The Bureau of Home and Community Services provides a variety of health care services. The bureau offers a range of home care programs to disabled individuals and senior citizens throughout Alabama. It provides skilled nursing, personal care and urinary catheter management services. The bureau also offers diabetic, wound and cardiovascular care services. In addition, it provides physical, occupational and speech therapies. The Bureau of Home and Community Services is a part of the Alabama Department of Public Health, which offers a range of disease prevention and control services. The Alabama Department of Public Health issues birth, death, divorce and marriage certificates.