Link to Directory updated on May 14, 2010 The revised directory can be freely downloaded from PEAR’s website athttp://www.pear-now.org/PEAR_IA_Doctor_E-Directory.pdf This directory is arranged alphabetically by state and city within each state. The clinics listed in this directory have at least one MD or DO in its practice and have experience with international adoption medicine. Parents for Ethical Adoption Reform (PEAR) …