Medical-Need Locates

Finding a Birth Parent After a Genetic Diagnosis

A diagnosis has changed the question you are asking. You may not want a relationship at all – you may want a family health history your doctors can work from. Those are different needs, and the law treats them differently. In many states the adoption file is sealed, but medical need is one of the narrow grounds the record system was built to recognize, and the first of those routes involves no court, no lawyer and no contact with anyone. Start there.

Three states’ provisions read at primary source No medical advice, no diagnosis-specific claims A birth parent may decline, and that holds
99 yearsHow long Arizona requires the adoption health and genetic history file to be kept
18Age at which an Arizona adoptee may request that file in their own name
82%Of 23,196 surveyed DNA relative-finder users learned at least one relative’s identity
12%Of surveyed users reporting a discovery learned unexpected family health information

The Short Version

Ask for the non-identifying health and genetic history first. In many states an adult adoptee can request it in writing from the placing agency or the state division, with no petition and no judge, and it is written specifically to answer clinical questions without naming anybody. For a reader who needs a family history rather than a parent, that is often the entire answer. Then book the genetic counselor, before the search finishes. A counselor can work with a partial history or none at all, and doing that first sometimes takes the emergency out of the search. The other three routes are a mutual-consent registry, a court-appointed confidential intermediary, and a petition to open the sealed record for good cause – the last of which belongs with a lawyer in the state that sealed it, not with a checklist on a website. DNA testing is how most of these searches actually resolve, and it is also the one route that exposes people who never asked to be found. Nothing here is medical or legal advice, and no page can tell you what your diagnosis requires.

Watch: The Medical Route Into a Sealed File

Why the non-identifying request comes before the court petition, and what each one can actually return.

Video guide

Separate the Clinical Question From the Search

Two needs arrive together on the day of a diagnosis, and only one of them requires finding a person.

Write down, before anything else, what you would do with the answer. There are really two requests hiding inside “I need to find my birth parent,” and they lead to different offices. The first is a family health history – what conditions run in the biological line, at what ages they appeared, what somebody died of, whether a particular variant has already been identified in a relative. The second is a person, with a name and an address and a telephone that may or may not be answered. The first is a records question. The second is a search, and often a relationship, and it can take years.

The reason this matters on the day you are reading it is that the records question has a much shorter route, and most pages about adoption searching bury it. A non-identifying health and genetic history is a document that already exists in a lot of files. It is written to be handed over without naming anyone. It cannot introduce you to your mother and it will not tell you her surname, but it can tell an oncologist or a cardiologist or a neurologist something they did not have an hour ago. If what you actually need is the second column of your own chart filled in, you may never have to open the sealed part of the file at all.

Be honest with yourself about which one you want, because both are legitimate and pretending otherwise costs you. Plenty of people want the history and the person, and the diagnosis is simply what finally made the search urgent enough to start. That is a reasonable thing to want. It is also the point at which the wording of your request starts to matter, because a request framed as medical necessity and a request framed as reunion travel through different doors and meet different standards. Our broader guide to assembling a biological family medical history takes the general version of that problem; this page stays with the version where a diagnosis is already on paper.

The genetic counselor is the resource nobody mentions

Here is the part that surprises almost everyone who lands here in the first week. A genetic counselor can often work without a family history at all. Family history is the traditional starting point for assessing inherited risk, which is exactly why its absence feels catastrophic – but it is a proxy, and there are now direct ways to ask the same question. Testing, imaging, screening intervals and, where a variant has already been named in your own result, the published literature on that variant can carry a great deal of the weight that a pedigree chart used to carry alone. Ask your treating clinician for a referral, or ask whether the center already has genetics on the team.

