[DD Amasa]

All I got with my referral was that he was two days old, weight, length and head circumference and two photos and a medical report that stated he was healthy and all was normal. I didn't send them to a doctor because there was nothing there to evaluate really. I looked at charts myself to see if everything was proportional. If my son had very low birth weight or something seemed "off", I would have consulted a doctor.

Plus the embassy approved doctor did his exam and stated everything was normal and he was healthy. As the internation adoption pediatrician I consulted a couple of months later pointed out, if that Guatemalan doctor is competent and honest, he's actually examing the child, which is better than having an American doctor just review the chart. If the Guatemalan doctor is incompetent or dishonest, his reports aren't worth the paper they are printed on and an American doctor is evaluating based on inaccurate info anyway.

I did send all his medicals to the international adoption pediatrician about three months later. They told me they really needed a few months worth of medicals to evaluate if the child is developing properly.