International Adoption Medicine: What We Treat

The International Adoption Medicine program offers adoptive families a wide range of pre- and post-adoption services for children and their families.

Pre-adoption assessment

  • During the pre-adoption assessment, a specialist will provide you a comprehensive evaluation of the child's medical records before the adoption process proceeds and explain it in understandable terms. At this time, the physician will answer any questions concerning the health of the child and any medical concerns you may have.
  • Our specialists are available for consultations from overseas to provide support and information during the adoption process.
  • Since the child is not covered by insurance, pre-adoption services are paid by the family. For questions about your bill, visit Patient Financial Services.

Pre-adoption consultation fees

General medical risk consultation$150
Limited referral$200
Standard referral, 1st$300
Standard referral, 2nd$200
Standard referral, sibling group$400
Standard referral with video$400
Expedition (within 24 hours)$100
Special needs referral$400
Blind travel$450

Post-adoption visit

Once the adoption process is complete and the child is home, an initial health screen should be scheduled within one or two weeks after arriving home. During your visit, a physician will conduct a thorough history and physical evaluation that will:

  • Review new medical, developmental or institutional issues
  • Discuss adjustment issues, including sleep, feeding, and attachment
  • Assess current growth parameters
  • Screen vision and hearing, when possible

Developmental screening

Parents who have concerns about their child's development can request a developmental evaluation by a child psychologist with special training in early childhood development.

Immunizations and TB skin testing

We recommend to either start over with a new series of immunizations in accordance with standards recommended by the American Academy of Pediatrics, or to have specific titers measured that will guide catch-up. Recommendations will be made to your primary pediatrician which allow him or her to administer the needed immunizations along with a TB skin test.

Laboratory work-up

A number of lab tests will be performed during your child's first visit. This is considered the standard of care for internationally adopted children who are generally at greater risk for a variety of medical and infectious diseases. Children from Korea, Guatemala or Taiwan might require fewer initial screening tests. Until you have results of the lab test be cautious about hand washing and hold off on sharing baths to prevent the spread of intestinal parasites.

Blood Work

  • Newborn Screening Panel (young infants only)
  • Complete blood count and iron profile
  • HIV Antibody, Hepatitis B panel, Hepatitis C panel (all on arrival and 6 months later)
  • Serologic testing for syphilis
  • Thyroid function tests
  • Lead level
  • Calcium, phosphorous and alkaline phosphatase levels
  • Hemoglobin electrophoresis (at times )

Stool tests

  • Stool examination for ova and parasites, 3 preserved specimens
  • Stool examination for Giardia antigen and Cryptosporidia antigen, one fresh specimen

Dietary recommendations

Because internationally adopted children often arrive with nutritional deficiencies, we make recommendations regarding the use of infant or toddler formulas and multivitamins based on your child's age and specific background.


Internationally adopted children have higher rates of visual, hearing and dental problems. Poor prenatal care, untreated ear infections, inadequate supply of fluoride and minerals, and lack of dental care all contribute to these difficulties. For these reasons, we also recommend:

  • Screening audiology evaluation for younger children or those with questionable findings during their comprehensive physical examination. This is important to ensure that development of speech is not hindered by hearing impairment.
  • Vision screen by a pediatric ophthalmologist for younger children or those with questionable findings during their comprehensive physical examination.
  • Dental evaluation. Pediatric dentists like to see children as early as possible, and as young as 1 year of age.
  • Early Childhood Intervention (ECI) or outside evaluation and intervention for those children with significant developmental issues.