The healthcare provider must also review all current medications, dosages and frequency of use. Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. 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. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. a. For further questions or information, please contact MEDClearances@state.gov. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. 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. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. Do NOT include any personal medical information in this communication to HR, only the posts you wish to bid upon. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. For further questions or information, please contact MEDClearances@state.gov. 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. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Page 2 must be signed and dated. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. 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. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. Many Health Units do not have a provider, resources, or time to complete a medical clearance. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. 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. 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. 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. The examiner must sign and date page 4 of the DS-1843. Main Line: 714-990-7625. Employees and Contractors have the right to appeal any Post-Approval decision. People who have no significant health concerns can be posted anywhere in the world and are given a Worldwide Available (Class 1) clearance. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. A description of the Peace Officer Selection Requirements Regulations can be found here. 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. EFMs, age 18 and over, must provide their own email address for privacy reasons. Insure the patients name and date of birth is at the top of each page of the exam form. Where Can I Look Up My Current Clearance? 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. 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. The examiner/provider should complete the physical exam and lab portion of the exam. Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. Your CDO or agency HR will send your list to MED Clearances. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. 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. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. 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. How Long is an ESCAPE Post Clearance Valid? Document rationale for Post Approvals and/or Disapprovals. 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. Review the list of posts submitted by the CDO or agency HR. A missing signature will delay the medical clearance review process. Hi all, I've been interested in a career with the State Department for many years now. A TDY medical clearance is valid for 2 years from the date it was issued. It is your clearance. Not all agencies human resources have this capability. There may be no health unit at the post and next to no local medical facilities. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. Shreds security and medical sensitive materials as directed including medical reports and old chronological files. The Eight-Year Rule. If you are an institutional contractor, write the name of the specific contracting company or NGO. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. 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. All blanks need to be filled in. 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. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). Certain conditions may require that the employee stay in the United States for longer than 6 years. A missing signature will delay the medical clearance review process. Add the DS-3057 Medical Clearance Update for redacting. Sending forms and reports to the wrong email address results in confusion. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. 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. Reasons for a Separation or Retirement Exam. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid to travel to localities where medical care is inadequate to meet their needs. 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. Class 7 is not valid for travel to an assignment abroad. 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. 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. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. Send all medical forms and reports to MEDMR@state.gov. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. This exam is recommended but not mandatory. How Long Will the In-Service Clearance Process Take? 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. 2 years after an issuance of a medical clearance to all individuals who perform TDY travel of 30 or more consecutive days to an ESCAPE post. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Tips for Your In-Service Medical Clearance Update. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. Inform your CDO or Agency HR of approval determinations. The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. All foreign reports must be in English or translated into English. 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. Travel orders are not required to start the process. Submit internal consults or reach out to you for additional data, as needed. 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. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. 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. Travel orders are not required to start the process. Employees or eligible family members with a Class 5 medical clearance may not be [] Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. 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