The Suitability Review Panel has the authority to terminate your candidacy. 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. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. Many Foreign Service posts are located in remote areas with extremely limited medical support. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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. Our Mission. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. 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. Additional countries can be submitted after the first have been reviewed. Yes / No 2. 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. Do NOT include any personal medical information in this communication. You can determine you or your family members medical clearance status by: An official website of the United States Government, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-1843: Medical History and Examination Form, DS 1843: Medical History and Examination Form, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, DS 1843: Medical History and Examination Form Over 12 Years of Age, DS-1622: Medical History and Examination for Children Age 11 and Younger, Office of the U.S. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. Inform your CDO or Agency HR of approval determinations. 1 Civic Center Circle. is entered. All blanks need to be filled in. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). The process for completing an ESCAPE post clearance varies by your employment status and where you are going. For How Long is a Medical Clearance Valid? Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. The examiner must sign page 4. 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. Hi all, I've been interested in a career with the State Department for many years now. Submit internal consults or reach out to you for additional data, as needed. (Uniform State/USAID/U.S. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. 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. This is a medical-legal requirement. Keep original documents for your permanent files. 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. 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. . List your prescription medications, hospitalizations, and medical conditions since your last clearance. ESCAPE Post(s) of Assignment is REQUIRED. Make sure the agency (DOS/DOD/USAID etc.) Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. Submit internal consults or reach out to you for additional data, as needed. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. Take charge! All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. 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. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. Applications are . Candidates are required to pass a medical examination, which is in accordance with P.O.S.T. 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. Allergies must also be reviewed. Clearly print the persons name and date of birth on each page submitted to Medical Records. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. In evaluating suitability, the Suitability Review Panel takes into consideration the following factors: More information about clearances can be found at https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/. The examiner/provider should complete the physical exam and lab portion of the exam. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. 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 The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. All individuals going to these posts must meet strict medical standards. 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. Contractors and DOD Civilians should contact their sponsors human resources. 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. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. There are often no blood banks or limited medical supplies and medications available locally. 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. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. All chronic medical conditions must be listed on page 4 in assessment or problem list section. 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. 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. Plaza Level. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. Start collecting this information early. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. Include the Medical Records coversheet. Review the list of posts submitted by the CDO or agency HR. Or fax to 202-647-0292 (less preferred) The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. All foreign reports must be in English or translated into English. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. 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. Please be sure that the name, DOB, and email address are all printed clearly. Documented medical conditions precluding medical clearance. Close. You should list any posts you may travel to. The following information will help explain the pre-employment/pre-assignment process. Class 7 is not valid for travel to an assignment abroad. Due to political instability, security could be a concern. 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. 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. Conduct which clearly shows poor judgment and or lack of discretion which may reasonably affect an individual or the agencys ability to carry out its responsibilities or mission. There may be no health unit at the post and next to no local medical facilities. 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. Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. 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. 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. These are DOD medical standards. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Failure to have all family members medical clearance in order may delay your travel orders. c. Domestic Only (Class 5): Issued to all who have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Ensure the patients name and date of birth is at the top of each page of the exam form. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). 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. 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