A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. Do NOT submit to Medical Clearances. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. People who have no significant health concerns can be posted anywhere in the world and are given a Worldwide Available (Class 1) clearance. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Do not travel to your next overseas assignment without a valid medical clearance. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/, FAIT Fellowship Application Tip: Dont Skip the Statement of Financial Need, Ask Your Questions at a FAIT Fellowship Virtual Info Session, FAIT Fellowship Applicant Eligibility Checklist, FAIT Fellowship Celebrates Five Years, Five Successful Cohorts. All chronic medical conditions must be listed on page 4 in assessment or problem list section. Sign in to the editor using your credentials or click on Create free account to examine the tool's functionality. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. Clearance Disqualifiers Candidate, Class of 2018 Joy R. Burrell Michigan State University College of Human Medicine M.D. Although qualified students who travel on educational travel orders are eligible for care abroad under the Medical Program up to their 23rd birthday (16 FAM122.2, subparagraph a(2)), their separation examination must be completed within 90 days of their 21st birthday (16 FAM 122.2, subparagraph a(1)). 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. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. Or Fax to 202-647-0292 (less preferred) The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. 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. 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 persons must undergo a full physical exam for their first medical clearance. Make sure the agency (DOS/DOD/USAID etc.) Trafficking in or abuse of narcotics or controlled substances. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. Welcome to the Medi-Cal Provider Home. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). List your prescription medications, hospitalizations, and medical conditions since your last clearance. Via email in a PDF format to MEDMR@state.gov (preferred) Via email in a PDF format to MEDMR@state.gov (preferred) Requests for a 6/8 waiver where neither the employee nor a family member has any special physical or mental health condition that would require the Bureau of Medical Services (MEDs) expertise may be considered by the Committee without MED input. 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. Please be sure that the name, DOB, and email address are all printed clearly. Certain conditions may require that the employee stay in the United States for longer than 6 years. You can also download a PDF document with this information on the Resources page. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Many Health Units do not have a provider, resources, or time to complete a medical clearance. All forms, labs and reports should be in English or with an English translation. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. Insure the patients name and date of birth is at the top of each page of the exam form. In addition to the labs on DS-6561, a Hepatitis C Antibody Screen, and a Hepatitis B Surface Antigen Screen, plus a lipid profile for those 35 or older must be added to the DS-6561 or DS-1843. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid travel to localities where medical care is inadequate to meet their needs even if that travel is only for a few days. Early summer through the fall bidding cycle is the busy season for MED Clearances. Waivers of these DOD requirements may be granted in select cases. The examiner/provider should complete the physical exam and lab portion of the exam. 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. Complete a DS-3057: Medical Clearance Update (MCU) form. 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. f. Incomplete/Cancellation (Class 8): Issued to an individual whose pre-employment medical evaluation is incomplete and the application has been inactive for more than 90 days. 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. Reason to Update a Medical Clearance While In-Service. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. Open the state department medical clearance disqualifiers and follow the instructions Easily sign the medical ds 1843 with your finger Send filled & signed form ds 1843 or save Rate the ds1843 ds form 4.7 Satisfied 139 votes Quick guide on how to complete ds form 1843 Forget about scanning and printing out forms. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. Do NOT include any personal medical information in this communication. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. 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. Consult the Medical Capabilities database and alternatively consult with post directly. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. Criminal, dishonest, or disgraceful conduct. Include the Medical Records coversheet. Yes / No 2. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. The following conditions are listed in the regulations as disqualifying medical conditions; however, in many cases when the condition is adequately controlled, the FAA will issue medical certification contingent on periodic reports. 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. Advisory Commission on Public Diplomacy, Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service, In-Service Medical Clearance Update Guidance, Guidance for a Pre-Employment or Pre-Assignment Medical Clearance, Guidance for Post Specific (Class 2) or Domestic Only (Class 5) Employees, Contractors, and Eligible Family Members, Guidance for Separation or Retirement Examination (Including REA/WAE Applicants). How Long Will the In-Service Clearance Process Take? 1 Civic Center Circle. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. All employees including Locally Employed Staff, contractors and Eligible Family Members who will be posted to a designated ESCAPE posts for 30 or more consecutive days are required to obtain a medical clearance. An official website of the United States Government, Office of the U.S. 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.. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. 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. Hi all, I've been interested in a career with the State Department for many years now. 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. Foreign Service Officer Candidates and EFMs of one of the 5 Foreign Affairs Agencies1, Limited Non-Career Appointees, Contractors, Civil Service, Locally Employed Staff, Personnel from Non-Foreign Service Government Agencies, and EFMs. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. Your CDO or agency HR will send your list to MED Clearances. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Such requests should be submitted no earlier than May prior to the new bidding cycle and no later than 30 days prior to the bid due date. When to Start the In-Service Clearance Process. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. 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. Due to political instability, security could be a concern. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. While a candidate may effectively manage a chronic health condition or limitation within the United States or in specific areas outside of the U.S., the Office of Medical Services might well determine that the same individual is not eligible for a worldwide (Class One) medical clearance. Provide explanations in section IIA on page 2 or on a separate sheet of paper. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice.If done overseas insure that the all sections, labs and reports are in English. For information on how to schedule an appointment with the Exam Clinic, contact. Review the list of posts submitted by the CDO or agency HR. In addition, MED encourages you to have your exam at your future medical providers office so that you can establish a medical relationship with your new provider. Send all medical forms and reports to MEDMR@state.gov. Consult the Medical Capabilities database and alternatively consult with post directly. 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. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. These are DOD medical standards. Please print your email legibly. 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