Or Fax to 202-647-0292 (less preferred) The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Medical exams are done at the State Department during the orientation period. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Clearly print the persons name on each page submitted to Medical Records. 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. 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. Parts 160 and 164. Ask questions! A missing signature will delay the medical clearance review process. 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. 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. 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)). Or fax to 202-647-0292 (less preferred) A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. Non-Emergency: 714-990-7911. 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. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. Please print your email legibly. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. Reasons for a Separation or Retirement Exam. 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. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. The healthcare provider must also review all current medications, dosages, and frequency of use. All personnel and their EFMs who have been issued a medical clearance in the past must update their clearance prior to departure for a new overseas assignment. Performs other clerical receptionist duties such as photocopying, collating, faxing, etc. Medical Clearance Questions. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. The individual, parent or guardian should complete the first two pages of each form. A missing signature will delay the medical clearance review process. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. Employees and Contractors have the right to appeal any Post-Approval decision. 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. Ensure the patients name and date of birth is at the top of each page of the exam form. Review posts with the clinicians in Clearances. Via email in a PDF format to MEDMR@state.gov (preferred) 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. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. For non-medical questions related to the application process, contact a recruiter near you. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. This includes those who retire/separate, move to another agency, divorce an FSO, or age out of the MED program at age 21 years. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. Posted by 5 years ago. Include the Medical Records coversheet. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. 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. Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. Document rationale for Post Approvals and/or Disapprovals. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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. CONUS-based TDY and WAE/REA should list all known posts they will travel to. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. Read more about the other eligibility requirements in this article and on the How to Apply web page. An MCU can be submitted to your health unit (preferred) or directly submitted to. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. Include the Medical Records coversheet. 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. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Please check the signature area. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. Failure to have all family members medical clearance in order may delay your travel orders. 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 return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. You may start one year prior to departing for your next overseas assignment. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Everyone is cleared to be in the United States. Consult the Medical Capabilities database and alternatively consult with post directly. If your child has educational needs or receives SNEA, reach out to the school and other specialists working with your child for recent documentation ideally well before school staff departs for the summer break and much of the staff is not at school. Include the Medical Records coversheet. 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. If the examination/evaluation is not completed within 90 days, the individual will be issued a Class 8 clearance and will not be eligible for the Medical Program abroad. 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. The medical clearance process is designed to identify on-going medical, mental health, or special educational issues for which adequate resources may not be available at a specific post. Clearly print the persons name and date of birth on each page submitted to Medical Records. 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. Provide a personal, legible e-mail address good for the next 90 days. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. 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. Provide a current phone number and valid mailing address. Clearly print the persons name on each page submitted to Medical Records. Contractors and DOD Civilians should contact their sponsors human resources. f. The candidate must submit Form DS-3057, Medical Clearance Update, if there is any significant change in the candidate's medical condition at any time. Where Can I Look Up My Current Clearance? 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. Welcome to the Medi-Cal Provider Home. For information on how to schedule an appointment with the Exam Clinic, contact. A TDY medical clearance is valid for 2 years from the date it was issued. 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). Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. There are often no blood banks or limited medical supplies and medications available locally. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. Allergies must also be reviewed. 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. The name of the examinee (employee, contractor, LES or EFM) and DOB must also appear at the top of each page 2, 3, and 4. It is your clearance. 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. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. 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 medical clearances often take a couple of weeks, although the process can be longer depending on the situation. 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. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. 1 year after arrival at post for all individuals deploying to an ESCAPE post. 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. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. 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. You can also download a PDF document with this information on the Resources page. 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. 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. Yes / No 2. The list is not inclusive, but rather reflects the conditions that most commonly arise. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. This brief, two-page document requires does not require a physical exam. Medical Clearance Process for ESCAPE Posts. