If You’re Pregnant and Considering Surrendering
Your Child Under Michigan’s Safe Delivery Law:

It’s Safe, Legal, and Confidential.
It’s Your Choice.
Michigan’s Safe Delivery Hotline: 1-866-733-7733

7 Steps for Social Workers/Adoption Professionals
to a successful Safe Delivery Surrender:

In Order to be Surrendered, the Baby:
must be less than 72 hours old,
must show no signs of abuse or neglect, and
can only be surrendered by a biological parent

Make Sure the Mother Understands the Surrender is Permanent and the Baby will be Placed for Adoption
– Offer her the opportunity to talk with the Adoption Agency

Give her the Safe Delivery FACT Sheet (DHS Pub 867)

Specifically ask her to identify herself
– She may decline, but she must be asked.

Ask her to Sign the Voluntary Release for Adoption of a Surrendered Newborn by Parent (DHS 4820)
– She may decline, but she must be asked.

Encourage her to Provide Medical Background Information on the Voluntary Medical Background Form for a Surrendered Newborn (DHS 4819)
– She may decline, but she must be encouraged to provide information.
– If the mother does not write in the requested information herself, but provides it orally, document the information and note it was provided to you verbally.

Specifically ASK her to Identify the Father of the Baby
– She may decline or may not know who he is, but she must be asked.
– If she provides the non-surrendering parent’s name, he will be notified.
– If unknown, the agency must make reasonable efforts to locate and notify him.

Contact a Licensed Adoption Agency for Placement of the Baby.

Documentation the Hospital Social Worker Needs to Provide to the Adoption Agency:

  • Medical Records or report on the child.
  • Birth Verification showing how the child’s name will be registered with Vital Records.
  • Voluntary Release for Adoption of a Surrendered Newborn by Parent.
  • Voluntary Medical Background Form for a Surrendered Newborn.
In the space for Emergency Service Provider Observations DOCUMENT:
Mother Understands she is surrendering her baby for adoption.
Mother was given the FACT Sheet.
Mother was asked to sign the Release and complete the Medical Background form.
Mother was asked to identify father and her response (be sure to note if she was unable or unwilling to do so).