Expectant parent contact form.


Fill out this form to connect with a counselor.

If you are pregnant or parenting, or your partner or someone close to you is pregnant or parenting, please fill out this form. If you need assistance immediately, call us at 1-800-772-1115 or text “Open” to 971-266-0924. Counselors are available via phone any time, day or night. Otherwise, a counselor will contact you shortly when this form is submitted Monday-Friday from 9 am-5 pm PST. If outside of these hours, we’ll reach out to you the following weekday. If you’d like to inquire about becoming an adoptive parent, get started here.


"*" indicates required fields

Name*
Is it OK for us to identify ourselves when we contact you?
Location
Curious about pregnancy options counseling? Watch this video.