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. 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. Provide a personal, legible e-mail address good for the next 90 days. Send all medical forms and reports to MEDMR@state.gov. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. Do not travel to your next overseas assignment without a valid medical clearance. Failure to have all family members medical clearance in order may delay your travel orders. This brief, two-page document requires does not require a physical exam. 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. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. The following conditions are listed in the regulations as disqualifying medical conditions; however, in many cases when the condition is adequately controlled, the FAA will issue medical certification contingent on periodic reports. Document rationale for Post Approvals and/or Disapprovals. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. All blanks need to be filled in. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. All direct hire employees, 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 more comprehensive medical clearance than other posts. An additional sheet of paper may be used if more space is needed. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. Include the Medical Records coversheet. A missing signature will delay the medical clearance review process. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. Those individuals will remain in a pending status. 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 . There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. Do. The security clearance process involves a comprehensive background investigation, conducted by the U.S. Department of State in cooperation with other federal, state, and local agencies. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. You can also download a PDF document with this information on the Resources page. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. Inform your CDO or Agency HR of approval determinations. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. The waiver request should be sent to the CDO, who will forward it to the Five/Eight Committee. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. This includes those who retire/separate, move to another agency, divorce an FSO, or age out of the MED program at age 21 years. The examiner must sign page 4. For more detailed information see Post Specific (Class 2) Clearance Guidance. 7. The Office of Medical Services (MED) determines approval for assignment to a specific post based on the criteria above. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. 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. Applications are . Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. Any documentation should be submitted well in advance of bidding season. Clearance Disqualifiers Candidate, Class of 2018 Joy R. Burrell Michigan State University College of Human Medicine M.D. The Six-Year Rule. 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. What medical conditions does FAA consider disqualifying? Please send inquiries only to this email address. How Long is an ESCAPE Post Clearance Valid? The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. Employees or eligible family members with a Class 5 medical clearance may not be [] Class 8 clearances will also be issued to an employee or eligible family member who is in pending status (Class 7) and who has not completed the evaluation within the allotted 90 days. 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. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. There are often no blood banks or limited medical supplies and medications available locally. 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. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. 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. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Do NOT include any personal medical information in this communication. While an individual may have Worldwide Availability under DOS guidelines, that same individual may not be approved for an ESCAPE post under DOD deployment requirements. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . 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. 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. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. 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. 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. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. Brea Police Department. If you are an institutional contractor, write the name of the specific contracting company or NGO. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. 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). 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. For example, if an individual needs an English speaking speech therapist, there are many posts he or she can go to, but many others that would not have that resource. All foreign reports must be in English or translated into English. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. 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. For How Long is a Medical Clearance Valid? Start collecting this information early. If you have questions, please send us an email at FAITFellowship@twc.edu. 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. 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. Documented medical conditions precluding medical clearance. Coordinator for the Arctic Region, Deputy Secretary of State for Management and Resources, Office of Small and Disadvantaged Business Utilization, Under Secretary for Arms Control and International Security, Bureau of Arms Control, Verification and Compliance, Bureau of International Security and Nonproliferation, Under Secretary for Civilian Security, Democracy, and Human Rights, Bureau of Conflict and Stabilization Operations, Bureau of Democracy, Human Rights, and Labor, Bureau of International Narcotics and Law Enforcement Affairs, Bureau of Population, Refugees, and Migration, Office of International Religious Freedom, Office of the Special Envoy To Monitor and Combat Antisemitism, Office to Monitor and Combat Trafficking in Persons, Under Secretary for Economic Growth, Energy, and the Environment, Bureau of Oceans and International Environmental and Scientific Affairs, Office of the Science and Technology Adviser, Bureau of the Comptroller and Global Financial Services, Bureau of Information Resource Management, Office of Management Strategy and Solutions, Bureau of International Organization Affairs, Bureau of South and Central Asian Affairs, Under Secretary for Public Diplomacy and Public Affairs, U.S. Medical Clearance Questions. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. Non-Emergency: 714-990-7911. (Uniform State/USAID/U.S. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Open the state department medical clearance disqualifiers and follow the instructions Easily sign the medical ds 1843 with your finger Send filled & signed form ds 1843 or save Rate the ds1843 ds form 4.7 Satisfied 139 votes Quick guide on how to complete ds form 1843 Forget about scanning and printing out forms. 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. It is your clearance. 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. 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. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. Unfortunately, about two years ago I was diagnosed with Crohn's disease. The examinee, parent or guardian must sign and date page 2 of the DS-1843. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. The individual, parent or guardian should complete the first two pages of each form. a. Individuals who currently have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply supporting documentation of their condition and treatment plan. Or fax to 202-647-0292 (less preferred) Please print your email legibly. Include the Medical Records coversheet. Many Health Units do not have a provider, resources, or time to complete a medical clearance. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. 