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It all depends on your agency. Does your agency place children with medical needs? One of the main reasons to have it in your homestudy is so you can accept a referral that might have minor medical needs. Immigration needs to approve you and else you could not accept a referral with such needs. Usually you can let your agency know what minor medical needs you are open to. Normally your social worker will discuss the minor medical needs you are open too and how you plan to get the care that your child would need. Anna