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. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. Indicating the ESCAPE post(s) of assignment is REQUIRED. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. The Suitability Review Panel has the authority to terminate your candidacy. If you are going on TDY, indicate if you are CONUS-based, any possible ESCAPE posts you may travel to, and estimated duration of your TDY. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. 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. Include the Medical Records coversheet. 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. Jump to: Medical clearance process overview About the Health History Form The healthcare provider should review all yes answers on page 2 and provide relevant comments. 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. 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. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. Consult the Medical Capabilities database and alternatively consult with post directly. 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. Medical Clearance Questions. During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. 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. 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. 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 . After doing the grad school thing, I think I'm ready to take the plunge. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. The purpose of the suitability review is to determine, from the candidates total record, whether the candidate is indeed suitable to represent the United States. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. Non-Emergency: 714-990-7911. 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. A description of the Peace Officer Selection Requirements Regulations can be found here. Inform your CDO or Agency HR of approval determinations. 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 medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. For information on how to schedule an appointment with the Exam Clinic, contact. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Unfortunately, about two years ago I was diagnosed with Crohn's disease. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. The Eight-Year Rule is set forth in the Foreign Service Act at 504, 22U.S.C.3984, which states, A member of the Service may not be assigned to duty within the United States for any period of continuous service exceeding eight years unless the Secretary approves an extension of such period for that member because of special circumstances.. 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. The Foreign Service Act of 1980, as amended, 22 U.S.C. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Noncommercial Class A and B Drivers . The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Reasonable doubt as to loyalty to the U.S. Government. 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. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. Send all medical forms and reports to MEDMR@state.gov. The list is not inclusive, but rather reflects the conditions that most commonly arise. Our Mission. The individual, parent or guardian should complete the first two pages of each form. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. 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 Clearly print the persons name and date of birth on each page submitted to Medical Records. Do not travel to your next overseas assignment without a valid medical clearance. Inform your CDO or Agency HR of approval determinations. Submit internal consults or reach out to you for additional data, as needed. 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. Post Approval Process for Foreign Service Officers, Limited Non-Career Assignment, Foreign Service Fellows or their Eligible Family Members with a Post Specific (Class 2) Clearance. Provide a personal, legible e-mail address good for the next 90 days. For children with special educational needs, starting early is important. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. 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. 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. Consult the Medical Capabilities database and alternatively consult with post directly. The Eight-Year Rule. 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 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. This includes those who retire/separate, move to another agency, divorce an FSO, or age out of the MED program at age 21 years. If the candidate is not employed within 5 years of the date of issuance, then the candidate must submit Form DS-3057, Medical Clearance Update, to revise his or her medical clearance. Additional countries can be submitted after the first 15 have been reviewed. The Six-Year Rule is set forth in 3 FAH-1 H-2423.2, which states that continuous domestic assignments may not exceed six years without a waiver from the Director General. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. All individuals going to these posts must meet strict medical standards. 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. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. Ask questions! 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