An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. (CT:MED-41; 03-07-2019) The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. Reasons for a Separation or Retirement Exam. 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. Or fax to 202-647-0292 (less preferred) After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. An MCU can be submitted to your health unit (preferred) or directly submitted to. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. The examiner/provider should complete the physical exam and lab portion of the exam. Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. After doing the grad school thing, I think I'm ready to take the plunge. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. All foreign reports must be in English or translated into English. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. Candidate, Class of 2018 Joginder Singh Medical Before beginning the physical examination, candidates must provide proof of medical clearance to participate in the physical exam. Travel orders are not required to start the process. Documented medical conditions precluding medical clearance. 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. Many Foreign Service posts are located in remote areas with extremely limited medical support. Employees and their EFMs of one of the 5 Foreign Service Agencies must complete a: Employees, LE Staff, Contractors, and EFMs who are Non-Foreign Service Personnel must complete a: Persons holding a current valid ESCAPE medical clearance and are extending their tour at an ESCAPE post must complete the below documents annually. Failure to have all family members medical clearance in order may delay your travel orders. 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. Please be sure that the name, DOB, and email address are all printed clearly. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. Many Health Units do not have a provider, resources, or time to complete a medical clearance. Contacting your assignments officer in Human Resources for your agency. Include the Medical Records coversheet. You may begin submitting documents up to one year prior to departing your current post or domestic assignment. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . The examiner must sign and date page 4 of the DS-1843. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. 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. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. Please print your email legibly. Inform your CDO or Agency HR of approval determinations. Reasonable doubt as to loyalty to the U.S. Government. . 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. Include the Medical Records coversheet. The Six-Year Rule. The time needed for security clearance determination processing varies depending on a number of factors. 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. Do. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. This exam is recommended but not mandatory. Sending forms and reports to the wrong email address results in confusion. ESCAPE Post(s) of Assignment is REQUIRED. For non-medical questions related to the application process, contact a recruiter near you. 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. 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. ESCAPE posts have limited medical capabilities and personal security risks. Class 7 is not valid for travel to an assignment abroad. Review posts with the clinicians in Clearances. Failure to have all family members medical clearance in order may delay your travel orders. The healthcare provider must print or stamp their name, as well as sign and date page 4. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. 1 year after arrival at post for all individuals deploying to an ESCAPE post. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. 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. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. 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. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Please consider this list as a factor in your decision to apply. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. This is accessible to Department of State Employees only. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. The healthcare provider should review all yes answers on page 2 and provide relevant comments. Do not travel to your next overseas assignment without a valid medical clearance. 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. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. 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 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. Sending forms and reports to the wrong email address results in confusion. CONUS Option: The employee and EFMs are encouraged to have the separation medical exam completed by their private medical provider in the US. 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. 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. Read more about the other eligibility requirements in this article and on the How to Apply web page. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. (Uniform State/USAID/U.S. 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. 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 All individuals going to these posts must meet strict medical standards. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. The Director General has delegated the authority to grant such a waiver to the Director of HR/CDA (Bureau of Human Resources, Office of Career Development and Assignments) by memorandum dated August 8, 2005. 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. Any documentation should be submitted well in advance of bidding season. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. 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. Those individuals will remain in a pending status. There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. 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 items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Angina pectoris Bipolar disease Cardiac valve replacement For information on how to schedule an appointment with the Exam Clinic, contact. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. 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. The individual, parent or guardian should complete the first two pages of each form. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. Individuals who already have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply documentation of the issues with status and treatment plan while abroad. How Long is an ESCAPE Post Clearance Valid? All blanks need to be filled in. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. When to Start the In-Service Clearance Process. Brea Police Department. 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. 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. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. 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. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. Medical Clearance Notices will be sent to your e-mail address you place on your form. A missing signature will delay the medical clearance review process. For additional questions, contact pre-serviceunit@peacecorps.gov or 202-692-1504. Persons who are not an ESCAPE post at the time of their medical clearance renewal must complete the below documents: Employees and their EFMs of one of the 5 Foreign Service Agencies: Employees, LE Staff, Contractors, and EFMs who are non-Foreign Service Personnel: Submit all medical documentation to Medical Records. Tips for Your In-Service Medical Clearance Update. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Early summer through the fall bidding cycle is the busy season for MED Clearances. 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