The academic literature is unusually blunt about how badly this population has been served. In a 2024 study in the Journal of Genetic Counseling, Alyssa Williams and colleagues at the University of Arkansas for Medical Sciences interviewed fourteen adult adoptees and reported that there are currently no provider guidelines addressing the care of patients who lack a family history, and that adoptees report inconsistent care as a result. The same paper found that being asked to complete family-history paperwork provokes real distress, and recommended that counselors acknowledge it, reassure patients with the preventative care that is available anyway, and rewrite the forms. It is a small qualitative study of fourteen people, and we are not going to inflate it into a statistic – but if you have felt foolish sitting in a waiting room in front of a form you cannot complete, you are looking at published evidence that the form is the problem. You can read the abstract at the National Library of Medicine’s PubMed record.

What a counselor is for, in the National Human Genome Research Institute’s description of the profession, is assessing the risk of a genetic disorder by researching family history, evaluating medical records and examining the patient; weighing the medical, social and ethical questions that surround testing; and interpreting results afterwards. That first item is the one people fixate on. The other two are the ones that matter most when the history is missing, and they are available to you now, not at the end of a search. The institute’s genetic counseling overview sets out who the different genetics professionals are and when a referral to a medical geneticist rather than a counselor makes sense.

The Request That Needs No Court At All

Non-identifying health and genetic history is the most useful document in this entire subject and the least discussed.

Most states draw a line through the adoption file rather than around it. On one side sits identifying information – names, addresses, anything that would lead you to a living person. On the other sits a category built to be released: descriptive and medical material about the birth family with the identities stripped out. The contents vary by state and by the era in which the placement happened, but the medical portion is the point. It is the reason the category was created.

The mechanics are ordinarily a written request rather than a proceeding. You write to the agency that placed you, or to the state department that holds the file, you satisfy whatever identity verification the state prescribes, you pay a copying fee, and you wait. Nobody is served with anything. No judge weighs your reasons. Your birth parents are not contacted and, in most states, are never told the request was made. That last point is worth sitting with if part of what has stopped you until now is a reluctance to disturb anyone.

Because this is set by state statute and differs, we are going to name three states we read at the source rather than tell you what “most states” do. Take these as worked examples of the shapes these statutes come in – and check your own state’s, because yours will differ in the details that matter to you.

Arizona – A.R.S. § 8-129, health and genetic history Before a child is placed, the division, agency or person placing the child must compile detailed written nonidentifying information, including a health and genetic history, and give it to the prospective adoptive parents in a document kept separate from anything identifying. Those records must be retained for ninety-nine years, and they are available on request throughout that period to a short list of people: the adoptive parents, the adoptee once they are eighteen or older, the adoptee’s spouse in defined circumstances if the adoptee has died, any adult child of a deceased adoptee, and the birth parent or the birth parent’s other biological children. The statute also lets the file be supplemented later by any member of the birth family, and requires that the adoptee be notified when that happens. The requester pays the actual and reasonable cost. Read it at the Arizona Legislature’s statute page.

Two features of the Arizona provision deserve to be pointed at, because they answer questions people ask us constantly. Ninety-nine years means an old placement is not automatically a dead end – a file from the nineteen-sixties is inside that window. And the inclusion of an adult child of a deceased adoptee means the route does not necessarily close when the adoptee dies, which matters when a diagnosis surfaces a generation later than the adoption did.

North Carolina – N.C. G.S. § 48-9-103, release of nonidentifying information An adult adoptee – or a minor adoptee who is a parent or an expectant parent – may request the background document prepared under G.S. 48-3-205 together with any additional nonidentifying health-related information about the adoptee’s original family that has been submitted to a court, agency or the Division. A minor seeking treatment under the state’s minor-consent statute may ask that a copy be sent to the treating physician. The sender must edit out anything that could reasonably be expected to lead to an identity. A denial is reviewable: an individual refused access may petition the clerk of original jurisdiction for review of the reasonableness of the refusal. And there is a channel running the other way – where the court or agency receives information from a former parent or relative about a health or genetic condition that may affect the adoptee or the adoptee’s child, an employee must make a reasonable effort to contact the adoptee and forward it. Read it at the North Carolina General Assembly’s statute page.

