Rules & Regulations of the State of Tennessee
Title 0250 - Children's Services
Subtitle 0250-07 - Social Services Division
Chapter 0250-07-13 - Adoption Process Forms
Section 0250-07-13-.02 - MEDICAL/ SOCIAL HISTORY OF CHILD'S FAMILY FORM
Current through September 24, 2024
(1) This form must be completed pursuant to T.C.A §36-1-111(k)(1) under oath before the judge or other person authorized to conduct the surrender proceeding or at the judge's or person's direction, the clerk or an employee of the court or person conducting the surrender, prior to the execution of the surrender of a child or prior to the confirmation of the parental consent pursuant to T.C.A. §36-1-117(g).
(2) The completed form shall be kept in a separate file designated for the purpose of maintaining the form until it is forwarded to the court where the adoption petition is filed. The information contained in the form shall be confidential and shall not be disclosed to any other person without the written approval of the court; provided, however, a copy of the information with all identifying information deleted shall be furnished to the adoptive parent(s) or their attorney.
(3) Form:
Authority: T.C.A. §§ 4-5-201, et seq., 36-1-111(k) and 36-117(g), Public Chapter 532 (1995), and Executive Order #6, January 12, 1996.
