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Parental Post Placement Report
Basics...
  • Country:
    Today's Date:
    Name of Child:
    Original Name of Child:
    Parent(s) Names:
    Birth Date of Child:
    Region of Orphanage:
    Date of Adoption / Court Date:
    • Health Status...
  • Current Height:
    Current Weight:
    Current with Immunizations?:
    Is your child in good health?:
    If the answer is No, please provide any Health / Medical Concerns and Explainations:
    • Is your child receiving any of the following?...
  • Attachment services?:
    Early Intervention services?:
    Occupational Therapy?:
    Physical Therapy?:
    Speech Therapy?:
    Other?:
    If Yes, please explain:
    Does your child display any eating or sleeping concerns?:
    If Yes, please explain:
    • Fine and Gross Motor Skill Development...
  • Rolling over?:
    Sitting on own?:
    Crawling?:
    Pulling self up / Standing?:
    Walking?:
    Drinking from Sippy Cup?:
    Holding Utensils?:
    Using Pincer Grasp?:
    • Additional Development...
  • Extra Curicular Activities:
    Language Development:
    Social Adjustment / Behavior:
    Relationship With Parents / Siblings:
    Achievements and Milestones:
    Do You need a Social Worker help call?:
    If yes, what is your concern?:

    • European Adoption Consultants will not share your information with anyone. Your information is for the private use of our staff and will not be used for any purposes other than your involvement with European Adoption Consultants.

    After successfully submitting this document, you MUST upload several recent photographs in JPEG or JPG format (.JPG) of your child to postplacement@eaci.com. More details on the submission confirmation page.

     
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