Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. EFMs, age 18 and over, must provide their own email address for privacy reasons. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. Related Article Military Dental Requirements and Disqualifications. Secondly, the military needs to examine your immediate family members. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. If that is the case a Sensitive Compartmented Information (SCI) or Special Access Programs (SAP) is required for clearance. 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. 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. All individuals going to these posts must meet strict medical standards. To be hired for a job with the Foreign Service, you need to be cleared from a medical standpoint to be Worldwide Available, also known as a Class 1 Medical Clearance.0. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. The Six-Year Rule. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. Foreign Service Officers are required to serve much of their career overseas. Clearly print the persons name on each page submitted to Medical Records. There may be no health unit at the post and next to no local medical facilities. For the most part, the DOD wants to confirm that you were not dishonest when filling out your security clearance questionnaire. Financial problems that are related to gambling, alcoholism, or drug abuse also are security concerns. There are different types of security clearance, including Confidential, Secret, and Top Secret. Do. The healthcare provider must print or stamp their name, as well as sign and date page 4. The Department of Defense also obtains your criminal history records and credit record. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. List your prescription medications, hospitalizations, and medical conditions since your last clearance. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, Office of the U.S. This is a medical-legal requirement. You should list any posts you may travel to. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. linked assignment for both current and linked assignment. Tips for Your In-Service Medical Clearance Update. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Foreign Service (FS) or to be eligible for tenure as a career Foreign Service Officer (FSO); 2) When a Class 2 post-specific medical clearance is sought for an assignment by an FSO; or 3) When a Class 2 post-specific medical clearance is sought for a non-career appointment overseas and the individual has exhausted all appeal opportunities Foreign Service Officers and Limited Non-Career Appointees from any of the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour based on their pre-employment medical exam. is entered. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Rob V. is the founder of OperationMilitaryKids.org. The following in-service employees, contractors and EFMs are required to update their medical clearance: Persons assigned to the United States and not traveling overseas do not require a medical clearance. A Department of Defense military security clearance investigation examines your character, conduct, criminal background, financial responsibility, and emotional stability. Many Health Units do not have a provider, resources, or time to complete a medical clearance. 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. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. 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. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. 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). When to Start the In-Service Clearance Process. 22.10 If a medical clearance for an applicant or eligible family member is denied or limited, The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. with a medical condition listed will NOT meet the medical standard required for an 1811 or 1801 position. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. The military needs proof that if you were put in a position to maintain secrecy in the past you didnt abuse that privilege. a. Denial of Medical Clearance. All blanks need to be filled in. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. Required fields are marked *. An SSBI investigation checks records held by employers, courts, and rental offices. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Provide explanations in section IIA on page 2 or on a separate sheet of paper. 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. Obtaining security clearance is required to make sure you are eligible to access national security information. 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. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. Include the Medical Records coversheet. This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. The Eight-Year Rule. EFMs, age 18 and over, must provide their own email address for privacy reasons. foreign service medical clearance disqualifiers. CONUS-based TDY and WAE/REA should list all known posts they will travel to. There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. Ask . These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. Current or history of any abnormality of the eye or adnexa which threatens vision or . Emotional, Mental, and Personality Disorders, 12. 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. Now that you have a solid foundation of the three different security levels (confidential, secret, and top-secret), lets study the specific security clearance disqualifiers in more detail. For the most part, the military uses the same criteria for judging eligibility with the three levels. 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. MED Clearances will issue a Domestic Assignment Only (Class 5) clearance for medical, mental health or educational issues where appropriate care is best obtained in the United States. Getting reports from specialists, hospitals, therapist and schools is time consuming. MED or Employee Consultation Services (ECS) statement of support or non-support, as appropriate, should be included in all waivers based on limited medical clearances or on compassionate grounds. 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. Public . Who Should Use a Medical Clearance Update Form? How Long is an ESCAPE Post Clearance Valid? 1 views . Your personal record is scrutinized more than confidential clearance yet not as thoroughly as top-secret clearance. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, Office of the U.S. These include conditions like depression, bipolar disorder, epilepsy, heart issues, Asperger's, and PTSD. Provide a current phone number and valid mailing address. Complete a DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older form. Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. Overseas Screening. You can also download a PDF document with this information on the Resources page. The individual, parent or guardian should complete the first two pages of each form. Medical Clearance related medical expenses not covered by your medical insurance may 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. Security clearance qualifiers get established by the Department of Defense to make sure the service member is capable and trusting of not disclosing sensitive information. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. These are DOD medical standards. Top-secret status is described as having access to information that unauthorized disclosure could cause exceptionally grave damage to national security. The three levels of personnel clearance in the military are confidential, secret, and top-secret. 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. Send all medical forms and reports to MEDMR@state.gov. