Creating groups on Hearts Connect involves a process where users can request connections. These requests are then reviewed by moderators to ensure that all members are connected in a meaningful way, such as being a biological mother and adoptive parents who share a child in common. Once the moderator confirms the connections, they will proceed to create the group and invite all relevant users to participate. Alternatively, moderators may set up groups at the time of adoption or placement, ensuring that all parties involved are included from the outset. This approach streamlines the process and ensures that users have access to the necessary support and communication channels from the beginning of their journey on Hearts Connect.