Special Needs Adoption

Since 1995, Spence-Chapin has found adoptive families for more than 550 children who are medically fragile. In order to reduce barriers to special needs adoption, all professional service fees are waived for this program.  Read more FAQs on our blog!


Spence-Chapin is currently accepting applications from families who are open to adopting a child with significant medical needs. Complete our free pre-application below to be considered. Please send us a copy of your current home study (completed within the past 12 months), conducted by a licensed adoption organization. Home studies can be emailed, mailed, or faxed  to the following:

Fax: 888-742-6126
Mail: Special Needs at Spence-Chapin, 410 East 92nd Street, 3rd Floor, New York, N.Y. 10128

Children in Need
of Adoption

The children in our Special Needs Adoption Program are born in New York or New Jersey and are from diverse racial and ethnic backgrounds. The infants and children in need of adoption have a variety of special needs, from significant developmental issues to serious medical and congenital conditions.

The conditions usually require therapeutic and/or medical interventions during the child’s entire life. These non-correctable conditions can include:

  • Genetic Disorders
  • Brain Anomali
  • Neurological Disorders
  • Rare Syndromes
  • Cardiac and Pulmonary Disorders
  • Shortened Life Span
  • Excessive Drug and/or Alcohol Exposure
  • Significant Risk of Psychiatric Disorders


Many children are eligible for Early Intervention Services, Social Security Disability, Adoption Subsidy, and Medicaid.


Angels in Adoption small

Senator Kirsten Gillibrand honored Spence-Chapin with an ANGEL IN ADOPTION™ Award.

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