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South Carolina Department of Social ServicesMEDICAL RELEASE/PHYSICIANS STATEMENT Section I To Be Completed by Staff Name of Patient:Date of Birth:Last 4 Digits of Patient 's Social Security Number:Case.

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The division is responsible for the development and implementation of programs designed to protect seniors and adults with disabilities and for the administration of an integrated system of care for eligible adults that require long-term care.

Call the Missouri Bureau of Vital Records at 573-751-6378 and state that you want to add the father's name to the birth certificate. You must provide your name and legal mailing address to receive the required form, “Affidavit For Acknowledging Paternity.”

Submit the following: A notarized father's affidavitPDF Document to legitimate birth record completed and signed by the father of the child. A notarized mother's affidavitPDF Document to legitimate birth record completed and signed by the mother of the child.

Paula F. Nickelson is responsible for the oversight and management of the department and the administration of its programs and services which protect the health and safety of Missourians.

I do solemnly declare and affirm that I am the natural father of the child listed on this Affidavit and that the statements are true under the pains and penalties of perjury. I consent to this Affidavit and request that my name and other information be added to this childʼs birth record. THIS IS A LEGAL DOCUMENT.

You can open a parentage case with the Court. Once the legal parents are established by the Court, follow the procedure on the State Dept. of Public Health website to request that the birth certificate be amended to include the father's name. You and the other parent can sign a Voluntary Declaration of Parentage .

Missouri Dept of Health and Senior Services - Contact Us at 573-751-6400.

Contact the Department of Health and Senior Services' Bureau of Vital Records or the Family Support Division (FSD) to get an Affidavit or for help completing one.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232