The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. The Suitability Review Panel has the authority to terminate your candidacy. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. Tips for Your Separation Medical Examination. After doing the grad school thing, I think I'm ready to take the plunge. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. 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 abroad including coordination of a medical evacuation or hospitalization. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. A TDY medical clearance is valid for 2 years from the date it was issued. 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. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. 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. Read more about the other eligibility requirements in this article and on the How to Apply web page. Inform your CDO or Agency HR of approval determinations. Where a particular physical or mental health condition, or extraordinary stress, or similar circumstances are presented as the justification for a 6/8 waiver, MED or an outside medical professional must confirm the basis for the request. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. 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. Add the DS-3057 Medical Clearance Update for redacting. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. 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.. Documented medical conditions precluding medical clearance. 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. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). Ask questions! ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. 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. All personnel and their EFMs who have been issued a medical clearance in the past must update their clearance prior to departure for a new overseas assignment. Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. Do NOT include any personal medical information in this communication to HR, only the posts you wish to bid upon. All personnel must update their medical clearance prior to departure for a new overseas assignment. 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 medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Afghanistan Reconciliation, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, 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 Anti-Semitism, Office of the U.S. Special Coordinator for Tibetan Issues, 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 Information Resource Management, Bureau of the Comptroller and Global Financial Services, Office of Emergencies in the Diplomatic and Consular Service, 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, DS-1843 Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel, DS-1843: Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, Medical Clearance Guidance for Deploying to ESCAPE Posts, DS-1843 Medical History and Examination for Foreign Service or Individuals Age 12 or Older, DS-1622 Medical History and Examination for Foreign Service for Children Age 11 and Younger, DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older, DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger. 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. Clearly print the persons name and date of birth on each page submitted to Medical Records. Get involved! 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. Send all medical forms and reports to MEDMR@state.gov. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. You may begin submitting documents up to one year prior to departing your current post or domestic assignment. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. Take charge! Include the Medical Records coversheet. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Take charge! Waiting well into that time frame may result in a longer processing time. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Foreign Service Officers are required to serve much of their career overseas. The Eight-Year Rule. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. All individuals going to these posts must meet strict medical standards. 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. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. Angina pectoris Bipolar disease Cardiac valve replacement Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. Medical Clearance prior . The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. 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. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. Ensure the patients name and date of birth is at the top of each page of the exam form. Applications are . 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. The process considers such factors as: failure to repay a U.S. Government guaranteed loan or meet tax obligations; failure to register for the Selective Service; past problems with credit or bankruptcy; unsatisfactory employment records; a criminal record or other violations of the law; drug or alcohol abuse; and less than honorable discharge from the armed forces. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Consult the Medical Capabilities database and alternatively consult with post directly. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. For further questions or information, please contact MEDClearances@state.gov. 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