Please check the signature area. Send all medical forms and reports to MEDMR@state.gov. 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. Or Fax to 202-647-0292 (less preferred) Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. Indicating the ESCAPE post(s) of assignment is REQUIRED. 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 brief, two-page document requires does not require a physical exam. Start collecting this information early. Review the list of posts submitted by the CDO or agency HR. How Long Will the In-Service Clearance Process Take? 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. Contacting your assignments officer in Human Resources for your agency. Individuals extending at an ESCAPE post have a medical clearance valid for one year from the date of issuance. For example, if an individual needs to routinely see a neurologist or an English-speaking speech therapist or attend a school capable of supporting a dyslexic child there are posts he or she can be assigned to, but many other posts that do not have neurology, speech therapy and appropriate schools. Include the Medical Records coversheet. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. Weve compiled a list ofFrequently Asked Questions. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. The Foreign Service Act of 1980, as amended, 22 U.S.C. Any documentation should be submitted well in advance of bidding season. You can also download a PDF document with this information on the Resources page. MED encourages you to have your exam at your future medical providers office to establish a medical relationship with a provider at your retirement home. 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. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. Include the Medical Records coversheet. Do NOT include any personal medical information in this communication. 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. Take charge! Please check the signature area. 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. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Ask questions! 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). There are several extra steps involved in bidding on overseas jobs if you or one of your Eligible Family Members (EFM) has a Post Specific (Class 2) Medical Clearance. 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. 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 individual, parent or guardian should complete the first two pages of each form. 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. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Other agency employees, contractors or their family members may begin one year prior to their overseas assignment or training. Documented medical conditions precluding medical clearance. Trafficking in or abuse of narcotics or controlled substances. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Many Health Units do not have a provider, resources, or time to complete a medical clearance. Where Can I Look Up My Current Clearance? Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). Many Foreign Service posts are located in remote areas with extremely limited medical support. 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 . 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. Main Line: 714-990-7625. Do NOT submit to Medical Clearances. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Are You Eligible to Apply for the Foreign Affairs IT 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. Clearly print the persons name on each page submitted to Medical Records. 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. This includes those retiring/separating from the Foreign Service, moving to the private sector, Civil Service or another agency, divorcing from a Foreign Service Spouse and Eligible Family Members turning 21 years of age. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. ESCAPE Post(s) of Assignment is REQUIRED. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. Ask questions! Please print your email legibly. 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. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. The healthcare provider must also review all current medications, dosages, and frequency of use. 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. 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 assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. For more detailed information see Post Specific (Class 2) Clearance Guidance. 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). MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. 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. 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. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. 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. Do not travel to your next overseas assignment without a valid medical. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. An additional sheet of paper may be used if more space is needed. 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 Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. In addition, MED encourages you to have your exam at your future medical providers office so that you can establish a medical relationship with your new provider. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. 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/. 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. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! Medical Clearance Process for ESCAPE Posts. Candidates who do not receive a security clearance are ineligible for the fellowship. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice.If done overseas insure that the all sections, labs and reports are in English. It is your clearance. Send all medical forms and reports to MEDMR@state.gov. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. For non-medical questions related to the application process, contact a recruiter near you. 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. All individuals going to these posts must meet strict medical standards. Individuals with no health issues should be notified after review that they have a Worldwide Available (Class 1) clearance. 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. For information on how to schedule an appointment with the Exam Clinic, contact. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. When to Start the In-Service Clearance Process. Those individuals will remain in a pending status. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. They will only need to submit once during the two years their clearance is valid. 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. Provide a current phone number and valid mailing address. Complete a DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older form. Get involved! Plaza Level. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. Document rationale for Post Approvals and/or Disapprovals. In the spirit of that requirement prolonged continuous service domestically of greater than six years requires permission from Human Resources. The Six-Year Rule. Do not travel to your next overseas assignment without a valid medical clearance. 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 to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. Get involved! The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. The majority of people who have no significant health concerns and can be posted anywhere in the world. 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. 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. Medical Clearance Notices will be sent to your e-mail address you place on your form. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. 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. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program.
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