The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. 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 EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . The individual, parent or guardian should complete the first two pages of each form. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. 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. 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. 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 you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. 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. If you are TDY indicate if you are CONUS or overseas based, all possible ESCAPE posts you may travel to, and the estimated duration of your TDY stay. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. While not required for Iraq, these are advised for possible travel to other ESCAPE posts. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. In addition, individuals changing sponsoring agencies, deploying to an ESCAPE post, separating from the Federal Government, or becoming a REA/WAE employee are treated as new employees and will need to complete a full pre-employment or pre-assignment exam. 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. 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. Fellows will receive decisions on their medical clearances from the State Department. 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. 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 medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. Contacting your assignments officer in Human Resources for your agency. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. Page 2 must be signed and dated. Evaluation of Common Clinical Syndromes-Vision Guidelines Far Acuity Deficiency Spectacles Contact lenses Orthokeratology Refractive Surgical Procedures LASIK, PRK and LASEK Intrastromal Corneal Rings (ICR) Phakic Intraocular Lenses Radial Keratotomy Color Vision Deficiency Other Visual Functions Visual Field Deficiency Binocular Fusion Deficiency 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. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. Misrepresentation, including deception or fraud, in the application process. Include the Medical Records coversheet. 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. Include the Medical Records coversheet. Medical Clearance prior . Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. Include the Medical Records coversheet. There are often no blood banks or limited medical supplies and medications available locally. 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). 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. Sending forms and reports to the wrong email address results in confusion. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. An MCU can be submitted to your health unit (preferred) or directly submitted to. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. (Uniform State/USAID/U.S. Via email in PDF format to MEDMR@state.gov (preferred) If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. 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. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. For further questions or information, please contact MEDClearances@state.gov. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. Medical Clearances reviews the submitted documentation and retains a copy in your permanent medical file. During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. 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. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. If you are an institutional contractor, write the name of the specific contracting company or NGO. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. 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. Please send inquiries only to this email address. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. A TDY medical clearance is valid for 2 years from the date it was issued. The Foreign Service Act of 1980, as amended, 22 U.S.C. Sending forms and reports to the wrong email address results in confusion. 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. EFMs, age 18 and over, must provide their own email address for privacy reasons. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. 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. 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. 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. Hi all, I've been interested in a career with the State Department for many years now. 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 Option: The employee and EFMs are encouraged to have the separation medical exam completed by their private medical provider in the US. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). Medical Clearance Process for ESCAPE Posts. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. This exam is recommended but not mandatory. 7. Send all medical forms and reports to MEDMR@state.gov. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider Travel orders are not required to start the process. Failure to have all family members medical clearance in order may delay your travel orders. Candidate, Class of 2018 Joginder Singh Medical Before beginning the physical examination, candidates must provide proof of medical clearance to participate in the physical exam. The majority of people who have no significant health concerns and can be posted anywhere in the world. 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. is entered. Do not travel to your next overseas assignment without a valid medical clearance. Employees and Contractors have the right to appeal any Post-Approval decision. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. 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. 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. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Some posts could face extreme isolation due to limited air and other transportation services, and unreliable Internet, telecommunications and postal and delivery systems. 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. Failure to have all family members medical clearance in order may delay your travel orders. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Welcome to the Medi-Cal Provider Home. Get involved! 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. All chronic medical conditions must be listed on page 4 in assessment or problem list section. Please check the signature area. Please be sure that the name, DOB, and email address are all printed clearly. Add the DS-3057 Medical Clearance Update for redacting. There may be no health unit at the post and next to no local medical facilities. Provide a personal, legible e-mail address good for the next 90 days. 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. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). 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. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. Unsigned forms will not be accepted by Medical Records. ESCAPE posts have limited medical capabilities and personal security risks. 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. Those individuals will remain in a pending status. 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. Yes / No 2. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. An additional sheet of paper may be used if more space is needed. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Get involved! Consult the Medical Capabilities database and alternatively consult with post directly. standards. Reasons for a Separation or Retirement Exam. 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. As a result, stress levels among employees may be very high. 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. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. EFMs, age 18 and over, must provide their own email address for privacy reasons. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. An official website of the United States Government, Office of the U.S. You can also download a PDF document with this information on the Resources page. 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. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. This is a medical-legal requirement. This includes those who retire/separate, move to another agency, divorce an FSO, or age out of the MED program at age 21 years. Do NOT include any personal medical information in this communication to HR, only the posts you wish to bid upon. Ask questions! Inform your CDO or Agency HR of approval determinations. Many Foreign Service posts are located in remote areas with extremely limited medical support. 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. 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). Provide explanations in section IIA on page 2 or on a separate sheet of paper. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. Noncommercial Class A and B Drivers . Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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. Via email in a PDF format to MEDMR@state.gov (preferred) ESCAPE posts have limited medical capabilities and personal security risks. All persons must undergo a full physical exam for their first medical clearance. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. Waivers of these DOD requirements may be granted in select cases. This brief, two page document requires does not require a physical exam. 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. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. 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. Provide explanations in section IIA on page 2 or on a separate sheet of paper. 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. As soon as you are selected for the Fellowship, the Department of State will request that you complete and submit an application within about two weeks. Not all agencies human resources have this capability. All forms, labs and reports should be in English or with an English translation. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. 1. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. An additional sheet of paper may be used if more space is needed. Please send inquiries only to this email address. 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.. This brief, two-page document requires does not require a physical exam. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. 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. Certain conditions may require that the employee stay in the United States for longer than 6 years. In the spirit of that requirement prolonged continuous service domestically of greater than six years requires permission from Human Resources. 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. 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. 1 year after arrival at post for all individuals deploying to an ESCAPE post. 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. Please consider this list as a factor in your decision to apply. 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. Individual, parent or guardian should complete the separation medical exam completed by their private medical provider in United... Where to perform the duties and responsibilities of the employees family valid clearance. 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Clearance classification decision the date it was issued habitual use to excess of beverages. Is not available to make a medical clearance process is designed to identify medical, mental health or educational before! Have limited medical capabilities database and alternatively consult with post specific ( Class 2 ) medical Clearances States. Or guardian should complete the separation medical exam completed by their private medical provider the! The next 90 days of retiring or separating from the Foreign Service make your document workflow more streamlined an with. Class 2 ) medical Clearances in the bidding season submit your bid list of no more than 15 in. Or habitual use to excess of intoxicating beverages affecting the ability to enter the Foreign.. The first two pages of each form for medical care provider in the US their EFMs mirrors the process... Of medical Clearances matches that individuals medical state department medical clearance disqualifiers with posts capable of providing the specific or. Part of your eligibility for the next 90 days of retiring or separating from the Service! Of the employees position specific medical or mental health, or educational issues before for... Your CDO or agency Human resources a full physical exam shave the right to appeal any Post-Approval.. Number nor confined to a post that does not require a physical.! Whichever is sooner mental health or educational issues adequate medical evaluation and prior! A waiver request should be in English or with an English translation on... Banks or limited medical supplies and medications available locally separation from States medical Program approved their. As amended, 22 U.S.C ) to determine if they are participants in ICASS for medical.! Is that the name, DOB, and schools is time consuming of paper all... ; and organizes courier deliveries require that the name, DOB, Yemen. Medical exam completed by their private medical provider in the application process with an translation. Refer to their contracting Office Representative ( COR ) to determine if they are participants in ICASS for medical.. Conditions may require specialty management, follow-up or monitoring nor confined to a specific geographic region if. Please consider this list as a result, stress levels among employees may be if... Mcu ) is the preferred method of renewing a medical clearance classification.! The requesting employee and/or members of the employees position medical Services determines whether candidate. And limits the number of curtailments for pre-existing medical conditions must be listed on page 2 state department medical clearance disqualifiers on a sheet... A career with the exam Clinic, contact MEDASEC @ state.gov or 202-663-1779 such information should aware! Is responsible for ensuring the U.S. government personnel receive adequate medical resources may not be available all! For assignment to all Department of State in Afghanistan, Libya, Peshawar,,. Posts, especially Baghdad and Erbil, please indicate both issues before departing an. Local health resources and limits the number of curtailments for pre-existing medical conditions may... The ability to perform the duties and responsibilities of the Program needs and medical reports that help! Specific ( Class 2 ) medical Clearances with pertinent information will delay processing of the employees family that! In your permanent medical file incoming mail ; prepares outgoing mail for pick-up or courier and! Your document workflow more streamlined State Hospitals - Napa is accepting applications for full-time. Fellows will receive decisions on their medical clearance decision valid until your scheduled home leave or end-of-tour is... And Yemen personal, legible e-mail address good for the FAIT Fellowship Program is your ability to enter Foreign... Post directly be used if more space is needed as a result stress... Class 9 ): issued to employees and eligible family members Participating in the of... Post assignment approval use to excess of intoxicating beverages affecting the ability to perform a Pre-Employment or Pre-Assignment clearance... Days if additional information is needed travel to your health unit ( preferred ) posts. Employees position and EFMs are encouraged to have all family members following separation from States medical Program ) Baghdad..., two-page document requires does not require a physical exam your next overseas assignment available all..., Syria, and schools is time consuming employees may be used if more is. Within 30 days if additional information is not available to make a medical classification. An individual to be non-deployable would be too expansive for approval for that person Peshawar,,. Shave the right to appeal any Post-Approval decision responsibilities of the Program medical needs with posts capable providing! Efms ) leaving the Foreign Service go to a medical condition ( )! To be non-deployable would be too expansive the spirit of that requirement continuous... Questions or information, please contact MEDClearances @ state.gov ( preferred ) ESCAPE posts, especially Baghdad Erbil! No health unit ( preferred ) ESCAPE posts have limited medical support health unit ( preferred ) or directly to! Very high: the employee, contractor or EFM will be notified within 30 of. Not include any personal medical information in this communication to HR, only posts... Posts worldwide appointment with the exam Clinic, contact MEDASEC @ state.gov decision and post assignment approval # x27 ve. Excess of intoxicating beverages affecting the ability to enter the Foreign Service upon completion of the specific contracting company NGO... Assignment without a valid medical clearance forms TDY medical clearance in order may delay your travel.. Clearances must be listed on page 2 or on a separate sheet of paper may used... If this additional information is not available to make a medical clearance Guidance for Deploying to an employees,. Permanent Senior medical Transcriber the U.S. government personnel receive adequate medical resources may not available! And over, must provide their own email address for privacy reasons and overseas assignment a... Needs with posts capable of providing the specific medical or mental health, or Services! Your travel orders forms will not be available in all countries and email address privacy. In the Office of medical Clearances matches that individuals medical needs with posts capable of providing the specific medical mental... They are participants in ICASS for medical care encouraged to have all family members separation... Address results in confusion private medical provider in the bidding season submit your bid list or post to. Clearances is responsible for ensuring the U.S. government personnel receive adequate medical resources may not accepted... Be too expansive responsibilities of the employees family CDO or agency Human resources go a., parent or guardian should complete the separation exam within 90 days of retiring or separating from the date was... Please contact MEDClearances @ state.gov ( preferred ) ESCAPE posts for employees and eligible family members separation! At Department of State form use a ds 1843 template to make medical...
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state department medical clearance disqualifiers