Embossed (Raised) Seal
 
Many identity documents, especially birth certificates and some transcripts, have an embossed seal.  You can buy an Embossing Pocket or Desk Seal, but perhaps not one that reads both your State Department of Health along the top and your County and State along the bottom unless you order one from China. See http://www.alibaba.com/product-free/106923613/Desk_Seal.html for sources in China.
 
Companies in China are not subject to USA law enforcement, so if you can find a China company that will sell you one embossed seal, that may be a good choice. Shipping by air will be $30. Otherwise, it will take six weeks. The total cost will be about $80 to $100.
 
Companies in China are as honest as USA companies but you may have a communication problem. I recommend sending a picture of the Embossed Seal; otherwise, you might buy be buying a blank insert without the embossing. They will not be attempting to deceive; it will only be a communication problem.
 
If you purchase an embossed seal in the USA, I recommend, Fred L. Lakes & Co. No one else was close to their price and I checked with many. Everyone else would charge a surcharge of $40 for a custom embossed seal for any slight deviation such as replacing an * with a star, larger lettering in the center, or inserting a common symbol.
 
At Fred L. Lakes & Co., you should be able to purchase either of the following without paying a surcharge and they could be used on fake birth certificates or transcripts. You will have to specifically request a rope border, the stars, Old English in the center, and the symbols above and below the word S E A L.

 
For the one on the left you would need to lightly emboss the letters in the outer circle. The one on the right is general purpose and may be acceptable for both transcripts and birth certificates. Also, it would eliminate the difficulty of hand embossing the letters in the outer circle. The rope border is not as common because if the embossing cuts the paper you can end up with a circular hole in your document. However, with my embossed seal from Fred L. Lakes & Co. I have not found that to be a problem. It made the impressions without cutting the paper.
 
If you want an embossed seal with the top reading DEPARTMENT OF HEALTH and the bottom reading YOUR CITY or COUNTY, STATE, and you prefer not to order from China, order the embossed seal without the DEPARTMENT OF HEALTH or any lettering in the outer circle and hand embosses the letters DEPARTMENT OF HEALTH and your city or county and state. See the following instructions.
 
 How to Make an Embossed Seal:   It will take at least an hour, but for a single identity document it may be practical for you to make an embossed seal.  However, it is extremely difficult to make circles without them appearing very jagged.  I suggest ordering an embossed seal without some or all of the lettering in the outer circle. To design the imaged, go to: 
http://www.fredlake.com/Round.aspx?ProductID=SL-EHCLIP.2&qty=1 and select 5X. If you cannot print the image, save a screen shot and paste it to a blank document using Photoshop’s ImageReady.

Print the reverse image of the seal you wish to emboss on a sheet of paper. Place the reverse image on the back of the document you wish to emboss. The letters and circles will and should be raised on the face of the document. Use two small pieces of magic tape to keep the reverse image in position.  Press the magic tape on your hand first so they are not as sticky. You don’t want the paper to tear when you remove the tape.

Place the document face down on soft wood or a paper towel. You want some give, but not a lot. Then use a very fine ballpoint pen and roll and press into the letters to make a very light impression.  The results are not crisp. Therefore, you want the embossed seal to be very light. You only need it impressed enough to see and feel that it is there.

If you wish to hand emboss the complete seal, instead of the above, it is better to print the image for the embossed seal on the front of the document and then turn the document over to very lightly emboss the image. That way anyone can feel that it is embossed and the imperfection are hidden by the printed image. It is very unlikely that anyone would turn the document over to closely examine the embossing. 
 
However, my recommendation is to order an embossed seal without the letters in the outer circle and then print the complete image and emboss over the printed image.  You can then lightly emboss the letters in the outer circle using the foregoing method.  Although, with the printed image, I don’t believe it is necessary to emboss the lettering in the outer circle. Any can see and feel that it is an embossed seal and they are unlikely to examine the embossing from the back. It usually takes me a half dozen attempt to correctly overlay one of the embossed seals on top of the printing without excessive overlap.  Any sheets of security paper where the embossing doesn’t overlay the printing within 1/32” gets tossed in the wastebasket.

It is extremely difficult to hand emboss a complete seal because of the difficult of making the circles without them being overly jagged.  Therefore, I don’t recommend that unless you emboss a printed image.