CONTACT ORPHANAGE FORM

INSTRUCTIONS:  Please edit this form based on your information and email it to me as an attached 
file.  This will speed up the process.  (All the information in this sample sheet is fictional.)

Please email this form as an attachment to Adele at lehall88@yahoo.com  or fax it to
fax number (866) 691-1250. 

        Thank you!      -Adele

1. INFORMATION ABOUT YOU AND YOUR ADOPTED CHILD:

Adoptive parent(s):  Jim and Linda Smith 
Mailing address :  12 Winterpark St.  Minneapolis, MN 78223

Adopted child’s name:  Ning Chun Fang  

Born on: July 21, 2001 
Found on: July 22, 2001 
Adoption date:  August 22, 2003 

Please also send the Chinese characters of your adopted child’s name.


2. INFORMATION ABOUT YOUR CHILD'S ORPHANAGE:

Orphanage Name: Mei Fu City Social Welfare Institute in Jiangxi Province 
Please also send the Chinese characters of the Orphanage’s Name.

Orphanage phone:   0582-3335858  (If you know the phone number, please let me 
know.  If not, we will locate it for you.)

3. YOUR QUESTIONS FOR THE ORPHANAGE:

1.Can we have a copy of Ning Chun Fang’s finding ad?

2.Was there a note or clothing for Ning Chun Fang when she was found? If so, we 
would like to obtain the clothing and a copy of the birth note.

3.Who named Ning Chun Fang and why was that name chosen for her? 

4.Which babies were in the cribs closest to her? 

5.Was Ning Chun Fang ever in foster care? What is her foster mother’s name if she 
was in foster care?

6.Details on Ning Chun Fang’s medical history: such as dates of illnesses and injuries 
as well as types of treatments she received for them