In the International Adoption Clinic we provide services before, during and after adoption to help you build a healthy future for your child.
The International Adoption Clinic at Johns Hopkins All Children’s Hospital serves 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 medical needs commonly seen in children from other countries.
As you plan for international adoption, we will work with you to assess your child’s medical history, photos or video before they arrive in the United States, help you interpret the information contained in translated documents, and discuss your child’s possible future medical needs with you.
We also offer travel preparation advice as you prepare to bring your child home, education about their country of origin and common health problems, education about common developmental and behavioral concerns, and physical exams after your child arrives in the United States.
The International Adoption Clinic team works directly with other physicians at Johns Hopkins All Children’s, so you and your child have access to physicians in a variety of specialties depending on your child’s medical needs. The Johns Hopkins All Children’s General Pediatric clinic also provides primary care services, including a range of outpatient services such as routine checkups and immunizations.
Pre-adoption medical records review
When reviewing medical records before your child arrives in the United States, it’s important to remember that pre-adoption evaluations of medical and photographic records may not provide a comprehensive view of a child’s possible future medical or developmental conditions.
Such records can help us identify obvious physical or laboratory features that suggest possible medical or developmental conditions. However, records may be poor quality, limited, or contain inaccuracies. Translations of medical documents may also contain terms that are unfamiliar to many American physicians.
When you send documents by mail or email, please indicate your preferred phone numbers in your message. If you send a videotape by mail, please include a cover letter indicating the length of the video. The clinic physician will consult with you by phone.
Post-adoption medical evaluation
Once your child arrives in the United States, we provide comprehensive physical exams and additional services including:
- 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 one to two weeks to allow him or her some time for adjustment.
We also offer follow-up care after your initial visit for developmental and behavioral concerns. Services include:
- Comprehensive 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.
After your child’s initial appointment, we will treat him or her for any specific infections determined during a visit. Patients 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 your child, and we will send any recommendations directly to your child’s primary care physician.
Meet our team
Juan Dumois, M.D. Infectious Disease
Dr. Dumois is the clinical practice director for Pediatric Infectious Disease at Johns Hopkins All Children's Hospital. He joined the Hospital in 1993 as assistant director of Pediatric Infectious Disease and became the program director in 2003. He also directs our International Adoption Clinic. Dr. Dumois received his medical degree from the University of South Florida College of Medicine and completed his pediatric residency at All Children's Hospital/USF, serving as chief resident. He completed his fellowship in pediatric infectious disease at Children's National Medical Center, Washington, D.C. in a joint program with the National Institutes of Health.
View Juan’s Bio
Joel Shulkin, M.D. Pediatric Developmental Medicine
Dr. Shulkin is a pediatrician in Pediatric Developmental Medicine at Johns Hopkins All Children’s Hospital. Previously, Dr. Shulkin was a developmental pediatrician at Greenville Health System in South Carolina. Dr. Shulkin gradated from New York University School of Medicine, followed by a post-graduate degree at Harvard School of Public Health. He went on to complete his residency at San Antonio Military Pediatric Consortium and a pediatric fellowship at Children's Hospital Boston. Dr. Shulkin’s clinical interests include assessment and treatment of developmental and learning disorders including autism spectrum disorders, communication disorders and academic learning.
View Joel’s Bio
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 or 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.
Give us a call
For more information or to schedule an appointment with the International Adoption Clinic, call 727-767-3594