North Carolina General Statutes Chapter 7B. Juvenile Code § 7B-528. Information to surrendering parent

(1) Who is a safely surrendered infant, surrendering parent, and non-surrendering parent.

(2) The requirements for how a safe surrender of an infant may occur under this Article.

(3) The right to have the surrendering parent's identity remain confidential with the exception of communicating with the non-surrendering parent, known medical providers who provided treatment to the infant prior to the safe surrender, law enforcement for purposes of a missing child assessment, or a court order.

(4) The information set forth in G.S. 7B-526(b)(3) through (b)(8).

(5) That the information contains a relevant medical history form for the infant that would assist the department of social services in obtaining any necessary medical services for the infant and in facilitating the infant's placement, including adoption.  Completing the form is optional.

(6) An explanation that services may be available to the surrendering parent and infant accompanied by contact information for the local department of social services.