Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. 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. The purpose of the suitability review is to determine, from the candidates total record, whether the candidate is indeed suitable to represent the United States. Certain conditions may require that the employee stay in the United States for longer than 6 years. 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. CONUS Option: The employee and EFMs are encouraged to have the separation medical exam completed by their private medical provider in the US. An employee, contractor or Eligible Family Member (EFM) may start up-dating their medical clearance process up to one year prior to departing for their next overseas assignment or training. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Due to political instability, security could be a concern. 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. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. Employees or eligible family members with a Class 5 medical clearance may not be [] Reasons for a Separation or Retirement Exam. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. All personnel must update their medical clearance prior to departure for a new overseas assignment. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. It is your 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 name of the examinee (employee, contractor, LES or EFM) and DOB must also appear at the top of each page 2, 3, and 4. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. All blanks need to be filled in. When to Start the In-Service Clearance Process. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. 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 If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. 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. Who Should Use a Medical Clearance Update Form? Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. If a person is not Worldwide Available, MED Clearances will issue a Post Specific (Class 2) with a list of approved countries or a Domestic Only (Class 5) medical clearance for those whose care is best only with a domestic assignment. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. Get involved! The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. Trafficking in or abuse of narcotics or controlled substances. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. Review posts with the clinicians in Clearances. All individuals going to these posts must meet strict medical standards. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. Have a question about medical clearances? Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. (Uniform State/USAID/U.S. 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. The Six-Year Rule. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. A missing signature will delay the medical clearance review process. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. Are You Eligible to Apply for the Foreign Affairs IT Fellowship? 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. While an individual may have Worldwide Availability under DOS guidelines, that same individual may not be approved for an ESCAPE post under DOD deployment requirements. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. Clearly print the persons name on each page submitted to Medical Records. The waiver request should be sent to the CDO, who will forward it to the Five/Eight Committee. If you are TDY indicate if you are CONUS or overseas based, all possible ESCAPE posts you may travel to, and the estimated duration of your TDY stay. Do not travel to your next overseas assignment without a valid medical clearance. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. 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. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. So before you apply to the program, you should be aware of the clearances that you must be able to obtain and maintain to stay in the program. EFMs, age 18 and over, must provide their own email address for privacy reasons. Where Can I Look Up My Current Clearance? Via email in PDF format to MEDMR@state.gov (preferred) The individual, parent or guardian should complete the first two pages of each form. 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 Welcome to the Medi-Cal Provider Home. For information on how to schedule an appointment with the Exam Clinic, contact. 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. Your CDO or agency HR will send your list to MED Clearances. An additional sheet of paper may be used if more space is needed. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. There are several extra steps involved in bidding on overseas jobs if you or one of your Eligible Family Members (EFM) has a Post Specific (Class 2) Medical Clearance. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. This exam is recommended but not mandatory. The healthcare provider must also review all current medications, dosages, and frequency of use. 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. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. The majority of people who have no significant health concerns and can be posted anywhere in the world. extending at an ESCAPE post, the MCU (plus, any individual who has had a new medical condition that may affect their medical clearance at the posting they are currently at or will be posted to. They will only need to submit once during the two years their clearance is valid. 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. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. The following information will help explain the pre-employment/pre-assignment process. (CT:MED-41; 03-07-2019) 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. 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. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. How Long is an ESCAPE Post Clearance Valid? All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Do. 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. For How Long is a Medical Clearance Valid? Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Documented medical conditions precluding medical clearance. Indicating the ESCAPE post(s) of assignment is REQUIRED. 1. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. Confidential Medical Information. 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. 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