Illinois Adoption Registry and Medical Information Exchange

The Illinois Adoption Registry and Medical Information Exchange (IARMIE) program provides a means by which registrants may authorize or prohibit the release of identifying information to others involved in the surrender or adoption of a person. Contact information, as well as vital medical information, may be exchanged anonymously by an adopted or surrendered person or family members (if the adopted person is deceased) and birth parents or specific family members (if the birth parent is deceased). The availability of medical information is dependent on the parties to an adoption to voluntarily file and to agree to exchange these facts. To learn more about how to register using the required forms, see FORMS and choose the document that you need. The following parties are eligible to register with IARMIE:

• Adult Adopted Person – 21 years of age or older – Required Forms:
  • Illinois Adoption Registry Application
    • Optional Written Statement
  • Adopted Person Registration Identification form
  • Adoption Registry Information Exchange Authorization form
  • Adoption Registry Denial of Information Exchange form
  • Adoption Registry Medical Information Exchange Questionnaire form
• Adult Surrendered Person – 21 years of age or older – Required Forms:
  • Illinois Adoption Registry Application
    • Optional Written Statement
  • Adult Surrendered Person Registration Identification form
  • Adoption Registry Information Exchange Authorization form
  • Adoption Registry Denial of Information Exchange form
  • Adoption Registry Medical Information Exchange Questionnaire form
• Adoptive Parent – adopted person must be younger than 21 years of age – Required Forms:
  • Illinois Adoption Registry Application
    • Optional Written Statement
  • Adoptive Parent Registration Identification form
  • Adoption Registry Information Exchange Authorization form
  • Adoption Registry Denial of Information Exchange form
  • Adoption Registry Medical Information Exchange Questionnaire form
• Surviving Relative of Deceased Adopted/Surrendered Person – Adult child of deceased adopted/surrendered person or remaining parent of a minor child or the adoptive parent – Required Forms:
  • Illinois Adoption Registry Application
    • Optional Written Statement
  • Surviving Relatives of Deceased Adopted or Surrendered Person Registration
  • Adoption Registry Information Exchange Authorization form
  • Adoption Registry Denial of Information Exchange form
  • Adoption Registry Medical Information Exchange Questionnaire form
• Surviving Relative of Deceased Birth Parent – Adult child (not placed for adoption), sister or brother to the deceased birth parent – Required Forms:
  • Illinois Adoption Registry Application
    • Optional Written Statement
  • Surviving Relatives of Deceased Birth Parent Registration
  • Adoption Registry Information Exchange Authorization form
  • Adoption Registry Denial of Information Exchange form
  • Adoption Registry Medical Information Exchange Questionnaire form
• Legal Guardian – Required Forms:
  • Illinois Adoption Registry Application
    • Optional Written Statement
  • Legal Guardian Registration Identification form
  • Adoption Registry Information Exchange Authorization form
  • Adoption Registry Denial of Information Exchange form
  • Adoption Registry Medical Information Exchange Questionnaire form

If you are a birth parent interested in this program, complete the Birth Parent Preference Packet (see FORMS in the right-hand column).

Birth Parent Preference Packet – These forms allow the birth parent to select among five different options to express their wishes regarding contact and the sharing of identifying information listed on the original birth certificate. It must be accompanied by a copy of a valid government issued photo identification (ID) (see RESOURCES in the right-hand column), an Illinois Adoption Registry and Medical Information Exchange (IARMIE) Application form and a $15 check or money order made payable to the Illinois Department of Public Health. If a completed IARMIE Medical Information Exchange Questionnaire form (see FORMS in the right-hand column) is submitted, the $15 fee will be waived.

For more information, contact the Illinois Department of Public Health
Illinois Adoption Registry and Medical Information Exchange
925 E. Ridgely Ave., Springfield, IL 62702-2737
217-557-5159
TTY (hearing impaired use only) 800-547-0466

• List of County Clerks
• Illinois Adoption Registry Statistics
• Illinois Adoption Registry and Medical Information Exchange Brochure
• Adoption Laws, Birth Certificates, and Birth Parents' Options
• Costs/Fees
• Valid Government Issued Photo I.D.

• Illinois Adoption Registry and Medical Information Exchange (IARMIE) Application
• Registration Forms Instructions
• Optional Written Statement
• Adopted Person Registration Identification Form
• Adult Surrendered Person Registration Identification Form
• Adoptive Parent Registration Identification Form
• Surviving Relatives of Deceased Adopted or Surrendered Person Registration Identification
• Surviving Relatives of Deceased Birth Parent Registration Identification
• Legal Guardian Registration Identification Form
• Adoption Registry Information Exchange Authorization Form
• Adoption Registry Denial of Information Exchange
• Adoption Registry Medical Information Exchange Questionnaire Form
• Birth Parent Preference Packet
• Birth Parent Request for a Non-Certified Copy of an Original Birth Certificate
• Request for a Non-Certified Copy of Original Birth Certificate

• Vital Records Act
• Vital Records Code
• Adoption Act
• Public Act 96-0895