That last provision is the single most underused thing in this subject. It means a birth relative who learns something frightening decades later has somewhere to put it, and that the system is obliged to try to reach the adoptee with it. If you have never told the agency that placed you how to find you, they cannot perform that duty. Updating your contact details with the placing agency and the state registry costs an afternoon and creates a channel that runs toward you for the rest of your life, whether or not you ever search. The same statute is clear about where not to send the request: it says in terms that no request under that section goes to the State Registrar of Vital Statistics, which is where a great many people waste their first month.

Illinois shows a third shape, which is a registry and an information exchange sitting alongside the court route. Its confidential-intermediary statute requires a petitioner to file proof of registration with the Illinois Adoption Registry and Medical Information Exchange, and the same statute obliges an agency, where the petitioner is an adult adoptee who has signed a written authorization, to disclose the available medical information about that adoptee from birth through adoption. We will come back to Illinois in a moment, because its treatment of a relative who says no is the most interesting provision on this page.

None of that is a nationwide rule and we are not going to pretend otherwise. Arizona, North Carolina and Illinois were read at the source; the other forty-seven jurisdictions were not, and their statutes differ on who may ask, at what age, of which office, and what the file must contain. The practical instruction is the same everywhere: ask the agency that placed you and the state office that holds adoption records, in writing, and ask specifically for the health and genetic history rather than for “my records,” which is the phrasing that gets a form letter about sealed files by return.

Intermediaries, Registries, and the Medical Questionnaire

The middle tier: someone with lawful access to the sealed file goes and asks, and the answer is theirs to give.

Between the non-identifying request and a contested petition sits a set of mechanisms that exist precisely because a legislature wanted a way to serve a medical need without forcing anybody into a relationship. They come in two broad shapes. A mutual-consent registry is passive: both parties file with the state, and a match releases what each of them agreed to release. A confidential intermediary is active: a court appoints someone with authority to read the sealed file and go looking, and that person carries your request to the relative and brings back the answer, whatever it is.

Arizona runs a consent mechanism inside its confidentiality statute. An adoptee who is eighteen or older, or a birth parent, may file a notarized statement with the court and the agency granting consent, withholding consent, or withdrawing a consent previously given for the release of confidential information. Where both an adult adoptee and a birth parent have filed statements granting consent, the court may disclose – though not identifying information about a birth parent who did not consent. It is worth filing your side of that even if the other side has not, because it costs nothing and it changes what is possible the day somebody else files theirs. The provision sits at A.R.S. § 8-121 on the Arizona Legislature’s site.

Illinois is where this gets genuinely interesting, and it is the reason we chose it as one of the three. Its confidential-intermediary statute lets an adopted or surrendered person aged twenty-one or over – and also a birth parent, an adult child or grandchild of a deceased adoptee, adult birth siblings, and birth grandparents – petition any Illinois county court for the appointment of an intermediary. The permitted purposes are stated in the statute itself, and the first one listed is exchanging medical information with one or more mutually consenting biological relatives. The petition has to say which of the three purposes you want: medical information, identifying information, or contact.

Illinois – 750 ILCS 50/18.3a, confidential intermediary When the intermediary reaches the sought-after relative, the statute sets out the options the relative must be offered. The relative may totally reject one or all of the requests – and the statute then requires that the relative “shall be informed that they can provide a medical questionnaire to be forwarded to the petitioner without releasing any identifying information.” A relative may also consent to completing the questionnaire only, or communicate without their identity being disclosed. The intermediary is expressly not authorized to reach medical records, financial records, credit records, banking records, home studies or attorney files – only the confidential relinquishment and adoption records. Read the section at the Illinois General Assembly’s site.

