The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. 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. There may be no health unit at the post and next to no local medical facilities. Confidential Medical Information. Have a question about medical clearances? Send all medical forms and reports to MEDMR@state.gov. Inform your CDO or Agency HR of approval determinations. 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. . ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. 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. 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. Getting reports from specialists, hospitals, therapist and schools is time consuming. 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. Sending forms and reports to the wrong email address results in confusion. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Insure the patients name and date of birth is at the top of each page of the exam form. There are often no blood banks or limited medical supplies and medications available locally. All individuals going to these posts must meet strict medical standards. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. 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. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. 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). 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)). Page 2 must be signed and dated. 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. 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. 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 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. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. Employees and Contractors have the right to appeal any Post-Approval decision. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. 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. Please check the signature area. 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). Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. 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 ESCAPE posts have limited medical capabilities and personal security risks. Brea Police Department. 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. 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. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. 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. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Please consider this list as a factor in your decision to apply. 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. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. 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. Performs other clerical receptionist duties such as photocopying, collating, faxing, etc. How Long is an ESCAPE Post Clearance Valid? MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Via email in a PDF format to MEDMR@state.gov (preferred) Take charge! 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. MED Clearances strives to review an employee, contractor or EFM initial documentation within 30 days after documents have been uploaded and indexed by MED Records. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. DOS Medical Guidelines and DOD Medical Deployment Requirements. Posted by 5 years ago. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Include the Medical Records coversheet. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). While not required for Iraq, these are advised for possible travel to other ESCAPE posts. Or Fax to 202-647-0292 (less preferred) Class 7 is not valid for travel to an assignment abroad. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. Reason to Update a Medical Clearance While In-Service. Ensure the patients name and date of birth is at the top of each page of the exam form. 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. The healthcare provider should review all yes answers on page 2 and provide relevant comments. 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. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). Early summer through the fall bidding cycle is the busy season for MED Clearances. The name of the examinee (employee, contractor, LES or EFM) and DOB must appear at the top of each page 2, 3, & 4. Fellows will receive decisions on their medical clearances from the State Department. The examiner/provider should complete the physical exam and lab portion of the exam. Individuals extending at an ESCAPE post have a medical clearance valid for one year from the date of issuance. Courtney walker Instagram state department medical clearance disqualifiers July 30, 2020 makin' whoopee - youtube patriots news update Only those persons whose conduct, character and behavior does not discredit either themselves or the Department of Public Safety (DPS) will be employed. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. 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. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. The individual, parent or guardian should complete the first two pages of each form. Documented medical conditions precluding medical clearance. Shreds security and medical sensitive materials as directed including medical reports and old chronological files. Do NOT submit your bids to MED Clearances. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. 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 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. All blanks need to be filled in. Your CDO or agency HR will send your list to MED Clearances. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. Candidates who do not receive a security clearance are ineligible for the fellowship. Individuals who currently have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply supporting documentation of their condition and treatment plan. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) Please check the signature area. The individual, parent or guardian should complete the first two pages of each form. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Reasonable doubt as to loyalty to the U.S. Government. Medical Clearance Notices will be sent to your e-mail address you place on your form. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. CONUS based individuals who do TDY travel to ESCAPE posts for 30 or more consecutive days have a medical clearance valid for two years from the date of issuance. Contacting your assignments officer in Human Resources for your agency. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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 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. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. Add the DS-3057 Medical Clearance Update for redacting. Via email in PDF format to MEDMR@state.gov (preferred) Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. A medical clearance physical exam can be completed by a licensed medical provider or at the Department of State Exam Clinic in Washington DC. 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. Tips for Your In-Service Medical Clearance Update. Consult the Medical Capabilities database and alternatively consult with post directly. Close. 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