that grief looks different across cultures. Follow your child’s lead. If they need to attend a service reflecting their birth culture, support that. If they need to go and you can make it possible, make it possible.

It often intensifies contact in the short term. In the longer term the shape may shift. Let your child lead. Their relationship with their birth family is theirs to navigate.

You are not obligated to answer. Polite deflection works: ‘We’re just out enjoying the day.’ If you do engage, keep it brief and matter-of-fact. The goal is to model calm and dignity, not to educate every stranger you meet.

Role-play it at home when things are calm. Give your child short, confident scripts. Practice until the responses feel natural. Then debrief after it happens in real life.

Address them directly and privately with the adult involved, not in front of your child. Set clear expectations. And make sure your child hears you advocate for them.

Let it go when the stakes are low. Adolescence involves identity experimentation. Stay close enough that they know you are there. Do not make it mean more than it does.

Address them directly and privately with the adult involved, not in front of your child. Set clear expectations. And make sure your child hears you advocate for them.

It depends on your state, some allow legally binding contact agreements, others treat them as good-faith arrangements.

Not automatically, what matters is that the level of openness is chosen thoughtfully, centered on the child's needs, not a fixed formula.

Yes, asking direct questions before placement is exactly how you protect the relationship you want afterward.

No, financial wealth isn't the deciding factor; what matters is the ability to meet a child's basic needs and provide a stable, comfortable life.

No, some birth mothers relocate for safety or support reasons, and agencies like Heart to Heart provide housing to make that possible.

Yes, these are reasonable questions about the home your child will grow up in, and a good family will answer honestly.

Yes, a specific conversation about how they expect you to be involved in later years is worth having before you feel unheard.

Not necessarily wrong, but it does mean the trust that openness depends on needs to be repaired or clearly addressed.

It means a central part of their identity is invisible to the person who is supposed to know them best. Your child is Black. The world sees them as Black. If you do not acknowledge it, you are leaving them alone in it.

Be honest, age-appropriate, and matter-of-fact. Name what racism is and how it shows up. Validate their experiences when they encounter it. Give them language and the confidence that you take their experience seriously.

Look at the evidence honestly. A bad grade may be a bad assignment. A coach who benches your child may be playing favorites with his own kid. Name real racism clearly and teach your child to do the same. Precision matters.

Implicit bias is the unconscious attitudes absorbed from media, culture, and environment. Research shows nearly everyone carries them. Adoptive parents who examine their own biases are better equipped to help their children navigate a world shaped by those same biases.

Through consistent, ordinary choices: the barber you drive to, the books on your shelf, the church you attend, the conversations you do not avoid, the relationships you build deliberately. Cultural identity is not a lesson — it is an accumulation.

That love is necessary but not sufficient. You will need to educate yourself about racial bias, build a diverse community deliberately, acknowledge the ways your child’s experience of the world will differ from yours, and make room for the birth family in your child’s life long term.

Start early, keep it normal, follow their lead. Talk about race the way you talk about any other part of who they are. Celebrate their heritage. Make sure they have people who look like them in their regular life.

Let it go. A child choosing not to explain their transracial family in a particular context is not a rejection. Your relationship is secure enough to hold that moment. Do not make it mean more than it does.

Make room for it without managing it. Your child’s relationship with their birth family belongs to them. Your job is to ensure they never feel they have to choose between the people who love them.

It means a central part of their identity is invisible to the person who is supposed to know them best. Your child is Black. The world sees them as Black. If you do not acknowledge it, you are leaving them alone in it.

Yes — these are the most important voices to hear. ‘In Their Voices’ by Rhonda Roorda, ‘All You Can Ever Know’ by Nicole Chung, and ‘In Their Own Voices’ by Simon and Roorda are all essential.

‘I Love My Hair!’ by Natasha Anastasia Tarpley, ‘Shades of Black’ by Sandra Pinkney, and ‘The Name Jar’ by Yangsook Choi are all excellent for early readers.

PACT, An Adoption Alliance (pactadopt.org); Creating a Family (creatingafamily.org); AdoptUSKids (blog.adoptuskids.org/transracial-parenting-resources); and The Adoption Network (adoptionnetwork.com) are all strong, reputable resources.