Read that provision twice, because it is the whole thesis of this page written into a statute. A relative may say no to meeting you, no to telling you their name, no to any contact of any kind – and still be told, as a matter of law, that they can fill in a medical form that reaches you with nothing identifying attached to it. Someone drafting that language understood that a medical need and a desire for a relationship are separable, and built a channel for the first that does not extort the second. When people tell us a search feels like an imposition, this is the answer we point them at.

Several other states operate intermediary or registry systems, some administered by the courts and some by a state department, and the eligibility rules, age thresholds and permitted purposes differ substantially. We have named the three we read. For the rest, ask the court that finalized the adoption and the state office that holds adoption records which system, if any, exists there. Be precise about the word you use – “confidential intermediary,” “search program,” “reunion registry” and “medical information exchange” are different things in different states, and asking for the wrong one gets you told there is no such thing.

One caution about the private version of this. People calling themselves search angels and search consultants do a great deal of good work in this field, and some of them are extremely skilled. They are not the same as a court-appointed intermediary and they have no access to the sealed file. Where a state statute gives an intermediary authority to read sealed records, that authority comes from the appointment order, not from experience or good intentions. Know which one you are hiring.

Five Routes, and What Each One Returns

Roughly in order of effort. The first one is free of courts entirely and answers more questions than people expect.

RouteWhat it can returnWhat it cannot do
Non-identifying health and genetic historyThe birth family’s medical and genetic background as recorded at placement, edited to remove identities; in some states supplemented by anything a relative added laterGive you a name, or tell you anything nobody wrote down at the time
Mutual-consent registry or filed consent statementRelease of exactly what both parties agreed to release, at the moment both have filedDo anything at all until the other person files, which may be never
Court-appointed confidential intermediaryAn authorized search of the sealed file, a discreet approach to the relative, and – where the state provides for it – a completed medical questionnaire even from a relative who declines everything elseCompel an answer, or reach medical, financial or banking records
Petition to open a sealed recordA judicial decision on disclosure, on a documented showing; in Arizona the court then decides what is disclosed, to whom and on what conditionsBe predicted, be rushed, or be run competently without a lawyer in the right state
DNA testing plus genetic genealogyRelative matches that a records researcher can turn into a name and a current addressWhere we fitConfirm a relationship by itself, or protect anyone from being found who did not want to be

Those are five routes, and they are not alternatives to one another so much as a sequence. Most people who work through them in order stop somewhere in the first three, because the thing they needed was in the file the whole time. The bottom row is the one that involves us, and it is deliberately last: it is the most powerful, the most expensive in every sense, and the only one on the list that reaches people who never agreed to be reachable.

Opening a Sealed Record for Good Cause

The route exists, a documented medical necessity is its classic showing, and it belongs to a lawyer and a judge.

Every state that seals adoption records also provides some way to unseal them, and the standard is usually expressed as good cause, compelling need, or words to that effect. A documented medical necessity is the textbook example of the showing courts have in mind. That is the honest headline. What follows is the honest qualification: the standard is a judgment, the outcome varies by state and by judge, and it is not a form you download.

Arizona states the test plainly enough to quote. Under its confidentiality statute a person may petition the court for information relating to an adoption held by the court, the division, an agency or an attorney. Nonidentifying information may be released under the health-and-genetic-history section already discussed. As for the rest: the court shall not release identifying information unless the person requesting it has established a compelling need for disclosure, or consent has been obtained. And where a compelling need is established, the court then decides what information should be disclosed, to whom, and under what conditions. Notice the shape of that. Even a successful petition is not a door swinging open; it is a judge deciding how much light to let through and on what terms.

North Carolina shows the other useful shape, which is a review right rather than a fresh petition. Under its nonidentifying-information statute, an individual who is denied access to a report or information may petition the clerk of original jurisdiction for review of the reasonableness of the denial. If an agency has told you no, that is not necessarily the end, and the mechanism is narrower and less daunting than a general application to unseal.

