Macon County Public Safety • Safe Surrender Protocol
If You're Considering Surrendering Your Baby

Dear Mother,

Thank you for considering bringing your baby to a safe place. This must have been a very difficult decision for you to make. We want you to know that your child will be kept safe and will be well taken care of.

Please understand We Do Not Want To Know Who You Are. You do not have to fill out this form in order to leave your baby in this safe place.

An important gift you can give your baby is information about you and your family’s health. The
family that adopts your child will need this information to make sure that the baby gets the best care
possible. The information you give will not be used to find you. If you don’t know all of the answers, that is okay, just fill out as much as you know. This information will only go to the baby’s new doctor.

Thank you

Your Health

• If you had the baby in the hospital, it is important to follow the instructions they gave you when you left and to see your doctor for follow up visits.
• If you did not have your baby in a hospital, you need to be seen by a doctor right away. You can go to the emergency room or call your private physician to have them check you.
• It is especially important to be seen right away if you are having severe pain, fever, chills, trouble breathing, bad smelling discharge, severe headache or excessive bleeding.
• It is normal for a woman to go through many different emotions after giving birth. You may need someone to talk to about your feelings to help you through the next few months. Counselors are available in Macon County who can help you. Your doctor may know a counselor to refer you too.