Adoption Application

You are here: Home Placement Services Packet B

Thursday17 April 2014

Packet B

This packet includes all items and forms that need to be reviewed, completed, and returned prior to WHFC approving your home study and dossier.

You may find it easier to print this checklist and use it as you complete the necessary paperwork.

WHFC Forms

MEDICAL STATEMENT
Complete one for each person living in your home
Last updated: 3/30/2009 (60k - 2pp)

AFFIDAVIT OF HEALTH INSURANCE COVERAGE
Signed by either your employer or health insurer
Last updated: 1/1/2009 (63k - 2pp)

WHFC PRE-ADOPTION EDUCATION OVERVIEW & CHECKLIST
Signed by family & social worker
Last updated: 7/1/2010 (60k - 4pp)

For Families Adopting a Child Over the Age of 24 Months

INTERAGENCY OLDER CHILD AGREEMENT
Signed by family & social worker
Last updated: 09/26/2013 (49k - 3pp)

SERVICE PROVIDERS WORKSHEET
Last updated: 8/16/2007 (11k - 1pp)

Forms to Be Sent to Your Home Study Agency

INTERAGENCY AGREEMENT/ SUPERVISED PROVIDER AGREEMENT*

REQUEST FOR AGENCY LICENSE*

*NOTE: Your WHFC partner agency will be sent these forms that are needed for your file prior to home study approval.

Copy all Packet B documents for your records, and mail them, addressed to your social worker at:

Wide Horizons For Children
38 Edge Hill Road
Waltham, MA 02451