Most changes are done through the Texas Department of State Health Services:
Texas Dept of State Health Services1100 W 49th StreetAustin, Texas 78756512-458-7111 or 888-963-7111
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Hospital births and home births that occurred after 1967 within the city limits may be obtained at the Office of the City Clerk’s Office – Vital Records Division (which is the local registrar) located at 719 S Santa Rosa or by calling 210-207-8815.All births that occurred in the rural part of Bexar County before 1967 and all births that occurred in Wilford Hall Military Medical Center (formerly Lackland AF Hospital) before 1967 may be obtained from the Bexar County Clerk’s Office.
The cost for a birth certificate is $23.00 per copy.