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| **THE CALL QUESTIONS** Today's date: Time of Call: Name of person calling: Baby's full Chinese name: Translation of baby's name: Full name of baby's orphanage: City: Province: How old is the baby? Date of birth: Measurements & when they were taken: Who will translate the referral & medical information? When do I have to return my referral acceptance (important if you want to have a doctor review your medical information): Any information regarding abandonment (note left, date found, etc.): Foster care? How long? With whom? Have you had referrals from this province before? From this orphanage? What items can this orphanage use the most? Travel group #: Other families in group referred from same orphanage: Names of other families in our travel group: May I have the other group members email addresses or phone numbers? How can we get a care package to the baby's orphanage? Who or how can we translate the note we enclose? Can our facilitator contact the orphanage for current information? Estimated date of travel? Please email the photos and child information to this email address: Please FEDEX/UPS the referral packet to this address: Tracking number for package: Additional Information/Notes: |
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| Click for downloadable form: Word (.doc file) Adobe ( .PDF file) |
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