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I suggest you join the yahoo group EthiopiaAdopt (if you havn't already) and ask these questions there.
My guess is the physical would need updating but all you need is a letter saying you are physically healthy enough to parent a child. Perhaps your doctor would write this for you without seeing you again?
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Danielle
Miriam B. 06/05 Ethiopia... in our arms 11/14/05
Evan B. 06/06 Guatemala... in our arms 4/15/07
Katie B. 11/07 China.... in our arms 3/16/09
http://www.WesthavenKids.com
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