(This response was written on the bottom of the inquiry letter sent to them.)
"All adoptions in our county are under seal since 1953. For any information wanting to be obtained you must petition the court to open the records. The fee for filing a petition would be $20. It must be filed in our office at Orphans' Court Division, Room 105, 400 S. 8th St., Lebanon, PA 17042."
The response was unsigned. Included was a registration form for both the B'parent and the adoptee for the PA Adoption Medical History Registry.