Don't!!!!
You better smooth things out and stop using the problems within you guys to affect the relationship you already have with your son!
First of all, you really don't want to start a legal debate in the US where the child is with you in a temporary visit only!
Given that you refused (and as clearly stated here) to pay for medical coverage for the kid in the DR, the blame will fall square on you for your claims based on the US doctor's findings regarding his health!!!!
The mother enjoys full custody of the child and provided that you never challenged that fact in a Dominican court is the first problem you face. The second is that she has allowed you to have partial custody of the child to look after his health and visit with you, all out of her good will not to place blocks between you and the child.
In effect, she has the right to request any given contact of a person that would be caring for the child, while he's under your temporary custody. As a father wouldn't you be less out of the loop, if you knew that you could be at ease by having a simple talk with those in the care of your child?
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