Postadoption

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Dr. Howard with a child

No matter how long you've been together

A first visit to the Adoption Medicine Clinic can happen at any time - whether you've been together as a family for one week or ten years. Of course, the first visit for a brand new adoptee will look different than for a child who has been with you for a long time. Either way, we are a consultative clinic, so we work in coordination with your primary care pediatrician, rather than in place of your regular pediatric care.

Initial Screen

An initial screen should ideally be scheduled within 2-3 weeks of your child's arrival in the U.S. The visit includes:

  • complete physical examination
  • initial development status
  • laboratory evaluation
  • time to address your questions about your child's adjustment

Please allow 2 hours for the first visit. 

Typically, a 3- or 6-month follow-up visit is recommended to recheck labs and developmental progress. View our screening tests.

Issues We Can Help With

  • Adjustment and transition 
(see also Child Mental Health, Development and Transition Clinic)
  • Attachment and social-emotional development 

  • Audiology
  • 
Behavior 

  • Cognitive function 

  • Domestic adoption issues 

  • Eating
  • 
Endocrine issues 

  • Fetal alcohol effects (see also FASD evaluations)
  • 
Genetics 

  • Infectious diseases
  • 
Malnutrition
  • 
Neuropsychology 

  • Occupational/physical therapy 

  • Ophthalmology
  • 
Pre-existing medical conditions 

  • Sleep 

  • Speech/language

Especially For Older Children

If your child has already been home for awhile, we offer a more focused visit. Includes a review of parent concerns, review of the child’s pre- and post-adoption medical and social history, and a complete physical examination (depending on reported concerns). Lab testing and referrals, as indicated.

Mental Health

Dr. Kroupina with patient

Our research-based treatment program for development and transition issues includes two visits and an extensive amount of time spent with both child and parent(s).

Learn more 

FASD Testing

Your child does not have to have been internationally adopted to be seen in this clinic. The Fetal Alcohol Spectrum Disorders (FASD) evaluation requires two visits: a medical appointment at which we will review medical history, do a physical examination, and developmental assessment; and a psychologist visit for cognitive and developmental testing.

Learn more