Marriage certificate, if married, and verification of
termination of prior marriages
Any marriages and dissolutions occurring before a
prior California adoption will assume to
valid at the time of the prior adoption
When verification of the dissolution of all marriages of
the applicants is not possible, the marriages
preceding a verified divorce decree shall be assumed
of the applicant who are not living in the home of the
Names, date of birth, gender, and relationship of other
Report of a medical examination of each applicant
practitioner, or physician's assistant practicing under
Completed no more than six months before the date
of the application to adopt
The CFS Adoption Program may substitute a health
questionnaire completed by the ap
medical report if both of the following conditions exist:
The applicant is the current caregiver or a relative
seeking to adopt a specific child
completed questionnaire does not, in the CFS
Adoption Program’s judgment, ide
further evaluation or report (p
concern with the program Public Health Nurse)
If in the CFS Adoption Program’s judgment, sufficient
additional information is obtained from th
who has been treating a specific condition identified
in the questionnaire, additional medical examination
A certificate for each adult residing in the home stating that
the individual is free from communicable tuberculosis
The name of at least one individual to be contacted by
CFS Adoption Program for the purpose of obtaining a
The results of a screening for any criminal background of
the applicant and any other adults residing in the home,
contract with the California
Department of Justice (DOJ) for Subsequent Arre
Notification Services (SANS)
The results of a screening for prior refer