International Adoption Clinic
The International Adoption Clinic at All Children's Hospital was established to serve the families of children adopted from outside the United States. We work in conjunction with your child’s primary care physician to help assess and manage problems commonly seen in children from other countries.
As you plan for international adoption, we can provide:
- Assessment of child's medical history
- Review of photographs or videos
- Travel preparation advice
- Education about the country of origin and common health problems
- Education about common developmental and behavioral problems
Please keep in mind that pre-adoption evaluations of medical and photographic records have limited value in detecting or predicting future medical or developmental problems. Such records can help us identify obvious physical or laboratory features which suggest possible medical or developmental problems. However, records can be limited by inaccuracies or poor quality. Also, translations of medical documents may contain terms not familiar to many American physicians. We will help you interpret the information contained in these translated documents.
When you send the documents by mail or email, please indicate your preferred phone numbers. If you include a videotape, please indicate the length of the video on the cover letter. The clinic physician will consult with you by phone.
Medical evaluation once your child arrives in the U.S. will include:
- Comprehensive physical exam
- Laboratory screening tests for infectious diseases and vaccine responses
- Evaluation of growth status
- Developmental screening of communication, gross motor, fine motor, problem-solving, and personal-social skills. You will be mailed a questionnaire to be completed before the visit.
- Immunization counseling
- Referral to other pediatric specialists, as needed
- We recommend that the clinic visit be postponed until your child has been with you for at least 1–2 weeks to allow him/her some time for adjustment.
Developmental-Behavioral Follow-up can be scheduled following the initial visit and includes:
- Comprehensive physical exam and neurodevelopmental assessment
- Review of behavior, sleep, feeding, and developmental concerns in a socio-cultural context
- Monitoring of development over time and neurodevelopmental testing as needed
Referral and Payment
For pre-travel evaluation of medical and visual records, the charge is $150, payable by check to All Children’s Specialty Physicians or by credit card. Extra charges apply for review of videos, expedited review within 24 or 48 hours, and for email/phone consultation during your international adoption travel.
For clinical evaluations of children after adoption, we accept third–party payments from most insurance and managed care companies. Some insurers require a referral authorization from your child’s primary care physician to be seen by a specialist.
We accept referrals to the clinic from physicians and self-referral by families. All recommendations are forwarded in written form to the child’s primary care physician.
Extent of Medical Follow-up
Any specific infection problems will be addressed and treated. Families are invited to see Dr. Shulkin for a developmental-behavior assessment within the first six months post-adoption, and typically return every six months for follow-up and reassessment as needed, or more frequently if specific needs require closer follow-up. Your child’s primary care physician will remain the main provider of medical care for the child.
Dr. Juan A. Dumois is board-certified in Pediatric Infectious Diseases by the American Board of Pediatrics. He is a Fellow of the American Academy of Pediatrics. He has been listed as one of the Best Doctors in America annually since 1999. He is a Florida native and has two children.
Dr. Joel M. Shulkin is board-certified in Developmental-Behavioral Pediatrics and General Pediatrics by the American Board of Pediatrics. He is a Fellow of the American Academy of Pediatrics. His article entitled, "The Changing Landscape of International Adoption and Its Impact on US Families" was published in 2013 by the Illinois Child Welfare Journal. He is a former United States Air Force officer and ran an adoption clinic in Greenville, SC before joining All Children's Hospital.