DEPARTMENT OF HEALTH AND FAMILY SERVICES Division of Public Health DPH 5022 (Rev: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin with Part I, selecting the type of adoption by checking the appropriate box. Enter the child's new name as specified in the decree, including first name, middle name, and last name.
In Part II, provide detailed information about both parents post-adoption. Fill in the father's full birth name, date of birth, and state of birth. Repeat this for the mother’s full birth name and current details.
Proceed to Part III where you will enter the child's personal data including their full birth name and birthplace. Ensure all fields are completed accurately.
Complete Part V regarding fees and mailing information if applicable. Specify payment details for filing and obtaining certified copies of the new birth certificate.
Finally, ensure that Parts V and VI are signed by the clerk of court or deputy before submission to ensure compliance with legal requirements.

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What are the responsibilities of public health?

Tracking disease outbreaks and vaccinating communities to avoid the spread of disease. Setting safety standards to protect workers. Developing school nutrition programs to ensure kids have access to healthy food. Advocating for laws to keep people safe, including smoke-free indoor air and seatbelts.

Why would the Department of Public Health be calling me?

0:00 1:58 Welcome to county office your ultimate guide to local government services and public records letsMoreWelcome to county office your ultimate guide to local government services and public records lets get started why would the Department of Public Health call me imagine your phone rings. And the

What are some of the public health issues affecting Massachusetts?

Chronic diseases contribute to 56% of mortality in MA. Chronic diseases include cancer, diabetes, chronic lower respiratory disease, stroke and cardiovascular disease. The most predictive risk factors for developing chronic diseases are: poor nutrition, physical inactivity, and tobacco use and exposure.

What does the Massachusetts Department of Public Health do?

DPH promotes and protects health and wellness and prevents injury and illness for all people. We prioritize racial equity in health by improving equitable access to quality public health and health care services and partnering with communities most impacted by health inequities and structural racism.