We are not going to write the procedure, and you should be suspicious of any page that does. Which court, which filing, what evidence, whether a physician’s letter is required or merely helpful, whether the birth parent is notified or represented, whether a guardian ad litem is appointed, and what happens on appeal are all state law and often local practice. A page that hands you a national script for that is describing a proceeding that does not exist in your county. Take the file number if you have one, take the diagnosis documentation, and speak to an attorney who practices adoption or family law in the state where the adoption was finalized. Many will tell you in a first conversation whether the petition is realistic there, which is worth a great deal on its own.

Two practical notes before you go. First, sequence matters to a court as much as it does to you: a judge asked to open a sealed file will reasonably want to know what the non-identifying route already produced and why it was insufficient, so run that first and keep the response. Second, get the medical documentation in a usable form early. A letter from the treating clinician that states what is being asked, why the family history bears on it, and what would change clinically if the information arrived is a far stronger exhibit than a diagnosis code, and it takes time to obtain. If you want the background on what sealing actually covers before you start, our guide to what a closed adoption seals and what it leaves reachable covers that ground.

What a DNA Match Is, and What It Costs Other People

Most of these searches now resolve through testing. It deserves to be described accurately rather than sold.

A consumer DNA test does not find your birth parent. It finds people who share segments of DNA with you, estimates how much, and infers from that quantity what the relationship probably is. A match is a probability plus an inference, not a fact about a family. A “half sibling” prediction and an “aunt or uncle” prediction and a “grandparent” prediction can all sit on similar amounts of shared DNA, and the software picks the likeliest label, not the true one. Close matches are usually right. The further out you go, the more the label is a hypothesis you then have to test against records – which is the actual work, and the part that takes months.

The best evidence we have found on what people actually experience comes from a 2022 paper in the American Journal of Human Genetics by Christi Guerrini and colleagues, which surveyed a convenience sample of 23,196 users of direct-to-consumer relative-finder services. Read it as a portrait of people who chose to test, not of the population. Among that sample, 82 percent learned the identity of at least one genetic relative and 18 percent learned none at all. 61 percent learned something new about themselves or their relatives. Of the 14,134 who reported a specific discovery, 1,745 – about 12 percent – learned unexpected family health information; 646 learned that someone they believed to be a biological parent was not; and 1,171 learned that a biological parent had additional children. Of those who learned a relative’s identity, roughly one in ten found a full or half sibling. Consequences were reported as net positive or neutral by 74 percent. The paper is available in full at PubMed Central.

Two things follow from those numbers that a testing company will never put on a box. The first is that 18 percent is not a small failure rate, and a diagnosis does not improve your odds. Whether close relatives happen to have tested is luck, and it is not distributed evenly – the major databases underrepresent some populations badly, so the same test genuinely performs worse for some people than others. The second is that discovery is not something that happens once and finishes. You can test today, learn nothing, and be contacted by a first cousin in three years. There is no version of this where you take a test and control the timing of what comes back.

The part that is about somebody else

This is the honest cost and we would rather state it than bury it. Your DNA is not only about you. Uploading a sample makes you findable, and it also makes your biological relatives findable – people who never consented, were never asked, and in some cases do not know you exist. A birth parent who has spent forty years believing a placement was confidential can be identified through a niece who tested for fun. That is not a hypothetical scenario; it is the ordinary mechanism by which these searches now succeed.

You should also decide in advance what you will do with information you did not go looking for. The numbers above say that a meaningful share of testers learn that a parent is not a biological parent, or that siblings exist who were never mentioned. That discovery can land on people who are not you: a living parent, a spouse, half siblings raised in a family that told them nothing. You cannot un-know it and you cannot control who else finds out once the match list is populated. Sit with that before you spit in the tube rather than after, and consider whether the non-identifying route would answer your clinical question without any of it.

