Post-adoption Clinic Visit Overview

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When a child joins his or her new family, the International Adoption Clinic provides a comprehensive medical evaluation, with special emphasis on issues related to infections, immunization, nutrition, birth defects, and physical and psychosocial development. Recommendations for ongoing management will be shared with the family's referring physician, and arrangements can be made for services with any Riley specialty services such as:

• Dentistry
• Nutrition
• Ophthalmology
• Physical therapy
• Psychiatry
• Multidisciplinary craniofacial clinic
• Fetal Alcohol Syndrome clinic etc

The Riley Center for International Adoption and Geographic Medicine is a certified member of the Joint Council on International Children's Services, the oldest and largest association of licensed, not-for-profit international adoption organizations in the world. The Joint Council on International Children's Services' mission is to safeguard the rights and best interest of children, birth parents and adoptive families.

Make an appointment

Please call us when you know your travel dates. We will try to reserve a clinic spot for you once you return home. Typically we would like to see your child a few weeks after you've been home so that you can have time to bond without the stress of doctor visits and lab tests. However, if you have health concerns please call us when you return; special arrangements can be made to see your child urgently.

To make an appointment please call our contact person - see contact information.

In order to make this service more accessible for our families, the International Adoption Clinic will be available both at the Riley Outpatient Center and in the pediatric specialty clinic at the Clarian North Hospital. Please see directions for map and parking for parking information.

Forms to Bring

Please bring any medical information you received about your child both from your referral and any additional information given to you when you went to your child's county. We are very interested in medical information, surgeries, labs and growth measurements.

Please print and fill out the Intake Form and bring it with you.

Please bring your child's immunization record even if it is not translated.

Check with your Insurance Company

You will be seen in a medical subspecialty clinic by a neurodevelopmental pediatrician and an infectious disease specialist. Depending on the needs of your child he/she may also see a physical therapist and/or a nutritionist. This is not a well child check. Additionally, all international adoptees are required to have certain laboratory studies as standard of care, determined by the Centers of Disease Control and the American Academy of Pediatrics.

Please contact your insurance company to check on coverage for:

• Evaluation by neurodevelopmental pediatrician, infectious disease specialist and physical therapist.
• Lab coverage. Our lab is Clarian Labs. If we are not in your network please find out prior to you visit where you need to go to have labs drawn.

Labs

The Center for Disease Control and the American Academy of Pediatrics have outlined the laboratory studies that all children of international adoption should have on return to the US.

Blood tests:

• Complete blood count (CBC) to rule out anemia, iron studies and lead level
• Tests for occult infections including RPR for congenital syphilis, HIV antibody, Hepatitis B and Hepatitis C
• Thyroid study for any age child, children 6 months and under can get an entire newborn screen which includes the thyroid test.

Skin test:

• A Mantoux skin test for tuberculosis even if your child had a BCG

Stool tests:

A stool examination for intestinal parasites

Immunization schedules

Often times you will receive an immunization schedule from your child's native country. Please bring this with you to your clinic visit regardless if it has been translated. We can determine what immunizations have been given and if they were given in an appropriate time frame. If the immunizations are reasonable you may decide to have titers drawn. Titers are a blood test to see if your child actually received the immunizations that were documented. If the titers are at a certain level your child will get credit for the vaccinations and we can create a personalized schedule for your child incorporating the latest recommendations from the CDC and the AAP.

Your other options is to revaccinate. If your child has no immunization schedule, if only a few were given, or if you do not trust the country of origin we will create a revaccination schedule for your child. There is not harm in getting extra vaccination but there is harm in not getting enough.

You may see documentation of BCG on your child's immunization record. BCG vaccinations are vaccinations given to protect against tuberculosis. BCG does not prevent tuberculosis. A skin test will be done to see if your child has been infected with tuberculosis.