However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. 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. Pertinent sections of the Department of State Human Resources SOP A-04 state: The Foreign Service Act of 1980, as amended, 22 U.S.C.3901 et seq., requires all Foreign Service employees to serve a substantial portion of their careers overseas and limits the number of years Foreign Service employees can spend in continuous domestic assignments. For information on how to schedule an appointment with the Exam Clinic, contact. Unfortunately, about two years ago I was diagnosed with Crohn's disease. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program. 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 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. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. Reasons for a Separation or Retirement Exam. 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 . Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. It can be a very . The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. The healthcare provider should review all yes answers on page 2 and provide relevant comments. CONUS-based TDY and WAE/REA should list all known posts they will travel to. Some posts could face extreme isolation due to limited air and other transportation services, and unreliable Internet, telecommunications and postal and delivery systems. Individuals with no health issues should be notified after review that they have a Worldwide Available (Class 1) clearance. 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. 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. 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. All employees including Locally Employed Staff, contractors and Eligible Family Members who will be posted to a designated ESCAPE posts for 30 or more consecutive days are required to obtain a medical clearance. Include the Medical Records coversheet. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. (Uniform State/USAID/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. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . 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. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). Provide a personal, legible e-mail address good for the next 90 days. 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. Angina pectoris Bipolar disease Cardiac valve replacement Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. 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. Early summer through the fall bidding cycle is the busy season for MED Clearances. Fellows will receive decisions on their medical clearances from the State Department. Add the DS-3057 Medical Clearance Update for redacting. For How Long is a Medical Clearance Valid? You may start one year prior to departing for your next overseas assignment. A TDY medical clearance is valid for 2 years from the date it was issued. As a result, stress levels among employees may be very high. EFMs, age 18 and over, must provide their own email address for privacy reasons. The examinee, parent or guardian must sign and date page 2 of the DS-1843. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. This reduces the need for medical travel due to lack of local health resources and limits the number of curtailments for pre-existing medical conditions. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. All chronic medical conditions must be listed on page 4 in assessment or problem list section. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. You should list any posts you may travel to. The process for completing a Pre-employment or Pre-assignment medical clearance varies by on t employment status and where you are going. 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. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! All blanks need to be filled in. 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. Employees or eligible family members with a Class 5 medical clearance may not be [] Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. 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. Get involved! Please be sure that the name, DOB, and email address are all printed clearly. 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. 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. 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. 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. 3901 et seq., requires all Foreign Service employees to serve a substantial portion of their careers overseas, and limits the number of years Foreign Service employees can spend in continuous domestic service. 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. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment 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. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Criminal, dishonest, or disgraceful conduct. Take charge! 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. . Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. 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. Yes / No 2. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. 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. The healthcare provider must also review all current medications, dosages and frequency of use. Provide explanations in section IIA on page 2 or on a separate sheet of paper. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). List your prescription medications, hospitalizations, and medical conditions since your last clearance. 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. All personnel must update their medical clearance prior to departure for a new overseas assignment. Or fax to 202-647-0292 (less preferred) 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). Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). 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. Please print your email legibly. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. Tips for Your Separation Medical Examination. 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. The examiner must sign and date page 4 of the DS-1843. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. 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. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. As soon as you are selected for the Fellowship, the Department of State will request that you complete and submit an application within about two weeks. 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. Do not travel to your next overseas assignment without a valid medical. A description of the Peace Officer Selection Requirements Regulations can be found here. 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. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. 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. Brea, CA 92821. Due to political instability, security could be a concern. For children with special educational needs, starting early is important. 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. If you are an institutional contractor, write the name of the specific contracting company or NGO. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. 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. All foreign reports must be in English or translated into English. Include the Medical Records coversheet. 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. 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. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. 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 missing signature will delay the medical clearance review process. It is your clearance. All direct hire employees, Locally Employed Staff, contractors, and Eligible Family Members who will be posted to a designated ESCAPE posts for 30 or more consecutive days are required to obtain a more comprehensive medical clearance than other posts. For additional questions, contact pre-serviceunit@peacecorps.gov or 202-692-1504. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. Tips for Your In-Service Medical Clearance Update. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. 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 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. 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. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. Do. 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 Eight-Year Rule. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. Clearly print the persons name on each page submitted to Medical Records. Are You Eligible to Apply for the Foreign Affairs IT Fellowship? Include the Medical Records coversheet. Failure to have all family members medical clearance in order may delay your travel orders. Common Disqualifying Medical Conditions This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. ESCAPE posts have limited medical capabilities and personal security risks. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. Do NOT submit to Medical Clearances. Weve compiled a list ofFrequently Asked Questions. The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. Inform your CDO or Agency HR of approval determinations. Do NOT submit bids to Medical Clearances. There are often no blood banks or limited medical supplies and medications available locally. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. For further questions or information, please contact MEDClearances@state.gov. . For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. For further questions or information, please contact MEDClearances@state.gov. 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. Noncommercial Class A and B Drivers . For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Consult the Medical Capabilities database and alternatively consult with post directly. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. 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. What medical conditions does FAA consider disqualifying? 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. The healthcare provider must print or stamp their name, as well as sign and date page 4. 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. 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.
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