You may begin submitting documents up to one year prior to departing your current post or domestic assignment. Take charge! Review the list of posts submitted by the CDO or agency HR. The medical examination performed at the time of separation from the Medical Program serves to identify medical conditions that may have developed during service abroad. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. Passing FS Medical Clearance. 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.. The healthcare provider should review all yes answers on page 2 and provide relevant comments. 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 foreign preference is comparable to foreign influence. Our Mission. The only difference is that top-secret applicants receive more analysis and scrutiny compared to confidential security applicants. 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 Special Envoy for Critical and Emerging Technology, Office of the U.S. The examinee, parent or guardian must sign and date page 2 of the DS-1843. If a qualified mental health professional has made a diagnosis and that diagnosis may interfere with judgment, reliability, or stability the clearance status is at risk. Document rationale for Post Approvals and/or Disapprovals. Service members applying for secret clearance (along with confidential clearance) must provide five years worth of information. All chronic medical conditions must be listed on page 4 in assessment or problem list section. A deliberate omission, concealment, or falsification of relevant and material facts from a questionnaire is among the security clearance disqualifiers. If you have questions, please send us an email at FAITFellowship@twc.edu. Confidential Medical Information. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. Related Article DEVGRU: 7 things you didnt know about SEAL Team 6. Medical Clearance related medical expenses can be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and Explanation of Benefits to Medical Claims at MEDClaims@state.gov. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. If you are going on TDY, indicate if you are CONUS-based, any possible ESCAPE posts you may travel to, and estimated duration of your TDY. Basically, the DOD wants to establish that you are honest and trustworthy based on previous behavior. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Criminal conduct is pretty straightforward. 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. (Uniform State/USAID/U.S. Include the Medical Records coversheet. You should list any posts you may travel to. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. 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. Include the Medical Records coversheet. However, service members are subject to random reinvestigations at any time. 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. Our process is an individualized assessment based upon your medical records, including immunizations, current medical conditions, and ongoing treatment. Have a question about medical clearances? Do not travel to your next overseas assignment without a valid medical clearance. 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. Please check the signature area. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. If you're thinking of a career as a government agent, beware of the 5 automatic disqualifiers for security clearances. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. 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. Take charge! If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. (CT:MED-41; 03-07-2019) 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. All chronic medical conditions must be listed on page 4 in assessment or problem list section. A missing signature will delay the medical clearance review process. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Waivers of these DOD requirements may be granted in select cases. The medical examination performed at the time of separation from the Medical Program serves to identify medical conditions that may have developed during service abroad. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. Unhealthy Work Environment. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. The same is true regarding a pattern of high risk, aggressive, irresponsible, or emotionally unstable behavior. Medical Information for Applicants - Peace Corps foreign service medical clearance disqualifiers 8. The examiner must sign page 4. The Foreign Affairs Information Technology (FAIT) Fellowship is not only a unique opportunity for highly qualified, diverse college students to receive academic funding, internships and mentorship from the U.S. Department of State - it is also a path to your career in the Foreign Service. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. The Department of Defense studies the same categories of your personal record as confidential clearance yet with a little more thorough analysis: The following are common security clearance disqualifications: It usually takes 1-3 months to officially receive secret clearance, like confidential status. Indicating the ESCAPE post(s) of assignment is REQUIRED. 22.10 If a medical clearance for an applicant or eligible family member is denied or limited, MEDICAL HISTORY AND EXAMINATION FOR INDIVIDUALS AGE 12 AND OLDER PRIVACY ACT NOTICE AUTHORITIES: The information is sought pursuant to the Foreign Service Act of 1980, as amended (Title 22 U.S.C.4084). Obtaining security clearance is required to make sure you are eligible to access national security information. 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. Once employee obtains verification of ICASS medical program participation, submit the signed 3308 (for DOD) or 3308.5 (for Contractors) ICASS Verification Form along with the. Is there a list of conditions that would automatically . I have been considering the Foreign Service for a while but have recently been diagnosed with a certain medical condition that might possibly disqualify me from joining, but I'm not sure. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. Have foreign citizenship to protect financial or business interests in another land. 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. Send all medical forms and reports to MEDMR@state.gov. 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. This includes national security secrets and other sensitive government information. All blanks need to be filled in. 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. Do not travel to your next overseas assignment without a valid medical. PDF Expiration Date: 10-31-2023 Estimated Burden: 1 Hour Medical History state department medical clearance disqualifiers. state department medical clearance disqualifiers Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. Get involved! Obtaining any form of military security clearance demonstrates that the military trusts you with sensitive information even if you need extra clearance for classified information. I Am No Longer A Foreign Service Officer | World Adventurers Unsigned forms will not be accepted by Medical Records. Privacy Policy. Learn more about the various security clearance disqualifiers for confidential, secret, and top secret security clearances. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request (see Section below), consistent with applicable privacy laws and policies. 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. CONUS based individuals who do TDY travel to ESCAPE posts for 30 or more consecutive days have a medical clearance valid for two years from the date of issuance. 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. 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)). Your CDO or agency HR will send your list to MED Clearances. Read more about the other eligibility requirements in this article and on the How to Apply web page. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. 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. Any documentation should be submitted well in advance of bidding season. There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. Ask questions! 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. This brief, two-page document does not require a physical exam. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. 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. Even if you are a US citizen, but you have family ties or other close connections to a foreign country, that could be enough to disqualify you. 1 year after arrival at post for all individuals deploying to an ESCAPE post. 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. The following information will help explain the process of completing a Separation Exam. For example, if an individual needs an English speaking speech therapist, there are many posts he or she can go to, but many others that would not have that resource. Any applicants with immediate family members or a person to whom the individual has close ties of affection or obligation AND is a resident or present in a foreign country might serve as a national security threat.