# 5678EFgh

 

OUTREACH RESPONSE FORM

 

Please complete this form and return it to The White Oak Foundation in the self-addressed, stamped envelope enclosed.

 ___I do not believe I am the birth relative who was the object of this search for the following reason(s):

___To my knowledge, I was not adopted.

___I was not born in the location indicated in the cover letter.

___Although I was adopted, based on my knowledge of the circumstances of my adoption, I do not believe the person requesting contact is my birth relative.

___Although I believe I am the birth relative who was the object of this search, I do not wish to make contact with my birth family at the present time and have no interest in receiving updated ethnic and medical background information regarding my biological relatives.

___Although I believe I am the birth relative who was the object of this search and do not wish to make contact with my birth family at the present time, I would like to receive updated ethnic and medical background information regarding my biological relatives.

If you need assistance completing this form or would like to receive further information before returning this form, please call The White Oak Foundation at 312/666-5721.