Where testing does produce a name, the last mile is records work rather than genetics, and that is the part we do. Turning a predicted half-sibling match into a verified identity and a current address is the same discipline as any other locate. If your obstacle is instead a match who has appeared on your list and gone silent, that is a distinct problem with its own etiquette, and our guide to a DNA match who does not answer your messages covers it; the specific mechanics of confirming a sibling relationship are in identifying a half sibling from a DNA result.

Six Things That Catch People Out

Every one of these has cost somebody months, and none of them is obvious from the outside.

Asking the vital records office

The health and genetic history usually sits with the placing agency or a state social services division, not with vital statistics. North Carolina’s statute says outright that no request under that section goes to the State Registrar. Wrong office, four weeks gone.

Writing to ask for “my records”

That phrasing gets a letter back about sealed files. Ask by the name the statute uses – non-identifying information, health and genetic history – and say the request is for medical purposes. The category you name determines the desk it lands on.

Assuming an old file was destroyed

Arizona requires ninety-nine-year retention, and where an agency closes, the records transfer rather than vanish. A nineteen-sixties placement is well inside that window. Ask before concluding, and ask the state division if the agency no longer exists.

Never registering your own contact details

North Carolina obliges the agency to try to reach an adoptee with health information a relative later supplies. That duty is worthless if nobody can find you. Update the placing agency and the state registry whether or not you ever search.

Treating a match label as a relationship

Shared-DNA quantities overlap between half sibling, aunt, uncle and grandparent. The label is the software’s best guess. Verifying it against records is the work, and skipping it is how families get told the wrong thing.

Waiting for the search before seeing genetics

A counselor can start now with what you already have. Booking the appointment after the search concludes can waste a year of screening you were eligible for from the beginning, and the search may never conclude.

Where Records Research Actually Fits

After the file, after the registry, after the test. We are the last mile, not the first move.

1

We ask what you already ran

Whether the non-identifying request was made and what came back, whether a registry or intermediary exists in that state, whether you have tested and what the match list shows. If a cheaper route is still open, we say so and you keep your money.

2

We build the identity from records

Working from a match, a partial name, a hospital, a county or a date, we assemble a documented identity out of public and lawfully licensed sources. Every conclusion carries the record it rests on, so you can weigh it rather than take our word.

3

We locate, and we say how confident we are

A current address and contact route where the records support one, with the sourcing attached and the uncertainty stated plainly. Where the record set will not carry a confident answer, you get that sentence instead of a hedged guess.

4

The approach is yours to make

We do not contact your birth family, deliver a message, or reveal a diagnosis on your behalf. First contact in this subject is delicate enough that it belongs to you, an intermediary or a counselor – and we will not be the ones to make it.

What We Do Not Do, and What We Decline

Written out in full, because on this subject a vague boundary is worse than no boundary.

We are a public-records and skip-tracing research firm, working since 2004. We are not licensed private investigators and we do not describe ourselves as any. We run no surveillance, we knock on no doors, and we do not attend anybody’s front step on your behalf. We are not clinicians either, and nothing on this page is medical advice: we cannot tell you what your diagnosis means, what screening you should have, whether a family history would change your treatment, or whether a variant is heritable. Those are questions for your treating clinician and for a genetics professional, and a records firm answering them would be doing you real harm.

Every search runs on a stated, permissible purpose, and we establish yours before any work starts rather than afterwards. Where a source is regulated – motor vehicle records under the Driver’s Privacy Protection Act, financial identifiers under the Gramm-Leach-Bliley Act – we use it only where a permissible use genuinely applies, and we record which one. We do not use pretext. Nobody here telephones an agency, a hospital, a church or a relative pretending to be somebody else to shake information loose, and we will not coach you through doing it either, however sympathetic the reason. We do not reach private financial account contents – no balances, no statements, no transaction histories – and we do not obtain anyone’s medical records. Adoption files that a statute seals are sealed against us in exactly the same way they are sealed against you; a court-appointed intermediary has authority we do not have and cannot buy.

