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. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. Parts 160 and 164. 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. Make sure the agency (DOS/DOD/USAID etc.) ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. 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.. 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 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. Some posts could face extreme isolation due to limited air and other transportation services, and unreliable Internet, telecommunications and postal and delivery systems. c. Domestic Only (Class 5): Issued to all who have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Candidates who do not receive a security clearance are ineligible for the fellowship. 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. Who Should Use a Medical Clearance Update Form? The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. 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. Documented medical conditions precluding medical clearance. Early in the bidding season FSOs, LNAs and Fellows or their EFMs with a Post Specific (Class 2) clearance should submit their bid list or post choices to their State Department Career Development Officer (CDO) or agency human resources. 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. All chronic medical conditions must be listed on page 4 in assessment or problem list section. Angina pectoris Bipolar disease Cardiac valve replacement Contractors and DOD Civilians should contact their sponsors human resources regarding payment. If you have questions, please send us an email at FAITFellowship@twc.edu. 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. Individuals with no health issues should be notified after review that they have a Worldwide Available (Class 1) clearance. The individual, parent or guardian should complete the first two pages of each form. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Please consider this list as a factor in your decision to apply. 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. Please check the signature area. Include the Medical Records coversheet. . An FSO or Eligible Family Member (EFM) may start updating their medical clearance one year prior to departing from their current post or domestic assignment. Via email in PDF format to MEDMR@state.gov (preferred) Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. 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/. 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)). You should list any posts you may travel to. 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. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. Do NOT submit bids to Medical Clearances. 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. Are You Eligible to Apply for the Foreign Affairs IT Fellowship? 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. Plaza Level. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. For information on how to schedule an appointment with the Exam Clinic, contact. Or fax to 202-647-0292 (less preferred) The background investigation includes interviews with current and previous contacts, supervisors and coworkers. 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. The examiner must sign page 4. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. . The healthcare provider must also review all current medications, dosages, and frequency of use. The examiner must sign and date page 4 of the DS-1843. Include the Medical Records coversheet. All blanks need to be filled in. Those individuals will remain in a pending status. All individuals going to these posts must meet strict medical standards. Complete a DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older form. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. The majority of people who have no significant health concerns and can be posted anywhere in the world. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. Employees and their EFMs of one of the 5 Foreign Service Agencies must complete a: Employees, LE Staff, Contractors, and EFMs who are Non-Foreign Service Personnel must complete a: Persons holding a current valid ESCAPE medical clearance and are extending their tour at an ESCAPE post must complete the below documents annually. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. 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. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). All forms, labs and reports should be in English or with an English translation. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) 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. Performs other clerical receptionist duties such as photocopying, collating, faxing, etc. Your CDO or agency HR will send your list to MED Clearances. The healthcare provider must also review all current medications, dosages and frequency of use. Travel orders are not required to start the process. (Uniform State/USAID/U.S. Provide a current phone number and valid mailing address. 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. The following in-service employees, contractors and EFMs are required to update their medical clearance: Persons assigned to the United States and not traveling overseas do not require a medical clearance. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. Medical Clearance related medical expenses can 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. Due to political instability, security could be a concern. Early summer through the fall bidding cycle is the busy season for MED Clearances. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) 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. 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. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. 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. 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. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. 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 Non-Emergency: 714-990-7911. A TDY medical clearance is valid for 2 years from the date it was issued. Get involved! is entered. DOD Contractors must include a 3308: DOD ICASS Verification Form. An additional sheet of paper may be used if more space is needed. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Failure to have all family members medical clearance in order may delay your travel orders. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. Other agency employees, contractors or their family members may begin one year prior to their overseas assignment or training. Misrepresentation, including deception or fraud, in the application process. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). Sending forms and reports to the wrong email address results in confusion. 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. Inform your CDO or Agency HR of approval determinations. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. Waiting well into that time frame may result in a longer processing time. Submit internal consults or reach out to you for additional data, as needed. Weve compiled a list ofFrequently Asked Questions. Clearly print the persons name on each page submitted to Medical Records. b. Post-Specific (Class 2): Issued to an individual with a medical condition that would pose a significant risk to the health or safety of the individual or others if the individual were assigned to work at one or more posts abroad. Do NOT submit to Medical Clearances. Where Can I Look Up My Current Clearance? Ask questions! While not required for Iraq, these are advised for possible travel to other ESCAPE posts. 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. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. Take charge! Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. 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. 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. Unsigned forms will not be accepted by Medical Records. 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. All personnel must update their medical clearance prior to departure for a new overseas 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. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. Unfortunately, about two years ago I was diagnosed with Crohn's disease. Any documentation should be submitted well in advance of bidding season. Include the Medical Records coversheet. They are reminded that they must update their clearance before their next overseas assignment. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. MED Clearances will issue a Domestic Assignment Only (Class 5) clearance for medical, mental health or educational issues where appropriate care is best obtained in the United States. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Many Foreign Service posts are located in remote areas with extremely limited medical support. The Foreign Service Act of 1980, as amended, 22 U.S.C. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. A missing signature will delay the medical clearance review process. Please send inquiries only to this email address. 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). 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. For How Long is a Medical Clearance Valid? Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. 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. MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. 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. Via email in a PDF format to MEDMR@state.gov (preferred) Consult the Medical Capabilities database and alternatively consult with post directly. These are DOD medical standards. 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 healthcare provider must print or stamp their name, as well as sign and date page 4. Inform your CDO or Agency HR of approval determinations. (Uniform State/USAID/U.S. Reason to Update a Medical Clearance While In-Service. 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. An official website of the United States Government, Office of the U.S. 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 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. Fellows will receive decisions on their medical clearances from the State Department. Tips for Submitting Your Medical Clearance Application. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Trafficking in or abuse of narcotics or controlled substances. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Class 7 is not valid for travel to an assignment abroad. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. List to med Clearances appointment with the exam Clinic, contact return Start! 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( HTHR ) posts for completing an ESCAPE post clearance varies by employment status where! Perform the duties and responsibilities of the DS-1843 for additional data, as as... Or Pre-Assignment medical clearance review process chronic medical conditions must be listed on page in! Delay the issuing of travel orders: the employee and/or EFM should list all potential posts directly on medical! Of their clearance Consultant for approval for that post using your credentials click... Application process etc ) High-Threat, High Risk ( HTHR ) posts 1843 template to make your workflow... Family members by a licensed medical provider of your choice of travel orders are not required to Start process...
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