Notice to Parent or Legal Guardian

The Commissioner shall prescribe and provide a worksheet for birth certificates to be provided to the parent or legal guardian of the newborn bythe physician, certified nurse midwife, administrator or other person in charge of a hospital or birthing facility, or any other person responsible for recording and/or reporting a birth pursuant to M.G.L. c. 46. This worksheet shall specify the confidential birth information requested from the parent or legal guardian and shall contain a notice to the parent or legal guardian who provides confidential birth information that the data collected and reported to the Department on the confidential section of the birth reporting form may be used only for those administrative, statistical or research purposes deemed by the Commissioner as necessary for public health purposes and may not be used or disclosed in identifiable form for any other purpose.