It is your clearance. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. 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 The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. 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). In the spirit of that requirement prolonged continuous service domestically of greater than six years requires permission from Human Resources. Via email in PDF format to MEDMR@state.gov (preferred) Page 2 must be signed and dated. is entered. 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. Provide explanations in section IIA on page 2 or on a separate sheet of paper. 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. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. All personnel must update their medical clearance prior to departure for a new overseas assignment. All foreign reports must be in English or translated into English. Additionally, the scope and frequency of the required follow-up must be determined. Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. (CT:MED-41; 03-07-2019) Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. 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. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). 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. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Provide explanations in section IIA on page 2 or on a separate sheet of paper. Document rationale for Post Approvals and/or Disapprovals. All individuals going to these posts must meet strict medical standards. Class 8 clearances will also be issued to an employee or eligible family member who is in pending status (Class 7) and who has not completed the evaluation within the allotted 90 days. f. Incomplete/Cancellation (Class 8): Issued to an individual whose pre-employment medical evaluation is incomplete and the application has been inactive for more than 90 days. Sending forms and reports to the wrong email address results in confusion. 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. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. Employees subject to the six- or eight-year rule must work with their CDOs to make a request for a waiver by completing the attached 6/8 waiver request form. Patients can arrange appointments on personal travel, during R&R, home leave or other government funded travel when services are not available at the post of assignment. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Reasons for a Separation or Retirement Exam. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. Medical, Mental Health or Educational reports do not need to be submitted with your initial medical clearance forms but 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. Do NOT include any personal medical information in this communication. 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). If you are an institutional contractor, write the name of the specific contracting company or NGO. 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. EFMs, age 18 and over, must provide their own email address for privacy reasons. 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. Please print your email legibly. ESCAPE Post(s) of Assignment is REQUIRED. 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. Contacting your assignments officer in Human Resources for your agency. For information on how to schedule an appointment with the Exam Clinic, contact. 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. 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 purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. The majority of people who have no significant health concerns and can be posted anywhere in the world. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. 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 list is not inclusive, but rather reflects the conditions that most commonly arise. The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. 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. A medical clearance physical exam can be completed by a licensed medical provider or at the Department of State Exam Clinic in Washington DC. EFMs, age 18 and over, must provide their own email address for privacy reasons. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. The examinee, parent or guardian must sign and date page 2 of the DS-1843. Do. All chronic medical conditions must be listed on page 4 in assessment or problem list section. Confidential Medical Information. 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. This brief, two-page document requires does not require a physical exam. This is not guaranteed. These are DOD medical standards. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. All foreign reports must be in English or translated into English. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. 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. What medical conditions does FAA consider disqualifying? All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Brea Police Department. 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. 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 Many Foreign Service posts are located in remote areas with extremely limited medical support. 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. Certain conditions may require that the employee stay in the United States for longer than 6 years. Ensure the patients name and date of birth is at the top of each page of the exam form. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. 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. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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. ESCAPE posts have limited medical capabilities and personal security risks. If the examination/evaluation is not completed within 90 days, the individual will be issued a Class 8 clearance and will not be eligible for the Medical Program abroad. For more detailed information see Post Specific (Class 2) Clearance Guidance. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Afghanistan Reconciliation, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, 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 Anti-Semitism, Office of the U.S. Special Coordinator for Tibetan Issues, 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 Information Resource Management, Bureau of the Comptroller and Global Financial Services, Office of Emergencies in the Diplomatic and Consular Service, 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, DS-1843 Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel, DS-1843: Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, Medical Clearance Guidance for Deploying to ESCAPE Posts, DS-1843 Medical History and Examination for Foreign Service or Individuals Age 12 or Older, DS-1622 Medical History and Examination for Foreign Service for Children Age 11 and Younger, DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older, DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger. Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. 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 must see reports from your specialists regarding the status of your health or educational issues. The examiner must sign page 4. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. 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. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. 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. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. While an individual may have Worldwide Availability under DOS guidelines, that same individual may not be approved for an ESCAPE post under DOD deployment requirements. An additional sheet of paper may be used if more space is needed. Class 7 is not valid for travel to an assignment abroad. Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. Tips for Your In-Service Medical Clearance Update. 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 Early summer through the fall bidding cycle is the busy season for MED Clearances. 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. 1. 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 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. 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. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Due to political instability, security could be a concern. linked assignment for both current and linked assignment. The Six-Year Rule. Provide a personal, legible e-mail address good for the next 90 days. Include the Medical Records coversheet. 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 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. A TDY medical clearance is valid for 2 years from the date it was issued. After doing the grad school thing, I think I'm ready to take the plunge. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. (Uniform State/USAID/U.S. All blanks need to be filled in. Or fax to 202-647-0292 (less preferred) Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. Do not travel to your next overseas assignment without a valid medical. Reasonable doubt as to loyalty to the U.S. Government. 1 Civic Center Circle. 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. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid travel to localities where medical care is inadequate to meet their needs even if that travel is only for a few days. Getting reports from specialists, hospitals, therapist and schools is time consuming. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. 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. 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. The healthcare provider should review all yes answers on page 2 and provide relevant comments. Do NOT submit to Medical Clearances. . Please send inquiries only to this email address. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. Include the Medical Records coversheet. 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. 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. 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). Complete a DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older form. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! Start collecting this information early. 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.
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