Ask questions! Jump to: Medical clearance process overview About the Health History Form Unsigned forms will not be accepted by Medical Records. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. The process for completing a Pre-employment or Pre-assignment medical clearance varies by on t employment status and where you are going. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. The majority of people who have no significant health concerns and can be posted anywhere in the world. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. 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. This exam is recommended but not mandatory. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. Due to political instability, security could be a concern. This brief, two-page document requires does not require a physical exam. 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. Medical Clearance Process for ESCAPE Posts. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. 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. Close. Our Mission. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Medical Clearances reviews the submitted documentation and retains a copy in your permanent medical file. Foreign Service Officers Candidates, Foreign Service Fellows, and some first-time Limited Non-Career Appointees under the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. An additional sheet of paper may be used if more space is needed. 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. a. 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. Additional countries can be submitted after the first have been reviewed. 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. For children with special educational needs, starting early is important. The individual, parent or guardian should complete the first two pages of each form. Applications are . Yes / No 2. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . Trafficking in or abuse of narcotics or controlled substances. Are You Eligible to Apply for the Foreign Affairs IT Fellowship? . Parts 160 and 164. Plaza Level. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. 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. You should list any posts you may travel to. What medical conditions does FAA consider disqualifying? Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. The list is not inclusive, but rather reflects the conditions that most commonly arise. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) They are reminded that they must update their clearance before their next overseas assignment. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. The examiner must sign and date page 4 of the DS-1843. Individuals who already have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply documentation of the issues with status and treatment plan while abroad. 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. 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. Provide a personal, legible e-mail address good for the next 90 days. . MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. 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. 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. The healthcare provider must print or stamp their name, as well as sign and date page 4. Complete a DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older form. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. The following information will help explain the pre-employment/pre-assignment process. 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. 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. This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. Candidates who hold dual citizenship, have had extensive travel, education, residence and/or employment overseas, or who have foreign contacts, a foreign-born spouse, immediate family members, or relatives who are not citizens of the United States, should be aware that the clearance process will take longer to complete. Submit internal consults or reach out to you for additional data, as needed. Or fax to 202-647-0292 (less preferred) 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. 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. All persons must undergo a full physical exam for their first medical clearance. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. 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. Brea Police Department. 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. The waiver justification need only provide enough information from the employee and/or MED to demonstrate a strong basis for the request to enable the Committee to make are commendation. Consult the Medical Capabilities database and alternatively consult with post directly. Since youll be serving overseas as a Foreign Service Specialist after successfully completing the FAIT Fellowship program, youll need to be able to obtain and maintain a worldwide (Class One) medical clearance. Tips for Submitting Your Medical Clearance Application. The examinee, parent or guardian must sign and date page 2 of the DS-1843. 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. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. 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. Reasons for a Separation or Retirement Exam. Please check the signature area. There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. CONUS-based TDY and WAE/REA should list all known posts they will travel to. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. 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. Travel orders are not required to start the process. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) 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. Pertinent sections of the Department of State Human Resources SOP A-04 state: The Foreign Service Act of 1980, as amended, 22 U.S.C.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 assignments. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). Keep original documents for your permanent files. All personnel must update their medical clearance prior to departure for a new overseas assignment. 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.
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