. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. 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. Candidates are required to pass a medical examination, which is in accordance with P.O.S.T. MED Clearances will issue a Domestic Assignment Only (Class 5) clearance for medical, mental health or educational issues where appropriate care is best obtained in the United States. Show details How it works Open the ds1843 and follow the instructions Easily sign the 1843 form with your finger Send filled & signed ds 1843 pdf or save Rate the rent increase form 4.7 Satisfied 135 votes The attainment of U.S. foreign policy objectives depends substantially on the confidence of the public (both American and foreign) in the individuals selected to serve in the Foreign Service. 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. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. 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. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! DOD deployment requirements are generally stricter than DOS medical clearance guidelines. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. Travel orders are not required to start the process. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. ESCAPE posts have limited medical capabilities and personal security risks. Schools are often closed during American summer months, so the process needs to start well before the end of the school year for children with educational issues. The Eight-Year Rule. Unfortunately, about two years ago I was diagnosed with Crohn's disease. 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. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. Who Should Use a Medical Clearance Update Form? Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. 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. For How Long is a Medical Clearance Valid? The purpose of this SOP is to establish procedures and criteria for considering requests for waivers of the requirement for overseas service, (1) after six years of continuous domestic assignments, and (2) after eight years of continuous domestic assignments. Additional countries can be submitted after the first 15 have been reviewed. Make sure the agency (DOS/DOD/USAID etc.) It is your clearance. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Where Can I Look Up My Current Clearance? 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. The examiner/provider should complete the physical exam and lab portion of the exam. 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. This is not guaranteed. 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. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. Take charge! Do NOT submit your bids to MED Clearances. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. 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. Review the list of posts submitted by the CDO or agency HR. 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. This is a medical-legal requirement. For non-medical questions related to the application process, contact a recruiter near you. 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 . 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. Please print your email legibly. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. 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. If your child has educational needs or receives SNEA, reach out to the school and other specialists working with your child for recent documentation ideally well before school staff departs for the summer break and much of the staff is not at school. 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. In the spirit of that requirement prolonged continuous service domestically of greater than six years requires permission from Human Resources. The waiver justification need only provide enough information from the employee and/or MED to demonstrate a strong basis for the request to enable the Committee to make are commendation. Brea, CA 92821. You will find below information about the Peace Corps' medical clearance process. Weve compiled a list ofFrequently Asked Questions. An MCU can be submitted to your health unit (preferred) or directly submitted to. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. The Office of Medical Services (MED) determines approval for assignment to a specific post based on the criteria above. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. 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. This is accessible to Department of State Employees only. How Long Will the In-Service Clearance Process Take? This brief, two-page document requires does not require a physical exam. Criminal, dishonest, or disgraceful conduct. People who have no significant health concerns can be posted anywhere in the world and are given a Worldwide Available (Class 1) clearance. Waiting well into that time frame may result in a longer processing time. 1 year after arrival at post for all individuals deploying to an ESCAPE post. Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. Medical Clearance related medical expenses can 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. Main Line: 714-990-7625. Individuals extending at an ESCAPE post have a medical clearance valid for one year from the date of issuance. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. 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. Medical Clearance Notices will be sent to your e-mail address you place on your form. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. Do NOT submit bids to Medical Clearances. 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). You can also download a PDF document with this information on the Resources page. Document rationale for Post Approvals and/or Disapprovals. 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/. As a result, stress levels among employees may be very high. Review posts with the clinicians in Clearances. Include the Medical Records coversheet. 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. Certain conditions may require that the employee stay in the United States for longer than 6 years. Some countries have inadequate infrastructures such as a poor or negligible public health care system, poor sanitation, unreliable electricity and a lack of potable water. 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. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. Additional countries can be submitted after the first have been reviewed. The following information will help explain the process of completing a Separation Exam. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. Many Foreign Service posts are located in remote areas with extremely limited medical support. Please send inquiries only to this email address. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. 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