1 Civic Center Circle. Get involved! An additional sheet of paper may be used if more space is needed. Additionally, the scope and frequency of the required follow-up must be determined. Non-Emergency: 714-990-7911. Your CDO or agency HR will send your list to MED Clearances. Take charge! 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. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. Additional countries can be submitted after the first 15 have been reviewed. 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. d. Temporary Travel (Class 6): Issued only to an eligible family member who is not medically cleared to reside at the employees assigned post but is authorized to visit that post for a period of time not to exceed 120 days per calendar year. Those individuals will remain in a pending status. 7. Everyone is cleared to be in the United States. An additional sheet of paper may be used if more space is needed. 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. Weve compiled a list ofFrequently Asked Questions. There are often no blood banks or limited medical supplies and medications available locally. 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 CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. 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. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. MED Clearances strives to review an employee, contractor or EFM initial documentation within 30 days after documents have been uploaded and indexed by MED Records. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. Documented medical conditions precluding medical clearance. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. Ask questions! Misconduct in prior employment, including marginal performance or inability to interact effectively with others. Allergies must also be reviewed. . 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. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). This brief, two-page document requires does not require a physical exam. Unsigned forms will not be accepted by Medical Records. Main Line: 714-990-7625. 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.. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Tips for Your Separation Medical Examination. The examiner must sign page 4. The medical examination performed at the time of separation from the Medical Program serves to identify medical conditions that may have developed during service abroad. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. 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. 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)). Submit internal consults or reach out to you for additional data, as needed. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. Waivers of these DOD requirements may be granted in select cases. Please print your email legibly. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. It is your clearance. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. 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. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. The process considers such factors as: failure to repay a U.S. Government guaranteed loan or meet tax obligations; failure to register for the Selective Service; past problems with credit or bankruptcy; unsatisfactory employment records; a criminal record or other violations of the law; drug or alcohol abuse; and less than honorable discharge from the armed forces. Employees of other Government agencies, contractors, fellows and Eligible Family Members (EFMs) and do not need to meet this worldwide availability requirement on their first overseas assignment. 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. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. All persons posted overseas or on TDY travel for 30 or more consecutive days must have a valid medical clearance before they can access a posts health unit and other Medical Program benefits abroad including coordination of a medical evacuation or hospitalization. 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. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment 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. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Not all agencies human resources have this capability. 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. 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. In evaluating suitability, the Suitability Review Panel takes into consideration the following factors: More information about clearances can be found at https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/. 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. 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. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Travel orders are not required to start the process. 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. All blanks need to be filled in. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. You can determine you or your family members medical clearance status by: An official website of the United States Government, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-1843: Medical History and Examination Form, DS 1843: Medical History and Examination Form, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, DS 1843: Medical History and Examination Form Over 12 Years of Age, DS-1622: Medical History and Examination for Children Age 11 and Younger, Office of the U.S. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. Where Can I Look Up My Current Clearance? ESCAPE Post(s) of Assignment is REQUIRED. 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. Do not travel to your next overseas assignment without a valid medical. Medical exams are done at the State Department during the orientation period. Medical Clearance Questions. 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. Sending forms and reports to the wrong email address results in confusion. Please print your email legibly. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. ESCAPE posts have limited medical capabilities and personal security risks. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). The Foreign Affairs Information Technology (FAIT) Fellowship is not only a unique opportunity for highly qualified, diverse college students to receive academic funding, internships and mentorship from the U.S. Department of State it is also a path to your career in the Foreign Service. CONUS-based TDY and WAE/REA should list all known posts they will travel to. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. All foreign reports must be in English or translated into English. 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. All individuals going to these posts must meet strict medical standards. Clearly print the persons name on each page submitted to Medical Records. You may begin submitting documents up to one year prior to departing your current post or domestic assignment. 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. 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. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. All chronic medical conditions must be listed on page 4 in assessment or problem list section. 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. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. (CT:MED-41; 03-07-2019) Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. In addition, MED encourages you to have your exam at your future medical providers office so that you can establish a medical relationship with your new provider. A CONUS based individual who does no TDY travel may delay reporting notification about the new condition until bidding on or being assigned to an overseas post. Include the Medical Records coversheet. 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. 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). For further questions or information, please contact MEDClearances@state.gov. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. Or fax to 202-647-0292 (less preferred) You can begin up to one year prior to departure from your current post. Consult the Medical Capabilities database and alternatively consult with post directly. Sending forms and reports to the wrong email address results in confusion. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. 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 DOS Medical Guidelines and DOD Medical Deployment Requirements. 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. A missing signature will delay the medical clearance review process. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. The time needed for security clearance determination processing varies depending on a number of factors. Waiting well into that time frame may result in a longer processing time. 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. Via email in PDF format to MEDMR@state.gov (preferred) Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Yes / No 2. 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. Many Foreign Service posts are located in remote areas with extremely limited medical support. Tips for Your In-Service Medical Clearance Update. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. Foreign Service Officers and Limited Non-Career Appointees from any of the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour based on their pre-employment medical exam. Employees or eligible family members with a Class 5 medical clearance may not be [] Send all medical forms and reports to MEDMR@state.gov. is entered. Please send inquiries only to this email address. Employees subject to the six- or eight-year rule must work with their CDOs to make a request for a waiver by completing the attached 6/8 waiver request form. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. All blanks need to be filled in. The Suitability Review Panel has the authority to terminate your candidacy. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. Criminal, dishonest, or disgraceful conduct. Candidates who do not receive a security clearance are ineligible for the fellowship. Tips for Submitting Your Medical Clearance Application. 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. Health needs and medical conditions that may require specialty management, follow-up plan, and Yemen medical are. 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