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Utah · Birth

Utah Non-Identifying Health, Genetic, and Social History (DHHS-OVRS-320)

Official state formAdoptionForm DHHS-OVRS-320Free downloadLast verified November 10, 2026

Health, genetic and social history of the birth parents, required when a child born in Utah is adopted. It is kept in the adoption file of the Utah Office of Vital Records and Statistics and shared with the adoptive family.

Who can use this form

  • The individual, attorney or agency making the placement completes the placement section
  • The birth mother and birth father complete their sections
  • Birth parents may also attach it to a Utah Adoption Registry registration
  • If the agency could not obtain the information, an agency representative signs page 1

What to send with it

  • The completed form
  • Only page 1 may be turned in if no further information could be obtained
  • It can be submitted online through AdoptionRegistry.utah.gov or mailed to the office

Where to send it

Mail to
Office of Vital Records and Statistics PO Box 141012 SLC, UT 84114-1012
State fee
Not provided
Typical processing
Not provided
Form revision
2026
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Utah Non-Identifying Health, Genetic, and Social History (DHHS-OVRS-320) | Utah Form