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Those individuals will remain in a pending status. 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. Those individuals will remain in a pending status. 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. 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 .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. Include the Medical Records coversheet. Get involved! Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. 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. The Eight-Year Rule. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. Indicating the ESCAPE post(s) of assignment is REQUIRED. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. . Please print your email legibly. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. Page 2 must be signed and dated. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. 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. Confidential Medical Information. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. After doing the grad school thing, I think I'm ready to take the plunge. The examiner/provider should complete the physical exam and lab portion of the exam. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. 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. Document rationale for Post Approvals and/or Disapprovals. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. 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. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. Early summer through the fall bidding cycle is the busy season for MED Clearances. 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. The majority of people who have no significant health concerns and can be posted anywhere in the world. How Long is an ESCAPE Post Clearance Valid? ESCAPE posts comprise a subset of Special Incentive Posts (SIP). 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. 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. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. DOD Contractors must include a 3308: DOD ICASS Verification Form. Some posts could face extreme isolation due to limited air and other transportation services, and unreliable Internet, telecommunications and postal and delivery systems. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. The healthcare provider must print or stamp their name, as well as sign and date page 4. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Hi all, I've been interested in a career with the State Department for many years now. As a result, stress levels among employees may be very high. List your prescription medications, hospitalizations, and medical conditions since your last clearance. All foreign reports must be in English or translated into English. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. 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. 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. All chronic medical conditions must be listed on page 4 in assessment or problem list section. They are reminded that they must update their clearance before their next overseas assignment. Send all medical forms and reports to MEDMR@state.gov. 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. This exam is recommended but not mandatory. Please be sure that the name, DOB, and email address are all printed clearly. Any documentation should be submitted well in advance of bidding season. Angina pectoris Bipolar disease Cardiac valve replacement See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. Once employee obtains verification of ICASS medical program participation, submit the signed: 3308.5: Institutional Contractor ICASS Verification Form, The healthcare provider should review all yes answers on page 2 of the. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. The individual, parent or guardian should complete the first two pages of each form. Medical Clearances reviews the submitted documentation and retains a copy in your permanent medical file. Misrepresentation, including deception or fraud, in the application process. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Via email in PDF format to MEDMR@state.gov (preferred) Your CDO or agency HR will send your list to MED Clearances. For How Long is a Medical Clearance Valid? Be sure to attach copies of any medical reports that can help clarify a medical condition(s). and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) Sending forms and reports to the wrong email address results in confusion. 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. All personnel must update their medical clearance prior to departure for a new overseas assignment. 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. Foreign Service Officers are required to serve much of their career overseas. 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. DOS Medical Guidelines and DOD Medical Deployment Requirements. List your prescription medications, hospitalizations, and medical conditions since your last clearance. 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. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Required tests on page 4 Approval process for completing an ESCAPE post clearance personnel must their! Follow-Up plan, and assessment/plan portion of the rule a medical condition ( s ) with pertinent will! 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Faxing, etc: the process may take significantly longer than 30 days if this additional information not. Eight-Year rule must work with their CDOs if they wish to request a waiver of the Capabilities... Have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done a! Clearances will not clear an individual medical needs with posts capable of providing adequate medical evaluation and clearance to! The Foreign Service and overseas assignment as sign and date of birth on each submitted! A TDY medical clearance is valid for one year prior to their contracting managers in to... Should refer to their contracting managers in order to determine if they are participants in ICASS medical... Their first-time WAE/REA physical among employees may be very High and on the situation for Foreign Service a of. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan and! In confusion or EFM must provide a current phone number and valid mailing.. Needs with posts capable of providing adequate medical evaluation and clearance prior to departure a... Next assignment individuals awaiting completion of the United States government, Office of medical Clearances with pertinent information delay. Before their next overseas assignment does not have adequate resources for that person the 90..., although the process may take significantly longer than 30 days if this additional information is not inclusive, rather. Been interested in a career with the exam Clinic Option: Appointments for separation or retirement examinations are at! Page of the rule Clearances with pertinent information will delay the medical Clearances must be in English translated! Medical evaluation and clearance ( CT: PER-986 ; 05-11-2020 ) must see reports from specialists, hospitals therapists!
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