Filing Of Required Non-Identifying Health, Genetic And Social Histories With The Utah Adoption Registry printable pdf download

Filing Of Required Non-Identifying Health, Genetic And Social Histories With The Utah Adoption Registry

UTAH DEPARTMENT OF HEALTH

OFFICE OF VITAL RECORDS AND STATISTICS

Filing of Required Non-Identifying Health, Genetic and Social Histories

with the Utah Adoption Registry

When a child born in Utah is adopted in Utah (excluding adoptions by a step-parent whose spouse is

the adoptee’s birth parent), a form, “Health, Genetic, and Social Histories” of the birth parent(s),

must be submitted to the Utah Department of Health, Office of Vital Records and Statistics,

P O Box 141012, Salt Lake City Utah 84114-1012, or fax to (801) 538-7012, Attn: Carolyn Lucas.

This requirement was mandated by the Utah State Legislature in 1987. The following is an extract

of the state statute that relates to these procedures:

“78b-6-143. (1) Upon finalization of an adoption in this state, the person who

proceeded on behalf of the petitioner for adoption, or a licensed child placing

agency if an agency is involved in the adoption, shall file a report with the Office

of Vital Records and Statistics established by the office. That report shall include

a detailed health history, and a genetic and social history of the adoptee.

(2) The report filed under Subsection (1) may not contain any information which

identifies the adoptee’s birth parents or members of their families.

(3) When the report described in Subsection (1) is filed, a duplicate report shall

be provided to the adoptive parents.

The history must not include any information that would identify the adoptee, the adoptee’s birth

parents, aunts, uncles, or grandparents. The forms must be completed under the direction of a

licensed adoption agency or those acting in behalf of the petitioner(s). At the same time, a copy of

the history is provided to the adoptive parents by the agency or person acting in behalf of the

petitioner(s).

The Office of Vital Records will not prepare the “new” adopted birth certificate until the completed

history is filed or the attorney and/or the agency handling the adoption provides a written explanation

of why the history information is not available. There is no fee for filing the histories. The fee for the

search and copy of the history or available information is $25.00. The birth parent(s) may update

the history as needed for a $5.00 fee.

The accuracy and care you use in completing this form will be greatly appreciated. Past and

present medical information is especially helpful in identifying potential health problems. Feel free to

include additional information you believe is important. We understand some of the specific facts

may not be known.

THANK YOU!

Filing Of Required Non-Identifying Health, Genetic And Social Histories With The Utah Adoption Registry