Most agencies require a physical exam of prospective adoptive parents, or at least a current tuberculosis test (X-ray or scratch test). Some agencies that only place infants with infertile couples require that the physician verify the infertility. Others just want to know that you are essentially healthy, have a normal life expectancy, and are able to physically and emotionally handle the care of a child. If you have a medical condition, but are under a doctor’s care and it is under control (for instance, high blood pressure or diabetes that is controlled by diet and medication), you can probably still be approved as an adoptive family. A serious health problem that affects life expectancy may prevent approval.