We are not a consumer reporting agency and nothing we deliver is a consumer report under the Fair Credit Reporting Act. Our work may not be used to decide any question the statute covers – employment, credit, insurance underwriting, tenant screening or housing, a license, or a government benefit. Those decisions require a consumer reporting agency and the disclosure, authorization and adverse-action machinery the Act builds around them. Where that is what somebody actually needs, we decline the work and say why.

Then the decline that matters most on this subject. Medical need is the most sympathetic framing a request can carry, which is exactly why it is the one most worth checking. A birth parent may be unfindable because a placement was made after an assault, because a family was violent, because a protective order exists, or simply because they chose forty years ago never to be contacted and have not changed their mind. An adoptee may have declined contact for reasons that are entirely their own. A request that arrives wrapped in a medical reason gets more scrutiny at intake from us, not less, and we ask questions that will feel intrusive – who is asking, what the clinical basis is, whether contact has been refused before, whether any court order exists. Where the answers suggest that finding this person would put them in danger, or that the medical framing is a route around a refusal already given, we decline, and we do not refer the work elsewhere. We would far rather turn away a genuinely sick person than hand an address to the one request that ends badly. If you are the person who does not want to be found and you believe you are being traced, speak to a victim-services advocate or to the court that issued your order about address confidentiality.

And the boundary that this entire page rests on: a birth parent is not obliged to respond to you. They are not obliged to explain themselves, to meet you, to answer a questionnaire, or to provide a DNA sample – not to a stranger, not to a child they placed, and not because the request is medically urgent. Urgency is real and it does not create an entitlement. The reason non-identifying information exists, and the reason Illinois requires a relative to be told about the medical questionnaire even as they refuse everything else, is that a legislature recognized both truths at once: the need is legitimate, and so is the refusal. Everything on this page is general information rather than legal advice, adoption record law is state law and changes, and where you need a ruling instead of a records search, ask a lawyer in the state that sealed the file.

Who Arrives Here With a Diagnosis in Hand

Almost never someone who has been thinking about searching for years. Almost always someone who got news this month.

Newly diagnosed adults

A result came back with a variant attached and the chart says family history unknown.

Adoptive parents

A child’s screening flagged something and the placement paperwork answers none of it.

Adult children of adoptees

A parent has died and the inherited risk question has skipped a generation to them.

Donor-conceived adults

A clinic number, a partial profile, and a health question the clinic will not answer.

People planning a pregnancy

Carrier screening raised a question that a blank family history cannot close.

Birth parents

Diagnosed with something heritable and wanting the child they placed to be told.

That last group is the one people forget exists, and several state statutes were written with them in mind. Arizona lets a birth parent request the health and genetic history file and lets any birth family member add to it later; North Carolina obliges the system to make a reasonable effort to forward a health or genetic condition report to the adoptee. If you are the birth parent here, you may not need to find anybody at all – you may need to file, and let the channel do its work. And when a search does succeed and the question turns to how to make contact, that is a different discipline again, set out in our guide to the reunion stage that follows a successful search.

The Promises We Can Honestly Make

We will not promise you a name, because the records either carry one or they do not, and a firm that guarantees an outcome on a sealed adoption is guessing at your expense. What we will do is tell you at the outset whether a free route is still open to you, because a great many people who write to us should be sending a letter rather than hiring anybody. When we do take the work, every conclusion arrives with the record behind it and a plain statement of how confident we are – and where the trail will not support an answer, you get told that instead of a maybe in a nice font.

People Locator Skip Tracing Investigation Team – public-records research and skip tracing since 2004. Statutory text on this page was read at the issuing legislature’s own site and reviewed in 2026; adoption record law is amended often, so confirm your own state’s current provisions before relying on them.

Questions People Ask in the First Week

Can sealed adoption records be opened for medical reasons?

