For further questions or information, please contact MEDClearances@state.gov. 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. 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. Reasons for a Separation or Retirement Exam. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. 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. Take charge! The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. Misrepresentation, including deception or fraud, in the application process. Clearly print the persons name on each page submitted to Medical Records. Consult the Medical Capabilities database and alternatively consult with post directly. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. A CONUS based individual who does no TDY travel may delay reporting notification about the new condition until bidding on or being assigned to an overseas post. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. 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. The time needed for security clearance determination processing varies depending on a number of factors. 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. Include the Medical Records coversheet. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). Other agency employees, contractors or their family members may begin one year prior to their overseas assignment or training. 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 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. 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. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. Please be sure that the name, DOB, and email address are all printed clearly. Submit internal consults or reach out to you for additional data, as needed. 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 waiver request should be sent to the CDO, who will forward it to the Five/Eight Committee. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. It is your clearance. 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. All personnel must update their medical clearance prior to departure for a new overseas assignment. Include the Medical Records coversheet. 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. 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. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Reason to Update a Medical Clearance While In-Service. Additional countries can be submitted after the first have been reviewed. 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. 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 notify you of posts you have been medically cleared for your next assignment. Some posts could face extreme isolation due to limited air and other transportation services, and unreliable Internet, telecommunications and postal and delivery systems. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. . 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. Parts 160 and 164. Review posts with the clinicians in Clearances. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. 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. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. Inform your CDO or Agency HR of approval determinations. ESCAPE Post(s) of Assignment is REQUIRED. Do not travel to your next overseas assignment without a valid medical clearance. These are DOD medical standards. The healthcare provider should review all yes answers on page 2 and provide relevant comments. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. This is accessible to Department of State Employees only. All blanks need to be filled in. Do NOT submit bids to Medical Clearances. The Suitability Review Panel has the authority to terminate your candidacy. 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. 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. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). 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 local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. 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. Shreds security and medical sensitive materials as directed including medical reports and old chronological files. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. 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. 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. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. Page 2 must be signed and dated. Weve compiled a list ofFrequently Asked Questions. Please check the signature area. Make sure the agency (DOS/DOD/USAID etc.) 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. Include the Medical Records coversheet. . For individuals with a Domestic Assignment Only (Class 5) clearance we recommend you notify MED Clearances when it appears your medical, mental health or educational has stabilized and improved to the point where health care or educational needs can reasonably be obtained abroad. Not all agencies human resources have this capability. 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. All individuals going to these posts must meet strict medical standards. All persons must undergo a full physical exam for their first medical clearance. Add the DS-3057 Medical Clearance Update for redacting. Documented medical conditions precluding medical clearance. 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. Medical Clearance Questions. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. 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. Sending forms and reports to the wrong email address results in confusion. 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. Class 7 is not valid for travel to an assignment abroad. Include the Medical Records coversheet. 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 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. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. 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. Those individuals will remain in a pending status. Candidates who do not receive a security clearance are ineligible for the fellowship. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. The individual, parent or guardian should complete the first two pages of each form. Once youve completed the background investigation and medical examination, a State Department Suitability Review Panel will examine your file (minus any privileged medical information) to determine your suitability for employment with the Foreign Service. Tips for Your Separation Medical Examination. Fellows will receive decisions on their medical clearances from the State Department. Confidential Medical Information. 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. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. 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. Reasonable doubt as to loyalty to the U.S. Government. After doing the grad school thing, I think I'm ready to take the plunge. Angina pectoris Bipolar disease Cardiac valve replacement An MCU can be submitted to your health unit (preferred) or directly submitted to. 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. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider 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). The examiner must sign page 4. The healthcare provider must print or stamp their name, as well as sign and date page 4. They are reminded that they must update their clearance before their next overseas assignment. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. 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. 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. Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Posted by 5 years ago. 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. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. Keep original documents for your permanent files. You can also download a PDF document with this information on the Resources page. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. The following information will help explain the process of completing a Separation Exam. 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. Do NOT submit your bids to MED Clearances. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. 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 Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. DOD Contractors must include a 3308: DOD ICASS Verification Form. Ensure the patients name and date of birth is at the top of each page of the exam form. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Please send inquiries only to this email address. Provide explanations in section IIA on page 2 or on a separate sheet of paper. Please consider this list as a factor in your decision to apply. When to Start the In-Service Clearance Process. f. The candidate must submit Form DS-3057, Medical Clearance Update, if there is any significant change in the candidate's medical condition at any time. A MED Clearances Clearance Consultant assigned to you will: Post Approval Process for employees of non-Foreign Service agencies, CONUS-based TDY, WAE/REAs, contractors and their EFMs with a Post Specific (Class 2) 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. The Eight-Year Rule. For information on how to schedule an appointment with the Exam Clinic, contact. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Foreign Service Officers are required to serve much of their career overseas. Applications are . This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. 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/. Edit the PDF DS-3057 medical clearance must be done by a specialist Special Incentive (! 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