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 The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. 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. 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. 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. This exam is recommended but not mandatory. All chronic medical conditions must be listed on page 4 in assessment or problem list section. The healthcare provider should review all yes answers on page 2 and provide relevant comments. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. For information on how to schedule an appointment with the Exam Clinic, contact. List your prescription medications, hospitalizations, and medical conditions since your last clearance. 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. 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.. Trafficking in or abuse of narcotics or controlled substances. All persons must undergo a full physical exam for their first medical clearance. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM), (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). Once youve completed the background investigation and medical examination, a State Department Suitability Review Panel will examine your file (minus any privileged medical information) to determine your suitability for employment with the Foreign Service. Via email in PDF format to MEDMR@state.gov (preferred) (CT:MED-41; 03-07-2019) Plaza Level. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. Who Should Use a Medical Clearance Update Form? Clearly print the persons name on each page submitted to Medical Records. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. Advisory Commission on Public Diplomacy. Additionally, the scope and frequency of the required follow-up must be determined. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. Include the Medical Records coversheet. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. All individuals going to these posts must meet strict medical standards. 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. ESCAPE Post(s) of Assignment is REQUIRED. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. Review posts with the clinicians in Clearances. Hi all, I've been interested in a career with the State Department for many years now. Please check the signature area. Where Can I Look Up My Current Clearance? The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Do NOT submit bids to Medical Clearances. 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. For further questions or information, please contact MEDClearances@state.gov. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request, consistent with the Health Insurance Portability and Accountability Act (HIPAA) and implementing regulations at 45 C.F.R. Due to political instability, security could be a concern. 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. Contacting your assignments officer in Human Resources for your agency. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. CONUS-based TDY and WAE/REA should list all known posts they will travel to. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request, consistent with the Health Insurance Portability and Accountability Act (HIPAA) and implementing regulations at 45 C.F.R. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Your CDO or agency HR will send your list to MED Clearances. The healthcare provider must print or stamp their name, as well as sign and date page 4. This is not guaranteed. Or Fax to 202-647-0292 (less preferred) You should list any posts you may travel to. Weve compiled a list ofFrequently Asked Questions. Foreign Service Officers Candidates, Foreign Service Fellows, and some first-time Limited Non-Career Appointees under the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour. The Suitability Review Panel has the authority to terminate your candidacy. Submit internal consults or reach out to you for additional data, as needed. 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. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. 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. The Eight-Year Rule. Director General's delegatee will review the case of any Department of State Foreign Service candidate who has been denied an unlimited medical clearance for assignment worldwide, and determine whether or not the candidate should be appointed despite the medical disqualification. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. When to Start the In-Service Clearance Process. EFMs, age 18 and over, must provide their own email address for privacy reasons. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. 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. For individuals with a Domestic Assignment Only (Class 5) clearance we recommend you notify MED Clearances when it appears your medical, mental health or educational has stabilized and improved to the point where health care or educational needs can reasonably be obtained abroad. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. (Uniform State/USAID/U.S. Consult the Medical Capabilities database and alternatively consult with post directly. Please send inquiries only to this email address. 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. Inform your CDO or Agency HR of approval determinations. 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. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. You will find below information about the Peace Corps' medical clearance process. Do NOT submit your bids to MED Clearances. Tips for Your Separation Medical Examination. The following in-service employees, contractors and EFMs are required to update their medical clearance: Persons assigned to the United States and not traveling overseas do not require a medical clearance. Where a particular physical or mental health condition, extraordinary stress, or similar circumstances a represented as the justification for a 6/8 waiver, MED or an outside medical professional must confirm the basis for the A-4.4A-04 revised 01/2018 request. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. 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. Criminal, dishonest, or disgraceful conduct. 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. All chronic medical conditions must be listed on page 4 in assessment or problem list section. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. Fellows will receive decisions on their medical clearances from the State Department. Reasons for a Separation or Retirement Exam. All individuals going to these posts must meet strict medical standards. Read more about the other eligibility requirements in this article and on the How to Apply web page. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Do not travel to your next overseas assignment without a valid medical. This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. 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 Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, Office of the U.S. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. A TDY medical clearance is valid for 2 years from the date it was issued. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. 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. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. List your prescription medications, hospitalizations, and medical conditions since your last clearance. For information on how to schedule an appointment with the Exam Clinic, contact. 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. Medical exams are done at the State Department during the orientation period. This may be delayed if the individual is not properly registered, has missing signatures, incomplete documents, inaccurate email address or the writing is illegible. 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. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. 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. Show details How it works Open the ds1843 and follow the instructions Easily sign the 1843 form with your finger Send filled & signed ds 1843 pdf or save Rate the rent increase form 4.7 Satisfied 135 votes Pending ( Class 1 clearance ) based on their medical clearance Guidance for to... 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