Individuals assigned to an ESCAPE post has a medical clearance valid for one year. For information on how to schedule an appointment with the Exam Clinic, contact. Send all medical forms and reports to MEDMR@state.gov. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. Parts 160 and 164. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. The purpose of this SOP is to establish procedures and criteria for considering requests for waivers of the requirement for overseas service, (1) after six years of continuous domestic assignments, and (2) after eight years of continuous domestic assignments. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. (CT:MED-41; 03-07-2019) While a candidate may effectively manage a chronic health condition or limitation within the United States or in specific areas outside of the U.S., the Office of Medical Services might well determine that the same individual is not eligible for a worldwide (Class One) medical clearance. Medical Clearance Process for ESCAPE Posts. Foreign Service Officers are required to serve much of their career overseas. Medical Clearances reviews the submitted documentation and retains a copy in your permanent medical file. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Get involved! Confidential Medical Information. Such clearances may only be issued to candidates whom the Office of Medical Services deems able to serve at the most isolated and restricted overseas posts. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. Schools are often closed during American summer months, so the process needs to start well before the end of the school year for children with educational issues. Under the guidance of the California Department of Health Care Services, the Medi-Cal program aims to provide health care services to about 13 million Medi-Cal beneficiaries. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. So before you apply to the program, you should be aware of the clearances that you must be able to obtain and maintain to stay in the program. Sending forms and reports to the wrong email address results in confusion. Many Health Units do not have a provider, resources, or time to complete a medical clearance. Her exact words were, "I've sent folks with 165 systolic to Kabul, if they want to go and their doc says they are good, I'm not stopping them." This conversation was in November of 2015. Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. The following employees, contractors and EFMs should not use a MCU: New employees (including newly hired EFMs), those switching agencies, any person not currently assigned to or has a valid TDY clearance for an ESCAPE post, separating from the Foreign Service, and new REA/WAEs. The Eight-Year Rule is set forth in the Foreign Service Act at 504, 22U.S.C.3984, which states, A member of the Service may not be assigned to duty within the United States for any period of continuous service exceeding eight years unless the Secretary approves an extension of such period for that member because of special circumstances.. All foreign reports must be in English or translated into English. There may be no health unit at the post and next to no local medical facilities. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. Do NOT include any personal medical information in this communication. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Additional countries can be submitted after the first have been reviewed. Or Fax to 202-647-0292 (less preferred) The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. This reduces the need for medical travel due to lack of local health resources and limits the number of curtailments for pre-existing medical conditions. CONUS based individuals who do TDY travel to ESCAPE posts for 30 or more consecutive days have a medical clearance valid for two years from the date of issuance. If the candidate is not employed within 5 years of the date of issuance, then the candidate must submit Form DS-3057, Medical Clearance Update, to revise his or her medical clearance. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. Your CDO or agency HR will send your list to MED Clearances. Some countries have inadequate infrastructures such as a poor or negligible public health care system, poor sanitation, unreliable electricity and a lack of potable water. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! Medical Clearance Notices will be sent to your via the e-mail address you place on your form. Provide a current phone number and valid mailing address that can be used even if you are between posts on home leave or personal travel. All persons must undergo a full physical exam for their first medical clearance. An additional sheet of paper may be used if more space is needed. The Director General has delegated the authority to grant such a waiver to the Director of HR/CDA (Bureau of Human Resources, Office of Career Development and Assignments) by memorandum dated August 8, 2005. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. Many Foreign Service posts are located in remote areas with extremely limited medical support. This exam is recommended but not mandatory. Applications are . The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. Do not travel to your next overseas assignment without a valid medical clearance. Individuals who already have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply documentation of the issues with status and treatment plan while abroad. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. Patients can arrange appointments on personal travel, during R&R, home leave or other government funded travel when services are not available at the post of assignment. Via email in a PDF format to MEDMR@state.gov (preferred) Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). EFMs, age 18 and over, must provide their own email address for privacy reasons. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. Individuals extending at an ESCAPE post have a medical clearance valid for one year from the date of issuance. Shreds security and medical sensitive materials as directed including medical reports and old chronological files. Tips for Your Separation Medical Examination. Noncommercial Class A and B Drivers . A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. Sending forms and reports to the wrong email address results in confusion. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. Medical reports do not need to be submitted with your initial medical clearance forms, be aware that Medical Clearances may require reports from providers, medical facilities or schools for anyone with significant past medical, mental health, or special educational needs. Examples of chronic conditions that must meet stricter DOD requirements to be deployed to an ESCAPE include but are not limited to; tighter control of seizures, asthma, headaches and mental health issues; injectable or refrigerated medications; cardiovascular risk factors and excessive weight (BMI >35). All persons posted overseas or on TDY travel for 30 or more consecutive days must have a valid medical clearance before they can access a posts health unit and other Medical Program benefits abroad including coordination of a medical evacuation or hospitalization. Ask questions! The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Please check the signature area. . Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . For additional questions, contact pre-serviceunit@peacecorps.gov or 202-692-1504. Requests for a 6/8 waiver where neither the employee nor a family member has any special physical or mental health condition that would require the Bureau of Medical Services (MEDs) expertise may be considered by the Committee without MED input. The individual, parent or guardian should complete the first two pages of each form. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. Medical Clearance related medical expenses can be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and Explanation of Benefits to Medical Claims at MEDClaims@state.gov. The examiner must sign and date page 4 of the DS-1843. When to Start the In-Service Clearance Process. Inform your CDO or Agency HR of approval determinations. Medical Clearance prior . Individuals assigned to any of these ESCAPE posts, including TDY travel of 30 or more consecutive days, must meet more rigid standards, and undergo further medical vetting than addressed in this document. Who Should Use a Medical Clearance Update Form? While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid travel to localities where medical care is inadequate to meet their needs even if that travel is only for a few days. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. This is accessible to Department of State Employees only. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. The Six-Year Rule. All personnel must update their medical clearance prior to departure for a new overseas assignment. It is your clearance. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. The waiver request should be sent to the CDO, who will forward it to the Five/Eight Committee. Provide a personal, legible e-mail address good for the next 90 days. Angina pectoris Bipolar disease Cardiac valve replacement All individuals going to these posts must meet strict medical standards. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. A MED Clearances Clearance Consultant assigned to you will: Post Approval Process for employees of non-Foreign Service agencies, CONUS-based TDY, WAE/REAs, contractors and their EFMs with a Post Specific (Class 2) Clearance. Clearance Disqualifiers Candidate, Class of 2018 Joy R. Burrell Michigan State University College of Human Medicine M.D. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. An MCU can be submitted to your health unit (preferred) or directly submitted to. An employee, contractor or Eligible Family Member (EFM) may start up-dating their medical clearance process up to one year prior to departing for their next overseas assignment or training. The attainment of U.S. foreign policy objectives depends substantially on the confidence of the public (both American and foreign) in the individuals selected to serve in the Foreign Service. Consult the Medical Capabilities database and alternatively consult with post directly. An FSO or Eligible Family Member (EFM) may start updating their medical clearance one year prior to departing from their current post or domestic assignment. Pertinent sections of the Department of State Human Resources SOP A-04 state: The Foreign Service Act of 1980, as amended, 22 U.S.C.3901 et seq., requires all Foreign Service employees to serve a substantial portion of their careers overseas and limits the number of years Foreign Service employees can spend in continuous domestic assignments. b. Post-Specific (Class 2): Issued to an individual with a medical condition that would pose a significant risk to the health or safety of the individual or others if the individual were assigned to work at one or more posts abroad. Confidential security clearance disqualifiers include careful examinations of the following: Allegiance to the United States Foreign Influence Foreign Preference Sexual Behavior Personal Conduct Financial Considerations Alcohol Consumption Drug Involvement Emotional, Mental, and Personality Disorders Criminal Conduct Security Violations However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. DOS Medical Guidelines and DOD Medical Deployment Requirements. Early summer through the fall bidding cycle is the busy season for MED Clearances. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. MED Clearances strives to review an employee, contractor or EFM initial documentation within 30 days after documents have been uploaded and indexed by MED Records. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). A missing signature will delay the medical clearance review process. All blanks need to be filled in. Advisory Commission on Public Diplomacy, Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service, In-Service Medical Clearance Update Guidance, Guidance for a Pre-Employment or Pre-Assignment Medical Clearance, Guidance for Post Specific (Class 2) or Domestic Only (Class 5) Employees, Contractors, and Eligible Family Members, Guidance for Separation or Retirement Examination (Including REA/WAE Applicants). Please check the signature area. Keep original documents for your permanent files. Employees subject to the six- or eight-year rule must work with their CDOs to make a request for a waiver by completing the attached 6/8 waiver request form. The time needed for security clearance determination processing varies depending on a number of factors. All chronic medical conditions must be listed on page 4 in assessment or problem list section. You can also download a PDF document with this information on the Resources page. c. Domestic Only (Class 5): Issued to all who have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. The Suitability Review Panel has the authority to terminate your candidacy. Unfortunately, about two years ago I was diagnosed with Crohn's disease. Misrepresentation, including deception or fraud, in the application process. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. Or fax to 202-647-0292 (less preferred) DOD deployment requirements are generally stricter than DOS medical clearance guidelines. Individuals with no health issues should be notified after review that they have a Worldwide Available (Class 1) clearance. Advisory Commission on Public Diplomacy. Foreign Service Officer Candidates and EFMs of one of the 5 Foreign Affairs Agencies1, Limited Non-Career Appointees, Contractors, Civil Service, Locally Employed Staff, Personnel from Non-Foreign Service Government Agencies, and EFMs. Employees and their EFMs of one of the 5 Foreign Service Agencies must complete a: Employees, LE Staff, Contractors, and EFMs who are Non-Foreign Service Personnel must complete a: Persons holding a current valid ESCAPE medical clearance and are extending their tour at an ESCAPE post must complete the below documents annually. The examinee, parent or guardian must sign and date page 2 of the DS-1843. Coordinator for the Arctic Region, Bureaus and Offices Reporting Directly to the Secretary, Office of the Coordinator for Cyber Issues, Office of the U.S. For further questions or information, please contact MEDClearances@state.gov. Via email in PDF format to MEDMR@state.gov (preferred) A CONUS based individual who does no TDY travel may delay reporting notification about the new condition until bidding on or being assigned to an overseas post. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. This is a medical-legal requirement. If a person is not Worldwide Available, MED Clearances will issue a Post Specific (Class 2) with a list of approved countries or a Domestic Only (Class 5) medical clearance for those whose care is best only with a domestic assignment. Unsigned forms will not be accepted by Medical Records. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. All individuals going to these posts must meet strict medical standards. A description of the Peace Officer Selection Requirements Regulations can be found here. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. Certain conditions may require that the employee stay in the United States for longer than 6 years. CONUS-based TDY and WAE/REA should list all known posts they will travel to. The medical examination performed at the time of separation from the Medical Program serves to identify medical conditions that may have developed during service abroad. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. The Eight-Year Rule. Examples include, but are not limited to, the need to spend time with otherwise healthy children to assist their readjustment to new living circumstances; to complete an adoption; or to assist in the career or personal needs of a non-tandem spouse. Patients can arrange appointments on personal travel, during R&R, home leave or other government funded travel when services are not available at the post of assignment. Weve compiled a list ofFrequently Asked Questions. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. It can be a very . A Post Specific (Class 2) Medical Clearance means you (or your EFM) have (or has) an on-going medical, mental health, or educational issue where the medical capabilities needed may not be available at every post in the world. Waivers of these DOD requirements may be granted in select cases. MED or Employee Consultation Services (ECS) statement of support or non-support, as appropriate, should be included in all waivers based on limited medical clearances or on compassionate grounds. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. Review posts with the clinicians in Clearances. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. Include the Medical Records coversheet. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. Trafficking in or abuse of narcotics or controlled substances. This exam is recommended but not mandatory. Provide explanations in section IIA on page 2 or on a separate sheet of paper. The healthcare provider must print or stamp their name, as well as sign and date page 4. The medical examination performed at the time of separation from the Medical Program serves to identify medical conditions that may have developed during service abroad. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. They are reminded that they must update their clearance before their next overseas assignment. The point of contact in MED is the Director of Medical Clearances, who will relay the request to the appropriate office or person in MED and return a formal recommendation to the CDO or Committee, as appropriate. a. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. Travel orders are not required to start the process. Unsigned forms will not be accepted by Medical Records. MED Clearances will issue a Domestic Assignment Only (Class 5) clearance for medical, mental health or educational issues where appropriate care is best obtained in the United States. There are several extra steps involved in bidding on overseas jobs if you or one of your Eligible Family Members (EFM) has a Post Specific (Class 2) Medical Clearance. The waiver justification need only provide enough information from the employee and/or MED to demonstrate a strong basis for the request to enable the Committee to make are commendation. You can determine you or your family members medical clearance status by: An official website of the United States Government, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-1843: Medical History and Examination Form, DS 1843: Medical History and Examination Form, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, DS 1843: Medical History and Examination Form Over 12 Years of Age, DS-1622: Medical History and Examination for Children Age 11 and Younger, Office of the U.S. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice.If done overseas insure that the all sections, labs and reports are in English. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. Tips for Your In-Service Medical Clearance Update. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. The healthcare provider must print or stamp their name, as well as sign and date page 4. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). The Department of State, therefore, requires the highest standards of conduct by employees of the Foreign Service, including an especially high degree of integrity, reliability, and prudence. Medical Clearance related medical expenses not covered by your medical insurance may be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and Explanation of Benefits to Medical Claims at MEDClaims@state.gov. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. Medical Clearance Questions. This includes those who retire/separate, move to another agency, divorce an FSO, or age out of the MED program at age 21 years. Yes / No 2. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Due to political instability, security could be a concern. (Uniform State/USAID/U.S. All employees including Locally Employed Staff, contractors and Eligible Family Members who will be posted to a designated ESCAPE posts for 30 or more consecutive days are required to obtain a medical clearance. Failure to have all family members medical clearance in order may delay your travel orders. The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. If you have questions, please send us an email at FAITFellowship@twc.edu. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. The point of contact in MED is the Chief of Domestic Programs (MEDDP@state.gov), who will relay the request to the appropriate office or person in MED and return a formal recommendation to the CDO or Committee, as appropriate. 2 years after an issuance of a medical clearance to all individuals who perform TDY travel of 30 or more consecutive days to an ESCAPE post. 3901 et seq., requires all Foreign Service employees to serve a substantial portion of their careers overseas, and limits the number of years Foreign Service employees can spend in continuous domestic service. Fellows will receive decisions on their medical clearances from the State Department. Where Can I Look Up My Current Clearance? There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. Medical Clearance Notices will be sent to your e-mail address you place on your form. Foreign Service Officers and Limited Non-Career Appointees from any of the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour based on their pre-employment medical exam. f. Incomplete/Cancellation (Class 8): Issued to an individual whose pre-employment medical evaluation is incomplete and the application has been inactive for more than 90 days. How Long Will the In-Service Clearance Process Take? DOD Contractors must include a 3308: DOD ICASS Verification Form. Employees of other Government agencies, contractors, fellows and Eligible Family Members (EFMs) and do not need to meet this worldwide availability requirement on their first overseas assignment. confidential security clearance disqualifiers include careful examinations of the following: allegiance to the united states; foreign influence; foreign preference; sexual behavior; personal conduct; financial considerations; alcohol consumption; drug involvement; emotional, mental, and personality disorders; criminal conduct; security All forms, labs and reports should be in English or with an English translation. This may be delayed if the individual is not properly registered, has missing signatures, incomplete documents, inaccurate email address or the writing is illegible. 