In many states there is a route, and a documented medical necessity is the classic showing for it. Arizona, for example, provides that a court shall not release identifying information unless the requester has established a compelling need, and that where one is established the court decides what is disclosed, to whom and on what conditions. The standard, the court and the procedure are all state law, so the realistic first step is a lawyer who practices adoption or family law in the state that finalized the adoption. Run the non-identifying request first: a court will reasonably want to know what it produced and why it was not enough.

What is non-identifying information and what does it contain?

It is material about the birth family with the identities removed, and the medical and genetic portion is the reason it exists. Arizona requires a health and genetic history to be compiled before placement, kept for ninety-nine years and released on request to a defined list of people including the adoptee at eighteen. North Carolina lets an adult adoptee request nonidentifying health-related information about the original family, edited to exclude anything that could lead to an identity. Contents vary by state and by how thoroughly the file was completed at the time, which is the real limit on this route.

Can I get medical history without a relationship or any contact?

Frequently, yes, and that is the point of the whole category. The non-identifying request involves no contact with your birth family at all. Illinois goes further: where a court-appointed confidential intermediary reaches a relative who rejects every request, the statute requires that the relative be informed they can still provide a medical questionnaire to be forwarded to you without releasing any identifying information. Somebody can decline to know you and still answer the clinical question, and a number of statutes are built around exactly that possibility.

Who do I write to, and what should I ask for?

The agency that placed you and the state office that holds adoption records, in writing. Ask by the statutory name – non-identifying information, or health and genetic history – rather than for “my records,” which usually gets a form letter about sealed files. North Carolina’s statute states expressly that no request under it goes to the State Registrar of Vital Statistics, and the vital records office is where a lot of people lose their first month. If the placing agency has closed, ask the state division, which is generally where those files transfer.

What is a confidential intermediary and what can they access?

A person a court appoints to read the sealed file and approach a relative on your behalf. Under the Illinois statute, an adopted or surrendered person aged twenty-one or over, a birth parent, an adult child or grandchild of a deceased adoptee, adult birth siblings and birth grandparents may petition any county court for one, for the purpose of exchanging medical information, obtaining identifying information or arranging contact. The authority is limited: the intermediary may inspect confidential relinquishment and adoption records but is expressly not authorized to reach medical, financial, credit or banking records.

Is a DNA test enough to find my biological family?

Usually not on its own. A test returns matches with an estimated relationship, and beyond close matches that estimate is a hypothesis you confirm against records. In a 2022 survey of 23,196 direct-to-consumer relative-finder users, 82 percent learned the identity of at least one genetic relative and 18 percent learned none. Those are people who chose to test, not the general population, and results depend heavily on whether your relatives happen to be in a database. Testing plus records work is what actually resolves these searches; testing alone frequently stalls.

What if my birth parent does not want contact, or has died?

A birth parent is entitled to decline, and no medical reason changes that – not contact, not a conversation, not a DNA sample. What may still be available is the non-identifying file, a medical questionnaire through an intermediary where the state provides for one, or information from other relatives who make their own choices. Where a birth parent has died, several routes stay open: Arizona’s health and genetic history file remains available for ninety-nine years and can be requested by an adult child of a deceased adoptee, and death records, obituaries and probate files often carry medical and family detail.

How fast is this, and where do you actually help?

The free routes are the slow ones – a state or agency response to a non-identifying request is measured in weeks or months, and an intermediary appointment or a petition is longer again. Our part is the last mile: turning a DNA match, a partial name or an old county into a verified identity and a current address, which with a solid starting point usually comes back within 24 hours. If the non-identifying request has not been made yet, we will tell you to send that letter first, because it is free and it answers the medical question more often than people expect.

Have a Match, a Partial Name, or an Old County?

That is the point where records work earns its place, and we will say plainly if a free route should come first instead. Send us what the file or the test gave you, or put the situation to our team – and if you want the wider service this sits inside, it is our skip tracing and public-records research.

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