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). A top-secret security clearance is the highest level granted to members of the military. Medical, Mental Health or Educational reports do not need to be submitted with your initial medical clearance forms but be aware that Medical Clearances may require reports from providers, medical facilities, or schools for anyone with significant past medical, mental health, or special educational needs. The waiver justification need only provide enough information from the employee and/or MED to demonstrate a strong basis for the request to enable the Committee to make are commendation. DOD Contractors must include a 3308: DOD ICASS Verification Form. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. All chronic medical conditions must be listed on page 4 in assessment or problem list section. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. Early in the bidding season FSOs, LNAs and Fellows or their EFMs with a Post Specific (Class 2) clearance should submit their bid list or post choices to their State Department Career Development Officer (CDO) or agency human resources. The examiner must sign and date page 4 of the DS-1843. Expect to work with a variety of personalities from many cultures. Mental incompetence determined by a mental health professional. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Essentially the DOD is confirming that you dont have signs of alcohol abuse or dependence. 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. and our Individuals assigned to any of these ESCAPE posts, including TDY travel of 30 or more consecutive days, must meet more rigid standards, and undergo further medical vetting than addressed in this document. Travel orders are not required to start the process. Passing FS Medical Clearance. 2 You are also subject to an interview by an SSBI investigator along with field interviews of your references. 8. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. Part of your eligibility for the FAIT Fellowship . fc-falcon">foreign service medical clearance disqualifiers. Seek or hold political office in a foreign country. 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. - All actions for processing and tracking Overseas/Remote Duty Screening shall be conducted through BOL, IAW MILPERSMAN 1300-302 . The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. After the questionnaire is completed its sent through a National Agency Check (NAC) and Local Agency Check. 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. Page 2 must be signed and dated. The following conditions may disqualify you for military service: a. A deliberate omission, concealment, or falsification of relevant and material facts from a questionnaire is among the security clearance disqualifiers. This reduces the need for medical travel due to lack of local health resources and limits the number of curtailments for pre-existing medical conditions. 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. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Reasons for a Separation or Retirement Exam. Please send inquiries only to this email address. One that might be a problem with some folks is having family members that have a substantial financial interest in another country or foreign-owned business. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. A CONUS based employee who does TDY travel for 30 or more consecutive days has a medical clearance valid for 2 years from the date it was issued. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. The following information will help explain the pre-employment/pre-assignment process. This exam is recommended but not mandatory. Additionally, the introduction/removal of hardware, software, or media from any information technology system without authorization is a red flag. The examiner/provider should complete the physical exam and lab portion of the exam. Provide explanations in section IIA on page 2 or on a separate sheet of paper. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. All blanks need to be filled in. Please send inquiries only to this email address. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Please check the signature area. Criminal conduct is pretty straightforward. Medical Clearance Notices will be sent to your e-mail address you place on your form. Medical Clearance related medical expenses not covered by your medical insurance may 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. Have foreign citizenship to protect financial or business interests in another land. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. You may begin submitting documents up to one year prior to departing your current post or domestic assignment. In its recent decision in Katz v. Department of State, Appeal Nos. 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. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid to travel to localities where medical care is inadequate to meet their needs. Submit internal consults or reach out to you for additional data, as needed. You are in possession of a foreign passport. Foreign Service Officers Candidates, Foreign Service Fellows, and some first-time Limited Non-Career Appointees under the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour. Take charge! You must sign a waiver granting the government the right to access any of your records, including medical records, juvenile records, expunged records, or sealed records. 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. 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. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. As a result, stress levels among employees may be very high. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. If you are an institutional contractor, write the name of the specific contracting company or NGO. Any service (whether compensated, volunteer, or employed) with a foreign country, national, or interest is questioned. Review posts with the clinicians in Clearances. For further questions or information, please contact MEDClearances@state.gov. Not all agencies human resources have this capability. . The process for completing an ESCAPE post clearance varies by your employment status and where you are going. 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. 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. 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. 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. Individuals assigned to any of these ESCAPE posts, including TDY travel of 30 or more consecutive days, must meet more rigid standards and undergo further medical vetting than addressed in this document. Security Clearance Jobs -. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. Ask questions! They will only need to submit once during the two years their clearance is valid. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM), (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). For information on how to schedule an appointment with the Exam Clinic, contact. Most of the connections that will raise the eyebrows of government officials are straightforward. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. 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. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). 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. You dont need to be a boy scout but a pattern of dishonesty or rule violations is a red flag for the DOD. Those individuals will remain in a pending status. 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. 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. Include the Medical Records coversheet. Please print your email legibly. Where Can I Look Up My Current Clearance? As soon as you are selected for the Fellowship, the Department of State will request that you complete and submit an application within about two weeks. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. (Uniform State/USAID/U.S. The Department of Defense conducts a thorough background check to see if you qualify for one of the levels of clearance. The Department of Defense does study some habits of your sexual behavior.
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