This is not guaranteed. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. The healthcare provider must print or stamp their name, as well as sign and date page 4. 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. All persons must undergo a full physical exam for their first medical clearance. Criminal, dishonest, or disgraceful conduct. A missing signature will delay the medical clearance review process. If your child has educational needs or receives SNEA, reach out to the school and other specialists working with your child for recent documentation ideally well before school staff departs for the summer break and much of the staff is not at school. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. This is accessible to Department of State Employees only. 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. Your CDO or agency HR will send your list to MED Clearances. . Start collecting this information early. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. 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. 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 you have questions, please send us an email at FAITFellowship@twc.edu. You may begin submitting documents up to one year prior to departing your current post or domestic assignment. Those individuals will remain in a pending status. For non-medical questions related to the application process, contact a recruiter near you. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Via email in a PDF format to MEDMR@state.gov (preferred) Inform your CDO or Agency HR of approval determinations. Sending forms and reports to the wrong email address results in confusion. Some posts could face extreme isolation due to limited air and other transportation services, and unreliable Internet, telecommunications and postal and delivery systems. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. The Eight-Year Rule. 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. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. All blanks need to be filled in. The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. Do NOT submit to Medical Clearances. Indicating the ESCAPE post(s) of assignment is REQUIRED. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. The individual, parent or guardian should complete the first two pages of each form. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. 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. A missing signature will delay the medical clearance review process. Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. Confidential Medical Information. 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. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. Via email in PDF format to MEDMR@state.gov (preferred) There are often no blood banks or limited medical supplies and medications available locally. 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. If you are an institutional contractor, write the name of the specific contracting company or NGO. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. CONUS-based TDY and WAE/REA should list all known posts they will travel to. 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. (Uniform State/USAID/U.S. Please consider this list as a factor in your decision to apply. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program. 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). Or fax to 202-647-0292 (less preferred) 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. 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. DOS Medical Guidelines and DOD Medical Deployment Requirements. Early summer through the fall bidding cycle is the busy season for MED Clearances. 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. 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. 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 . Brea, CA 92821. 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. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. 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 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 healthcare provider must also review all current medications, dosages, and frequency of use. The healthcare provider must also review all current medications, dosages and frequency of use. Weve compiled a list ofFrequently Asked Questions. The process for completing a Pre-employment or Pre-assignment medical clearance varies by on t employment status and where you are going. All individuals going to these posts must meet strict medical standards. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. Non-Emergency: 714-990-7911. Noncommercial Class A and B Drivers . Provide a personal, legible e-mail address good for the next 90 days. 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. Are You Eligible to Apply for the Foreign Affairs IT Fellowship? 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. All forms, labs and reports should be in English or with an English translation. Persons who are not an ESCAPE post at the time of their medical clearance renewal must complete the below documents: Employees and their EFMs of one of the 5 Foreign Service Agencies: Employees, LE Staff, Contractors, and EFMs who are non-Foreign Service Personnel: Submit all medical documentation to Medical Records. 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. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. A TDY medical clearance is valid for 2 years from the date it was issued. 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. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. Medical Clearances reviews the submitted documentation and retains a copy in your permanent medical file. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. 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. 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. Be sure to attach copies of any medical reports that can help clarify a medical condition(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. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. Additional countries can be submitted after the first have been reviewed. Reason to Update a Medical Clearance While In-Service. The name of the examinee (employee, contractor, LES or EFM) and DOB must appear at the top of each page 2, 3, & 4. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Page 2 must be signed and dated. You can determine you or your family members medical clearance status by: An official website of the United States Government, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-1843: Medical History and Examination Form, DS 1843: Medical History and Examination Form, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, DS 1843: Medical History and Examination Form Over 12 Years of Age, DS-1622: Medical History and Examination for Children Age 11 and Younger, Office of the U.S. Medical Clearance Process for ESCAPE Posts. Allergies must also be reviewed. Welcome to the Medi-Cal Provider Home. Document rationale for Post Approvals and/or Disapprovals. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. 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)). e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. As a result, stress levels among employees may be very high. What medical conditions does FAA consider disqualifying? Review the list of posts submitted by the CDO or agency HR. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. 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. After doing the grad school thing, I think I'm ready to take the plunge. Your CDO or agency HR will send your list to MED Clearances. 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. 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. ESCAPE posts have limited medical capabilities and personal security risks. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). The attainment of U.S. foreign policy objectives depends substantially on the confidence of the public (both American and foreign) in the individuals selected to serve in the Foreign Service. People who have no significant health concerns can be posted anywhere in the world and are given a Worldwide Available (Class 1) clearance. Do. 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. Trafficking in or abuse of narcotics or controlled substances. 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. 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. Via email in a PDF format to MEDMR@state.gov (preferred) A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. 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. 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. The name of the examinee (employee, contractor, LES or EFM) and DOB must also appear at the top of each page 2, 3, and 4. The security clearance process involves a comprehensive background investigation, conducted by the U.S. Department of State in cooperation with other federal, state, and local agencies. Provide a personal, legible e-mail address good for the next 90 days. Clearly print the persons name and date of birth on each page submitted to Medical Records. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. 7. 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. The Suitability Review Panel has the authority to terminate your candidacy. Waivers of these DOD requirements may be granted in select cases. Our Mission. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. It is your clearance. 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. Please be sure that the name, DOB, and email address are all printed clearly. An official website of the United States Government, Office of the U.S. The point of contact in MED is the Chief of Domestic Programs (MEDDP@state.gov), who will relay the request to the appropriate office or person in MED and return a formal recommendation to the CDO or Committee, as appropriate. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. 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