Adoptive Family Consultation

Welcome,
I am excited you have decided to come and meet with me for a face to face consultation at our office in Overland Park, KS. This consultation visit is free and with no obligation to work with us. I believe passionately that everyone should know more about adoption and I am excited to share my 24 + years of expertise with you personally for free. For anyone wishing to do a phone consultation, unfortunately we are unable to do them because of our licensing requirements. Our office consultations are offered to families residing in Kansas or Missouri only (as these are the states we are licensed within).

At our visit, you can expect an in-depth face-to-face consultation covering the six different types of adoption and an overview of the adoption home study process. I will help streamline everything you have been reading, researching, and learning from the internet and others. It is my hope that you will find our visit beneficial and helpful in choosing the avenue(s) of adoption that are right for your family.

It is important to note that our visit occurs in our office with your spouse or significant other present, if single I encourage you to bring a support person with you. This office visit usually lasts less than an hour, depending on how many questions you have. There is no need to bring anything with you to this meeting, and I look forward to meeting you soon!

Steffany A. Aye, LSCSW, LCSW
Founder, Executive Director and Adoptive Mother

NOTE: If you have previously submitted any forms on our website, (Information Packet or Consultation Form), please click the Yes, Login button below. This will save both of us time and prevent double entry of information. If you can't remember your password, that's OK, you can reset it.

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Ap 1

Ap 1 LAST Name*

Ap 1 FIRST Name*

Ap 1 Preferred FIRST Name

If different from Legal First Name

Ap 1 DOB*

Ap 1 Gender*

Ap 1 Citizenship

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Ap 1 Occupation*

Ap 1 Cell Phone

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Ap 1 Email

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Ap 2 (If Applicable)

Ap 2 LAST Name*

Ap 2 FIRST Name*

Ap 2 Preferred FIRST Name

If Different from Legal First Name

Ap 2 DOB*

Ap 2 Gender*

Ap 2 Citizenship

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Ap 2 Occupation*

Ap 2 Cell Phone

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Ap 2 Email

Ap 2 Preferred Contact Method

Marriage Information- If applicable
Marriage Date

Family Address

Street Address*

Street Address Line 2

City*

State/Region*

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Zip Code*

Family Shipping Address

If different from the Residence Address.

Shipping Street Address

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Shipping City

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Contact
Family's Primary E-Mail Address*
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How did you learn about our agency?
How did you hear about us?*
Referral Source Details

Categories Interested In
Please select the categories which you are interested in at this time	Domestic Adoption International Adoption Embryo Adoption Foster Care Adoption Trans-Racial Adoption Home Study Services Other
If you selected Other, Please Specify

What brings you to our office?
Briefly explain what brings you to our office for a consultation and what you hope to learn during our time together:*

If you have any Special Communication needs, then please explain:

Consultation Time Preference

Check all that apply. We will contact you via e-mail to set up an office appointment time.

Day Time Appointment (T, W, Th 11 am - 3 pm)

Evening Appointment (Monday @ 5, 6, 7 pm)

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We will most likely e-mail you for an appointment time

Notes:

Please indicate in Notes if you already have an appointment scheduled. Thanks!

Additional Information
Do you have a current adoption home study started or completed by another agency?*	YesNo
If yes, please explain

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Children: Gender and Age

How many children do you currently have?

	Birth Date	Gender

Thank you! I will contact you shortly via e-mail to send a link to my calendar for you to schedule your consultation visit.

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Adoption & Beyond | 16236 Metcalf Avenue | Overland Park, KS 66085 | 913-381-6919