In other words, material has been omitted at the discretion of the clerk who generated this form. We are NOT looking at a copy of the material on file, just a synopsis created by an office clerk and printed on “legal” paper, then stamped and signed.
BO had to ask permission that the material be released, just like all adopted children. If he was not adopted he wouldn't have to ask for special dispensation.
Who adopted him? Who were his birth parents? Why was a doctor needed?