Alliance for Children has been in operation since 1974 and has placed over 3,000 children since that time. Based in Needham, Massachusetts, Alliance facilitates both domestic and international adoptions for families throughout the U.S. with international programs in Vietnam, Colombia, Bulgaria, Romania, and Taiwan. The agency is licensed to conduct home studies in Massachusetts, Rhode Island, New York, New Jersey, Pennsylvania, Florida, and Texas. Alliance staff members consider themselves advocates for older children and children with special needs and the agency offers financial assistance to orphanages to improve the lives of children awaiting placement.
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The Good

International Process

Alliance is Hague accredited and currently placing children from Vietnam (one of three U.S. agencies working there), Colombia, Bulgaria, Romania, and Taiwan. The process begins with completing a home study and putting together a dossier, a set of documents for international adoption. Paperwork is sent overseas after a family is approved by the government, and then the waiting process begins. The waiting period before a referral could be as short as 1 month and as long as 2 or 3 years. All international programs through Alliance require at least one visit to the child’s country or origin and some require more. After returning home with a child, the adoptive family has several post-placement visits and the agency offers resources and support after the adoption is complete.

Rank Chart
Waiting Time
Our Score
2-3 Years
$5k - 30k
Up to 2 years
$26k - 50k
1-12 Months
Alliance for Children - Logo
$35k - 40k
1-36 mnths

Adoptive families can expect to pay anywhere between $30,000-50,000 for international adoption, depending on a number of factors. Specific placement fees by country are as follows:

  • Bulgaria: $19,950
  • Colombia: Varies
  • Romania: $9,500
  • Taiwan: $18,850 + orphanage donation
  • Vietnam: $17,750

Domestic: Full Service or Agency Assistance
Alliance facilitates both pre-identified and full-service adoptions. All levels of openness are considered and the agency claims to not pressure families into any situation that feels uncomfortable. In the pre-identified program, the agency provides services as needed, including home study assistance, profile help, placement and relinquishment services, and post-placement services. Adoptive families can expect to pay $6,500-10,000 for this limited assistance.

Full service adoptions start at around $30,000 and include the services listed above as well as agency outreach through their network of doctors, nurses, clinics, counselors, and attorneys, online advertising and print media, and match services through the screening and assessment of potential birth parents. Fees are due at the time services are rendered.


Individual or married adults can adopt domestically through Alliance regardless of age, race, gender, religion, sexual orientation, or marital status. Married couples need to have been married at least one year, and at least one of the individuals must be a U.S. citizen. International programs have stricter eligibility requirements and vary by country.


Adoption training is required for all families and covers topics such as attachment, bonding, openness, and adjustment. Families adopting for the first time complete a 12-hour adoption training program consisting of 2 hours of reading and 10 hours online or in-person classes. Repeat adopters complete 4 hours of online or in-person classes. Alliance offers lifelong training, support, information, and referrals for clients and the general public.

The Bad

Domestic Fee Range

Domestic infant adoptions through Alliance cost between $30,000 and $45,000 per placement, several thousand more than the most affordable agencies. It helps that the placement fee of $9,500, due 45 days before the birth mother’s due date or immediately if she is in labor, is partly refundable ($2,000 of it is not).

The Bottom Line

Domestic adoption can be surprisingly costly with this agency, but the agency-assist option allows adoptive families to work with other individuals or organizations in tandem to pay only for the services they need. Alliance has a strong foundation for both their domestic and international adoption programs, as evidenced by their years of experience, client reviews, and extensive educational offerings. They are also welcoming to Spanish-speaking clients.

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