Provide explanations in section IIA on page 2 or on a separate sheet of paper. If you are an institutional contractor, write the name of the specific contracting company or NGO. Foreign Service Officers are required to serve much of their career overseas. 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. Any documentation should be submitted well in advance of bidding season. Failure to have all family members medical clearance in order may delay your travel orders. 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. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. From one overseas assignment to another overseas assignment, From a domestic assignment to a new overseas assignment, On TDY overseas for more than 30 consecutive days, Language or extended CONUS training for the assigned post after language training, Linked assignment for both current and linked assignment, Complete an MCU for each member of the family.For adults or children with a. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. Medical Clearance Notices will be sent to your e-mail address you place on your form. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. 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. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. 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. For additional questions, contact pre-serviceunit@peacecorps.gov or 202-692-1504. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. 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. 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. You should list any posts you may travel to. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. 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. Unsigned forms will not be accepted by Medical Records. The Eight-Year Rule. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. ESCAPE posts have limited medical capabilities and personal security risks. Medical Clearance prior . 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. For children with special educational needs, starting early is important. Post Approval Process for Foreign Service Officers, Limited Non-Career Assignment, Foreign Service Fellows or their Eligible Family Members with a Post Specific (Class 2) Clearance. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. Do. Those individuals will remain in a pending status. Failure to have all family members medical clearance in order may delay your travel orders. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! 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. 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. Page 2 must be signed and dated. 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. Via email in a PDF format to MEDMR@state.gov (preferred) Welcome to the Medi-Cal Provider Home. Indicating the ESCAPE post(s) of assignment is REQUIRED. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. Class 8 clearances will also be issued to an employee or eligible family member who is in pending status (Class 7) and who has not completed the evaluation within the allotted 90 days. For more detailed information see Post Specific (Class 2) Clearance Guidance. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. The process for completing a Pre-employment or Pre-assignment medical clearance varies by on t employment status and where you are going. 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. Examples of chronic conditions that must meet stricter DOD requirements to be deployed to an ESCAPE include but are not limited to; tighter control of seizures, asthma, headaches and mental health issues; injectable or refrigerated medications; cardiovascular risk factors and excessive weight (BMI >35). The examiner/provider should complete the physical exam and lab portion of the exam. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. 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 in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. Our Mission. 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. All blanks need to be filled in. 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. Clearly print the persons name on each page submitted to Medical Records. List your prescription medications, hospitalizations, and medical conditions since your last clearance. 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. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. Consult the Medical Capabilities database and alternatively consult with post directly. All personnel must update their medical clearance prior to departure for a new overseas assignment. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. 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 including assistance with a medical evacuation or hospitalization. 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 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. 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. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. Sending forms and reports to the wrong email address results in confusion. 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. Get involved! Reason to Update a Medical Clearance While In-Service. The Suitability Review Panel has the authority to terminate your candidacy. DOD Contractors must include a 3308: DOD ICASS Verification Form. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. Please check the signature area. Fellows will receive decisions on their medical clearances from the State Department. Provide a current phone number and valid mailing address. Or fax to 202-647-0292 (less preferred) All employees including 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 medical clearance. The examiner must sign page 4. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. Sending forms and reports to the wrong email address results in confusion. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. Do not travel to your next overseas assignment without a valid medical. Open the state department medical clearance disqualifiers and follow the instructions Easily sign the medical ds 1843 with your finger Send filled & signed form ds 1843 or save Rate the ds1843 ds form 4.7 Satisfied 139 votes Quick guide on how to complete ds form 1843 Forget about scanning and printing out forms. 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. While not required for Iraq, these are advised for possible travel to other ESCAPE posts. Contractors and DOD Civilians should contact their sponsors human resources. You will find below information about the Peace Corps' medical clearance process. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. The Foreign Service Act of 1980, as amended, 22 U.S.C. 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. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. All persons must undergo a full physical exam for their first medical clearance. Review the list of posts submitted by the CDO or agency HR. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. Early summer through the fall bidding cycle is the busy season for MED Clearances. This includes those who retire/separate, move to another agency, divorce an FSO, or age out of the MED program at age 21 years. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Waivers of these DOD requirements may be granted in select cases. Travel orders are not required to start the process. 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. A missing signature will delay the medical clearance review process. You may begin submitting documents up to one year prior to departing your current post or domestic assignment. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. (Uniform State/USAID/U.S. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. 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. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. Weve compiled a list ofFrequently Asked Questions. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. 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. Jump to: Medical clearance process overview About the Health History Form 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. Medical reports do not need to be submitted with your initial medical clearance forms, be aware that Medical Clearances may require reports from providers, medical facilities or schools for anyone with significant past medical, mental health, or special educational needs. 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. How Long is an ESCAPE Post Clearance Valid? The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. Documented medical conditions precluding medical clearance. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. Unsigned forms will not be accepted by Medical Records. Where Can I Look Up My Current Clearance? 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. After doing the grad school thing, I think I'm ready to take the plunge. If you have questions, please send us an email at FAITFellowship@twc.edu. Include the Medical Records coversheet. Posted by 5 years ago. Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Start collecting this information early. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. Submit internal consults or reach out to you for additional data, as needed. Not all agencies human resources have this capability. Please print your email legibly. You can begin up to one year prior to departure from your current post. Certain conditions may require that the employee stay in the United States for longer than 6 years. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. Read more about the other eligibility requirements in this article and on the How to Apply web page. This is not guaranteed. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. standards. Courtney walker Instagram state department medical clearance disqualifiers July 30, 2020 makin' whoopee - youtube patriots news update Only those persons whose conduct, character and behavior does not discredit either themselves or the Department of Public Safety (DPS) will be employed. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. Your CDO or agency HR will send your list to MED Clearances. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. This may be delayed if the individual is not properly registered, has missing signatures, incomplete documents, inaccurate email address or the writing is illegible. Some countries have inadequate infrastructures such as a poor or negligible public health care system, poor sanitation, unreliable electricity and a lack of potable water. 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. The list is not inclusive, but rather reflects the conditions that most commonly arise. 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. There may be no health unit at the post and next to no local medical facilities. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. Have a question about medical clearances? Close. The Director General has delegated the authority to grant such a waiver to the Director of HR/CDA (Bureau of Human Resources, Office of Career Development and Assignments) by memorandum dated August 8, 2005. The healthcare provider must print or stamp their name, as well as sign and date page 4. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. Non-Emergency: 714-990-7911. a. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. EFMs, age 18 and over, must provide their own email address for privacy reasons. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. Please send inquiries only to this email address. Include the Medical Records coversheet. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. Include the Medical Records coversheet. Tips for Your Separation Medical Examination. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). Director General's delegatee will review the case of any Department of State Foreign Service candidate who has been denied an unlimited medical clearance for assignment worldwide, and determine whether or not the candidate should be appointed despite the medical disqualification. Provide a personal, legible e-mail address good for the next 90 days. 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. Due to political instability, security could be a concern. 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. 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. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Clearly print the persons name and date of birth on each page submitted to Medical Records. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider 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. Employees and Contractors have the right to appeal any Post-Approval decision. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. 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. 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). Tips for Submitting Your Medical Clearance Application. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. 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. (Uniform State/USAID/U.S. Additional countries can be submitted after the first have been reviewed. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. 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 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. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. In this case, the State Department denied Dara Katz the medical clearance she needed to qualify for an overseas assignment with the Foreign Service, and then denied her request for a waiver of the clearance. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. 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. This is a medical-legal requirement. 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. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. 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. What medical conditions does FAA consider disqualifying? Or educational Services they need the persons name and date of birth on each page submitted medical. Early summer through the fall bidding cycle is the busy season for MED Clearances DS-1843 should performed! 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