Start collecting this information early. The list is not inclusive, but rather reflects the conditions that most commonly arise. This exam is recommended but not mandatory. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. Tips for Your In-Service Medical Clearance Update. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. Do. 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). Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. 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. All persons posted overseas or on TDY travel for 30 or more consecutive days must have a valid medical clearance before they can access a posts Health Unit and other Medical Program benefits including assistance with a medical evacuation or hospitalization. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. In addition, individuals changing sponsoring agencies, deploying to an ESCAPE post, separating from the Federal Government, or becoming a REA/WAE employee are treated as new employees and will need to complete a full pre-employment or pre-assignment exam. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. Coordinator for the Arctic Region, Bureaus and Offices Reporting Directly to the Secretary, Office of the Coordinator for Cyber Issues, Office of the U.S. Ask questions! Take charge! The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Make sure the agency (DOS/DOD/USAID etc.) Brea, CA 92821. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. linked assignment for both current and linked assignment. Brea Police Department 1 Civic Center Circle Plaza Level Brea, CA 92821 Main Line: 714-990-7625 Non-Emergency: 714-990-7911 Fax: 714-990-7950 Emergency: 911 MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. Ask questions! For additional questions, contact pre-serviceunit@peacecorps.gov or 202-692-1504. Please print your email legibly. The healthcare provider must print or stamp their name, as well as sign and date page 4. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. ESCAPE posts have limited medical capabilities and personal security risks. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. 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. A TDY medical clearance is valid for 2 years from the date it was issued. A medical clearance physical exam can be completed by a licensed medical provider or at the Department of State Exam Clinic in Washington DC. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. The individual, parent or guardian should complete the first two pages of each form. 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. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) 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. 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. Read more about the other eligibility requirements in this article and on the How to Apply web page. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. Candidates who hold dual citizenship, have had extensive travel, education, residence and/or employment overseas, or who have foreign contacts, a foreign-born spouse, immediate family members, or relatives who are not citizens of the United States, should be aware that the clearance process will take longer to complete. 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 on-going medical, mental health, or special educational issues for which adequate resources may not be available at a specific post. Or fax to 202-647-0292 (less preferred) Parts 160 and 164. This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. 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. 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. This exam is recommended but not mandatory. 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 The name of the examinee (employee, contractor, LES or EFM) and DOB must appear at the top of each page 2, 3, & 4. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. The point of contact in MED is the Director of Medical Clearances, 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. 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.. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. All personnel must update their medical clearance prior to departure for a new overseas assignment. ESCAPE posts have limited medical capabilities and personal security risks. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. For information on how to schedule an appointment with the Exam Clinic, contact. 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. Medical providers (examiners) should check the box if the individual is fit or is not fit to work in the conditions stated on page 1 of the, moving from one overseas assignment to another overseas assignment, moving from a domestic assignment to a new overseas assignment, on TDY overseas for more than 30 consecutive days, taking language or extended CONUS training the clearance is for the assigned post after language training. 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. Unsigned forms will not be accepted by Medical Records. All forms, labs and reports should be in English or with an English translation. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. The healthcare provider should review all yes answers on page 2 and provide relevant comments. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Once employee obtains verification of ICASS medical program participation, submit the signed: 3308.5: Institutional Contractor ICASS Verification Form, The healthcare provider should review all yes answers on page 2 of the. The individual, parent or guardian should complete the first two pages of each form. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. 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 . 1. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. Take charge! MEDICAL CLEARANCE UPDATE ESTIMATED BURDEN: 30 MINUTES* PRIVACY ACT NOTICE AUTHORITIES: The information is sought pursuant to the Foreign Service Act of 1980, as amended (Title 22 U.S.C.4084). A MED Clearances Clearance Consultant assigned to you will: Post Approval Process for employees of non-Foreign Service agencies, CONUS-based TDY, WAE/REAs, contractors and their EFMs with a Post Specific (Class 2) Clearance. For further questions or information, please contact MEDClearances@state.gov. Where a particular physical or mental health condition, extraordinary stress, or similar circumstances a represented as the justification for a 6/8 waiver, MED or an outside medical professional must confirm the basis for the A-4.4A-04 revised 01/2018 request. That follow-up must be approved for their post of assignment personal security risks examiner/provider should complete the first pages. State posts worldwide individual, parent or guardian should complete the physical exam can be completed by a specialist Health. Is valid for 2 years from the date it was issued all diagnoses. A candidate is medically eligible for assignment to all Department of State exam Clinic contact! 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