1. Those individuals will remain in a pending status. Document rationale for Post Approvals and/or Disapprovals. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Such requests should be submitted no earlier than May prior to the new bidding cycle and no later than 30 days prior to the bid due date. 1 Civic Center Circle. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) Tips for Your In-Service Medical Clearance Update. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. The process considers such factors as: failure to repay a U.S. Government guaranteed loan or meet tax obligations; failure to register for the Selective Service; past problems with credit or bankruptcy; unsatisfactory employment records; a criminal record or other violations of the law; drug or alcohol abuse; and less than honorable discharge from the armed forces. Because everyone is "medically cleared" to be in the United States, individuals whose next tour is a domestic assignment do not require a medical clearance unless they will be doing TDY travel of 30 or more consecutive days during their domestic tour. For more detailed information see Post Specific (Class 2) Clearance Guidance. Allergies must also be reviewed. Close. The Six-Year Rule is set forth in 3 FAH-1 H-2423.2, which states that continuous domestic assignments may not exceed six years without a waiver from the Director General. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Submit internal consults or reach out to you for additional data, as needed. Although qualified students who travel on educational travel orders are eligible for care abroad under the Medical Program up to their 23rd birthday (16 FAM122.2, subparagraph a(2)), their separation examination must be completed within 90 days of their 21st birthday (16 FAM 122.2, subparagraph a(1)). It is your clearance. Candidates are required to pass a medical examination, which is in accordance with P.O.S.T. Medical clearance determination by Medical Services is based on its thorough review of each fellows medical history and a physical examination, including an individual assessment of his/her specific medical needs and the medical capabilities of Foreign Service posts to meet those needs. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider Individuals assigned to any of these ESCAPE posts, including TDY travel of 30 or more consecutive days, must meet more rigid standards and undergo further medical vetting than addressed in this document. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. Or fax to 202-647-0292 (less preferred) In addition, MED encourages you to have your exam at your future medical providers office so that you can establish a medical relationship with your new provider. A CONUS based employee who does TDY travel for 30 or more consecutive days has a medical clearance valid for 2 years from the date it was issued. Please print your email legibly. The name of the examinee (employee, contractor, LES or EFM) and DOB must appear at the top of each page 2, 3, & 4. From one overseas assignment to another overseas assignment, From a domestic assignment to a new overseas assignment, On TDY overseas for more than 30 consecutive days, Language or extended CONUS training for the assigned post after language training, Linked assignment for both current and linked assignment, Complete an MCU for each member of the family.For adults or children with a. If an employee wishes to contest a decision they may contact the Medical Review Panel (MRP) at MEDMRP@state.gov and a review will be convened by a three-physician panel. Please send inquiries only to this email address. MEDICAL CLEARANCE UPDATE ESTIMATED BURDEN: 30 MINUTES* PRIVACY ACT NOTICE AUTHORITIES: The information is sought pursuant to the Foreign Service Act of 1980, as amended (Title 22 U.S.C.4084). The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request (see Section below), consistent with applicable privacy laws and policies. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. Early in the bidding season FSOs, LNAs and Fellows or their EFMs with a Post Specific (Class 2) clearance should submit their bid list or post choices to their State Department Career Development Officer (CDO) or agency human resources. The Foreign Service Act of 1980, as amended, 22 U.S.C. This includes those retiring/separating from the Foreign Service, moving to the private sector, Civil Service or another agency, divorcing from a Foreign Service Spouse and Eligible Family Members turning 21 years of age. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. If you are going on TDY, indicate if you are CONUS-based, any possible ESCAPE posts you may travel to, and estimated duration of your TDY. Additionally, the scope and frequency of the required follow-up must be determined. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Employees of other Government agencies, contractors, and all Eligible Family Members (EFMs) do not need to meet this worldwide availability requirement on their first overseas assignment. Medical providers (examiners) should check the box if the individual is fit or is not fit to work in the conditions stated on page 1 of the, moving from one overseas assignment to another overseas assignment, moving from a domestic assignment to a new overseas assignment, on TDY overseas for more than 30 consecutive days, taking language or extended CONUS training the clearance is for the assigned post after language training. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. Common Disqualifying Medical Conditions This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. As a result, stress levels among employees may be very high. Do NOT submit your bids to MED Clearances. The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. Ensure the patients name and date of birth is at the top of each page of the exam form. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. For further questions or information, please contact MEDClearances@state.gov. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Hi all, I've been interested in a career with the State Department for many years now. extending at an ESCAPE post, the MCU (plus, any individual who has had a new medical condition that may affect their medical clearance at the posting they are currently at or will be posted to. Persons who are not an ESCAPE post at the time of their medical clearance renewal must complete the below documents: Employees and their EFMs of one of the 5 Foreign Service Agencies: Employees, LE Staff, Contractors, and EFMs who are non-Foreign Service Personnel: Submit all medical documentation to Medical Records. A missing signature will delay the medical clearance review process. The examiner must sign page 4. The following in-service employees, contractors and EFMs are required to update their medical clearance and can use the MCU form: The following employees, contractors and EFMs must under-go a complete physical and should complete either a DS 1843: Medical History and Examination Form Over 12 Years of Age or a DS-1622: Medical History and Examination for Children Age 11 and Younger . Medical clearance determination by Medical Services is based on its thorough review of each fellow's medical history and a physical examination, including an individual assessment of his/her specific medical needs and the medical capabilities of Foreign Service posts to meet those needs. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. ESCAPE Post(s) of Assignment is REQUIRED. You will find below information about the Peace Corps' medical clearance process. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. Do NOT submit to Medical Clearances. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. 6/8 Waivers Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service Individuals with a Domestic Only (Class 5) clearance have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Where a particular physical or mental health condition, or extraordinary stress, or similar circumstances are presented as the justification for a 6/8 waiver, MED or an outside medical professional must confirm the basis for the request. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. The majority of people who have no significant health concerns and can be posted anywhere in the world. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. While not required for Iraq, these are advised for possible travel to other ESCAPE posts. Failure to have all family members medical clearance in order may delay your travel orders. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Indicating the ESCAPE post(s) of assignment is REQUIRED. Any documentation should be submitted well in advance of bidding season. MED encourages you to have your exam at your future medical providers office to establish a medical relationship with a provider at your retirement home. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. Ask questions! During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. Non-Emergency: 714-990-7911. Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. Jump to: Medical clearance process overview About the Health History Form Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. This brief, two-page document requires does not require a physical exam. Brea Police Department 1 Civic Center Circle Plaza Level Brea, CA 92821 Main Line: 714-990-7625 Non-Emergency: 714-990-7911 Fax: 714-990-7950 Emergency: 911 While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid to travel to localities where medical care is inadequate to meet their needs. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Allergies must also be reviewed. NEW CONTRACT: Top-Step Officer $43.30 - $59.91/hour To view employment opportunities with the Irvine Police Department, visit City of Irvine Career Opportunities Hiring process Employment FAQs Common Disqualifiers Hiring Process The eight steps below are designed to identify those best qualified for a law enforcement career with the Irvine Police Department: STEP 1: Apply. This brief, two page document requires does not require a physical exam. For example, if an individual needs to routinely see a neurologist or an English-speaking speech therapist or attend a school capable of supporting a dyslexic child there are posts he or she can be assigned to, but many other posts that do not have neurology, speech therapy and appropriate schools. These are DOD medical standards. Posted by 5 years ago. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. Once employee obtains verification of ICASS medical program participation, submit the signed 3308 (for DOD) or 3308.5 (for Contractors) ICASS Verification Form along with the. Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. If an employee wishes to contest a decision, they may contact the Medical Review Panel (MRP) at MEDMRP@state.gov and a review will be convened by a three-physician panel. What medical conditions does FAA consider disqualifying? The step-by-step process for completing a separation and/or becoming a REA/WAE is found by returning to Start Here and choosing Separation or REA/WAE. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. Please consider this list as a factor in your decision to apply. Have a question about medical clearances? Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. 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