During the 1980’s and 1990’s it was common for many babies to leave the hospital without being named and now many of these children (or young adults) still have birth certificates that indicate “Baby boy Doe”.  In these instances it is always advisable to have the birth certificate changely almost immediately.  However, many did not and are now faced with the imminent need to have a complete birth certificate.  In that case a court order is necessary because many hospitals do not have the records for these births ( as well as the Dept. of Health) and thus a change in name is required by obtaining a court order.