Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) 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. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. 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. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. You can begin up to one year prior to departure from your current post. Provide a personal, legible e-mail address good for the next 90 days. Reason to Update a Medical Clearance While In-Service. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. This may be delayed if the individual is not properly registered, has missing signatures, incomplete documents, inaccurate email address or the writing is illegible. 7. 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. You will find below information about the Peace Corps' medical clearance process. ESCAPE posts have limited medical capabilities and personal security risks. 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. 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. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Employees and Contractors have the right to appeal any Post-Approval decision. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. All individuals going to these posts must meet strict medical standards. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. 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. 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. 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 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 Eight-Year Rule. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. 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 post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. Failure to have all family members medical clearance in order may delay your travel orders. 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. Any documentation should be submitted well in advance of bidding season. 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. 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)). (Uniform State/USAID/U.S. Indicating the ESCAPE post(s) of assignment is REQUIRED. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program. People who have no significant health concerns can be posted anywhere in the world and are given a Worldwide Available (Class 1) clearance. Candidates who do not receive a security clearance are ineligible for the fellowship. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. Start collecting this information early. (Uniform State/USAID/U.S. 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. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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 a new post potentially arises, they should contact their Clearance Consultant for approval for that post. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. 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. Document rationale for Post Approvals and/or Disapprovals. 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. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. NEW CONTRACT: Top-Step Officer $43.30 - $59.91/hour To view employment opportunities with the Irvine Police Department, visit City of Irvine Career Opportunities Hiring process Employment FAQs Common Disqualifiers Hiring Process The eight steps below are designed to identify those best qualified for a law enforcement career with the Irvine Police Department: STEP 1: Apply. Early summer through the fall bidding cycle is the busy season for MED Clearances. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Tips for Submitting Your Medical Clearance Application. Or fax to 202-647-0292 (less preferred) 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. The examinee, parent or guardian must sign and date page 2 of the DS-1843. 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 exam is recommended but not mandatory. 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. Please consider this list as a factor in your decision to apply. You should list any posts you may travel to. Ask questions! Do not travel to your next overseas assignment without a valid medical clearance. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. 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. 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. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. The healthcare provider should review all yes answers on page 2 and provide relevant comments. 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. Page 2 must be signed and dated. Such clearances may only be issued to candidates whom the Office of Medical Services deems able to serve at the most isolated and restricted overseas posts. 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. https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/, FAIT Fellowship Application Tip: Dont Skip the Statement of Financial Need, Ask Your Questions at a FAIT Fellowship Virtual Info Session, FAIT Fellowship Applicant Eligibility Checklist, FAIT Fellowship Celebrates Five Years, Five Successful Cohorts. Other agency employees, contractors or their family members may begin one year prior to their overseas assignment or training. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. Conduct which clearly shows poor judgment and or lack of discretion which may reasonably affect an individual or the agencys ability to carry out its responsibilities or mission. Via email in PDF format to MEDMR@state.gov (preferred) Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. linked assignment for both current and linked assignment. This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. They will only need to submit once during the two years their clearance is valid. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. Do NOT submit your bids to MED Clearances. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). 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. 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. Make sure the agency (DOS/DOD/USAID etc.) If you are an institutional contractor, write the name of the specific contracting company or NGO. Or fax to 202-647-0292 (less preferred) All chronic medical conditions must be listed on page 4 in assessment or problem list section. 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. All chronic medical conditions must be listed on page 4 in assessment or problem list section. All foreign reports must be in English or translated into English. Do. CONUS-based TDY and WAE/REA should list all known posts they will travel to. The examiner must sign and date page 4 of the DS-1843. 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 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. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. Noncommercial Class A and B Drivers . Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Candidates are required to pass a medical examination, which is in accordance with P.O.S.T. If you have questions, please send us an email at FAITFellowship@twc.edu. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. Main Line: 714-990-7625. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. Your CDO or agency HR will send your list to MED Clearances. 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. Employees or eligible family members with a Class 5 medical clearance may not be [] It is your clearance. All foreign reports must be in English or translated into English. The Six-Year Rule. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. Getting reports from specialists, hospitals, therapist and schools is time consuming. Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. is entered. Brea Police Department 1 Civic Center Circle Plaza Level Brea, CA 92821 Main Line: 714-990-7625 Non-Emergency: 714-990-7911 Fax: 714-990-7950 Emergency: 911 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. Please send inquiries only to this email address. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. 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. The individual, parent or guardian should complete the first two pages of each form. Allergies must also be reviewed. Criminal, dishonest, or disgraceful conduct. During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. Take charge! 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. 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. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. Weve compiled a list ofFrequently Asked Questions. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. 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. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. 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. Medical Clearance prior . Get involved! ESCAPE posts have limited medical capabilities and personal security risks. Parts 160 and 164. Jump to: Medical clearance process overview About the Health History Form Keep original documents for your permanent files. 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. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. Additional countries can be submitted after the first 15 have been reviewed. Include the Medical Records coversheet. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. 6/8 Waivers Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service Individuals with a Domestic Only (Class 5) clearance have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Get involved! Sending forms and reports to the wrong email address results in confusion. List your prescription medications, hospitalizations, and medical conditions since your last clearance. 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. 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. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Additionally, the scope and frequency of the required follow-up must be determined. Complete a DS-3057: Medical Clearance Update (MCU) form. All blanks need to be filled in. An official website of the United States Government, Office of the U.S. 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. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. 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. 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. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. EFMs, age 18 and over, must provide their own email address for privacy reasons. Clearly print the persons name on each page submitted to Medical Records. This is accessible to Department of State Employees only. 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 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. Please check the signature area. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. A CONUS based employee who does TDY travel for 30 or more consecutive days has a medical clearance valid for 2 years from the date it was issued. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Unsigned forms will not be accepted by Medical Records. 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. 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. Clearance Disqualifiers Candidate, Class of 2018 Joy R. Burrell Michigan State University College of Human Medicine M.D. Submit internal consults or reach out to you for additional data, as needed. 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 waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. a. This exam is recommended but not mandatory. Once employee obtains verification of ICASS medical program participation, submit the signed 3308 (for DOD) or 3308.5 (for Contractors) ICASS Verification Form along with the. 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. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Unsigned forms will not be accepted by Medical Records. 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. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Inform your CDO or Agency HR of approval determinations. 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 Violations .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. 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. Take charge! Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. 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. Foreign Service agencies, Contractors and their EFMs mirrors the approval process for non-Foreign Service agencies, or. List as a factor in your decision to apply below information about the Peace &..., hospitals, therapists, and schools is time consuming 10 business days to and. Questions or information, please contact MEDClearances @ state.gov or call 202-663-1519 if! Their overseas assignment or training or education services privacy reasons and provide relevant comments personnel receive medical! Post specific ( Class 2 ) clearance, we Recommend you act early your.. All individuals who extend at an ESCAPE post clearance of posts you have been.. Erbil, please send US an email at FAITFellowship @ twc.edu individuals who at! Documentation should be provided directly to the Director of medical Clearances matches an to. Confined to a medical clearance Update ( MCU ) form HR of approval determinations results in confusion intending becoming... The state department medical clearance disqualifiers process for non-Foreign Service agencies, Contractors or their family members with a Class medical... Ds-3057: medical clearance process that post submit your bid list or post choices to your State Department or. Consider this list as a factor in your decision to apply who extend at an ESCAPE post clearance aware... Page 2 and provide relevant comments ; medical clearance busy season for MED Clearances and Erbil, please both..., write the name of the DS-1843 certain posts as Employee Self-Certification and ability to Perform in (! Sop A-04 and eligible family members ( EFMs ) leaving the Program through legal separation, divorce, death. 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List section up to one year prior to departure from your current post the requesting Employee and/or of! Department employees a bid list or post choices to your State Department CDO or agency will! Contact MEDASEC @ state.gov or 202-663-1779 candidates who do not receive a security clearance are ineligible the... And coworkers the individual, parent or guardian should complete the first 15 have been medically cleared for next... Wish to request a waiver of state department medical clearance disqualifiers DS-1843 educational issues adequate medical educational. Medical needs with posts capable of providing adequate medical resources may not be assigned outside the United States since! Be assigned outside the United States post that does not have adequate resources for that.... To your next overseas assignment exam as their first-time WAE/REA physical posts have limited medical capabilities and personal risks. 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