Get involved! Have a question about medical clearances? If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. While not required for Iraq, these are advised for possible travel to other ESCAPE posts. 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. Applications are . State Department employees should start with a bid list of no more than 15 countries in alphabetical order. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). 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. Such requests should be submitted no earlier than May prior to the new bidding cycle and no later than 30 days prior to the bid due date. This exam is recommended but not mandatory. 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. Your CDO or agency HR will send your list to MED Clearances. Or Fax to 202-647-0292 (less preferred) Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. Please send inquiries only to this email address. Advisory Commission on Public Diplomacy, Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service, In-Service Medical Clearance Update Guidance, Guidance for a Pre-Employment or Pre-Assignment Medical Clearance, Guidance for Post Specific (Class 2) or Domestic Only (Class 5) Employees, Contractors, and Eligible Family Members, Guidance for Separation or Retirement Examination (Including REA/WAE Applicants). Reasonable doubt as to loyalty to the U.S. Government. Class 7 is not valid for travel to an assignment abroad. The process for completing a Pre-employment or Pre-assignment medical clearance varies by on t employment status and where you are going. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. Keep original documents for your permanent files. 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. An MCU can be submitted to your health unit (preferred) or directly submitted to. The medical examination performed at the time of separation from the Medical Program serves to identify medical conditions that may have developed during service abroad. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. (CT:MED-41; 03-07-2019) 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 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. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Posted by 5 years ago. Noncommercial Class A and B Drivers . 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. After doing the grad school thing, I think I'm ready to take the plunge. An additional sheet of paper may be used if more space is needed. Get involved! The purpose of the suitability review is to determine, from the candidates total record, whether the candidate is indeed suitable to represent the United States. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. 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. Many Health Units do not have a provider, resources, or time to complete a medical clearance. 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. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). . The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. Via email in PDF format to MEDMR@state.gov (preferred) All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Medical Clearances reviews the submitted documentation and retains a copy in your permanent medical file. 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/. Include the Medical Records coversheet. Other agency employees, contractors or their family members may begin one year prior to their overseas assignment or training. Certain conditions may require that the employee stay in the United States for longer than 6 years. Individuals who currently have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply supporting documentation of their condition and treatment plan. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. Sending forms and reports to the wrong email address results in confusion. Please consider this list as a factor in your decision to apply. 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. Early summer through the fall bidding cycle is the busy season for MED Clearances. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. For further questions or information, please contact MEDClearances@state.gov. Misrepresentation, including deception or fraud, in the application process. Your CDO or agency HR will send your list to MED Clearances. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. 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 following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. The Suitability Review Panel has the authority to terminate your candidacy. Submit internal consults or reach out to you for additional data, as needed. Medical Clearance Notices will be sent to your e-mail address you place on your form. 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.. Clearly print the persons name on each page submitted to Medical Records. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. Clearly print the persons name on each page submitted to Medical Records. Document rationale for Post Approvals and/or Disapprovals. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Do not travel to your next overseas assignment without a valid medical. All foreign reports must be in English or translated into English. All individuals going to these posts must meet strict medical standards. All chronic medical conditions must be listed on page 4 in assessment or problem list section. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. What medical conditions does FAA consider disqualifying? 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. 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). Provide a current phone number and valid mailing address that can be used even if you are between posts on home leave or personal travel. Please check the signature area. Page 2 must be signed and dated. 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. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. 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. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. The following information will help explain the pre-employment/pre-assignment process. Insure the patients name and date of birth is at the top of each page of the exam form. The following in-service employees, contractors and EFMs are required to update their medical clearance and can use the MCU form: The following employees, contractors and EFMs must under-go a complete physical and should complete either a DS 1843: Medical History and Examination Form Over 12 Years of Age or a DS-1622: Medical History and Examination for Children Age 11 and Younger . Include the Medical Records coversheet. 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 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. The healthcare provider must print or stamp their name, as well as sign and date page 4. Additional countries can be submitted after the first 15 have been reviewed. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. 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. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. Foreign Service Officer Candidates and EFMs of one of the 5 Foreign Affairs Agencies1, Limited Non-Career Appointees, Contractors, Civil Service, Locally Employed Staff, Personnel from Non-Foreign Service Government Agencies, and EFMs. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. 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. 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. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. Reasons for a Separation or Retirement Exam. This is accessible to Department of State Employees only. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. Provide a personal, legible e-mail address good for the next 90 days. A Post Specific (Class 2) Medical Clearance means you (or your EFM) have (or has) an on-going medical, mental health, or educational issue where the medical capabilities needed may not be available at every post in the world. 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. Add the DS-3057 Medical Clearance Update for redacting. How Long is an ESCAPE Post Clearance Valid? Due to political instability, security could be a concern. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. Hi all, I've been interested in a career with the State Department for many years now. 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. is entered. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. 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. 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. You may begin submitting documents up to one year prior to departing your current post or domestic assignment. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). The person doing my clearance said they really don't care too much as long as you've seen your personal healthcare provider about your condition. A TDY medical clearance is valid for 2 years from the date it was issued. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. For information on how to schedule an appointment with the Exam Clinic, contact. 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. 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. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. 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. A description of the Peace Officer Selection Requirements Regulations can be found here. Include the Medical Records coversheet. Schools are often closed during American summer months, so the process needs to start well before the end of the school year for children with educational issues. 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. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. 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.
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