Child’s Medical History
New York Surrogate's Court · Family Law
Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗
Medical history of the child in an agency or private-placement adoption under Domestic Relations Law §112 and Social Services Law §373-a, recording the child's illnesses, treatment and health background for the adoptive parents.
This form must be printed and filled by hand, or opened in Adobe Acrobat.