The purpose of such tests is not to keep a person with an illness from marrying, but to ensure that the spouse knows of the condition. In addition to blood tests, some states require complete physical exams. Both parties must be free of previous marriage to secure a license for remarriage. The licensing clerk may require proof that the earlier marriage ended by death, divorce, or annulment. Marriage between family members closer than first cousins is prohibited.
Some states allow first cousins to marry.
There is no requirement that a person, man or woman, change names upon marrying. Nor is there a requirement that a child be given the last name of its parents.