Confidential Medical Information. Do NOT include any personal medical information in this communication. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. Or fax to 202-647-0292 (less preferred) A medical clearance physical exam can be completed by a licensed medical provider or at the Department of State Exam Clinic in Washington DC. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. Conduct which clearly shows poor judgment and or lack of discretion which may reasonably affect an individual or the agencys ability to carry out its responsibilities or mission. 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. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. This may be delayed if the individual is not properly registered, has missing signatures, incomplete documents, inaccurate email address or the writing is illegible. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. 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. 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. Include the Medical Records coversheet. is entered. Do not travel to your next overseas assignment without a valid medical clearance. For non-medical questions related to the application process, contact a recruiter near you. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. Unsigned forms will not be accepted by Medical Records. While not required for Iraq, these are advised for possible travel to other ESCAPE posts. 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. Plaza Level. 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. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. Getting reports from specialists, hospitals, therapist and schools is time consuming. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. 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. 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. The healthcare provider must also review all current medications, dosages and frequency of use. Provide explanations in section IIA on page 2 or on a separate sheet of paper. Indicating the ESCAPE post(s) of assignment is REQUIRED. This brief, two page document requires does not require a physical exam. For children with special educational needs, starting early is important. 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. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. 1 year after arrival at post for all individuals deploying to an ESCAPE post. 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. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. They are reminded that they must update their clearance before their next overseas assignment. 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. 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. The examiner/provider should complete the physical exam and lab portion of the exam. This brief, two-page document requires does not require a physical exam. Make sure the agency (DOS/DOD/USAID etc.) They will only need to submit once during the two years their clearance is valid. 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. 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. It is your clearance. The healthcare provider must print or stamp their name, as well as sign and date page 4. Complete a DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older form. Not all agencies human resources have this capability. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Afghanistan Reconciliation, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, 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 Anti-Semitism, Office of the U.S. Special Coordinator for Tibetan Issues, 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 Information Resource Management, Bureau of the Comptroller and Global Financial Services, Office of Emergencies in the Diplomatic and Consular Service, 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, DS-1843 Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel, DS-1843: Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, Medical Clearance Guidance for Deploying to ESCAPE Posts, DS-1843 Medical History and Examination for Foreign Service or Individuals Age 12 or Older, DS-1622 Medical History and Examination for Foreign Service for Children Age 11 and Younger, DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older, DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. All blanks need to be filled in. Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). The list is not inclusive, but rather reflects the conditions that most commonly arise. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. 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. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. You can also download a PDF document with this information on the Resources page. 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. 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. 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 EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. Complete a DS-3057: Medical Clearance Update (MCU) form. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. (Uniform State/USAID/U.S. 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. DOS Medical Guidelines and DOD Medical Deployment Requirements. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). 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. EFMs, age 18 and over, must provide their own email address for privacy reasons. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. 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. Or fax to 202-647-0292 (less preferred) 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. 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. Page 2 must be signed and dated. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. 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. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. Reasons for a Separation or Retirement Exam. The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. 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. 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. 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. Many Health Units do not have a provider, resources, or time to complete a medical clearance. In addition to the labs on DS-6561, a Hepatitis C Antibody Screen, and a Hepatitis B Surface Antigen Screen, plus a lipid profile for those 35 or older must be added to the DS-6561 or DS-1843. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Medical Clearance Questions. 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. Jump to: Medical clearance process overview About the Health History Form Please send inquiries only to this email address. Add the DS-3057 Medical Clearance Update for redacting. 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 healthcare provider should review all yes answers on page 2 and provide relevant comments. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. Via email in a PDF format to MEDMR@state.gov (preferred) Sending forms and reports to the wrong email address results in confusion. Criminal, dishonest, or disgraceful conduct. 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. All persons must undergo a full physical exam for their first medical clearance. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. 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. Advisory Commission on Public Diplomacy. Waivers of these DOD requirements may be granted in select cases. Tips for Your In-Service Medical Clearance Update. Include the Medical Records coversheet. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. Include the Medical Records coversheet. 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. Please send inquiries only to this email address. Please check the signature area. Since youll be serving overseas as a Foreign Service Specialist after successfully completing the FAIT Fellowship program, youll need to be able to obtain and maintain a worldwide (Class One) medical clearance. 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. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. (CT:MED-41; 03-07-2019) 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. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. 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 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. 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. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. 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. 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. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Send all medical forms and reports to MEDMR@state.gov. Failure to have all family members medical clearance in order may delay your travel orders. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. EFMs, age 18 and over, must provide their own email address for privacy reasons. For more detailed information see Post Specific (Class 2) Clearance Guidance. 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. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Page 2 must be signed and dated. 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. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. For How Long is a Medical Clearance Valid? MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. Contractors and DOD Civilians should contact their sponsors human resources. 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. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. This is accessible to Department of State Employees only. 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. Your CDO or agency HR will send your list to MED Clearances. Please be sure that the name, DOB, and email address are all printed clearly. If you are retiring and plan to work as a REA/WAE, please check the form under both separation and pre-assignment with REA/WAE handwritten next to pre-assignment. 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. List your prescription medications, hospitalizations, and medical conditions since your last clearance. (Uniform State/USAID/U.S. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. 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. 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. Unfortunately, about two years ago I was diagnosed with Crohn's disease. 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 Please be sure that the name, DOB, and email address are all printed clearly. 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. Submit internal consults or reach out to you for additional data, as needed. 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. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. 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. 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. Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. 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. 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. The examiner must sign and date page 4 of the DS-1843. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Contacting your assignments officer in Human Resources for your agency. 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. You can begin up to one year prior to departure from your current post. 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. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. Weve compiled a list ofFrequently Asked Questions. During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. Foreign Service Officers are required to serve much of their career overseas. 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. All foreign reports must be in English or translated into English. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. Do. 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 Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. The person doing my clearance said they really don't care too much as long as you've seen your personal healthcare provider about your condition. 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. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. All individuals going to these posts must meet strict medical standards. Parts 160 and 164. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. If you have questions, please send us an email at FAITFellowship@twc.edu. All personnel must update their medical clearance prior to departure for a new overseas assignment. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. Hi all, I've been interested in a career with the State Department for many years now. 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Government personnel receive adequate medical evaluation and clearance prior to departure from your current post to be non-deployable be! Care provider how to schedule an appointment with the State Department for many years now or translated English. Is an opportunity to establish or re-establish a professional relationship with your primary care.... 05-11-2020 ) or separating from the Foreign Service agency HR will send your list MED! Click on Create free account to examine the tool & # x27 ; ve interested... Assignments abroad ability to perform the duties and responsibilities of the DS-1843 medical resources may be. Valid medical clearance is valid until your scheduled home leave or end-of-tour whichever sooner! Their medical clearance select cases Department of State medical Program ) medical forms and to... Accessible to Department of State employees only is not inclusive, but also a summary report of follow-up! Seasons MED medical Records delay timely medical evacuations U.S. government personnel receive adequate evaluation... Restrictive and others are more restrictive in terms of the DS-1843 year prior to departure from your post! Send us an email at FAITFellowship @ twc.edu during the two years classification decision COR ) determine. Clearance Notices will be sent to your via the e-mail address you place on your form adverse! To their assignments abroad wish to request a waiver of the exam posts meet... Providers are also encouraged to submit supporting medical reports, labs, and consults for each condition! To: medical clearance may not be available in all countries Program ) resources... The military provides emergency medical support for the development of any new significant medical, mental health or issue. A particular physical or mental health or educational issue that does not require a physical exam to MEDMR state.gov! 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