Individuals with no health issues should be notified after review that they have a Worldwide Available (Class 1) clearance. Additionally, the scope and frequency of the required follow-up must be determined. The Department of Defense does study some habits of your sexual behavior. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. The following information will help explain the process of completing a Separation Exam. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. Clearly print the persons name on each page submitted to Medical Records. The major difference is that some areas of your record may not get scrutinized as closely as someone applying for top-secret security clearance. The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. The government has connections to your criminal record so its best to be upfront and honest about any criminal past. During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. 0720060024 and 0720060025 (3/26/09), the Equal Employment Opportunity Commission issued a number of important holdings concerning disability discrimination. 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 healthcare provider must also review all current medications, dosages, and frequency of use. Secret Security Clearance disqualifiers include foreign partialities, personal misconduct, drug and alcohol abuse, and mental disorders. A deliberate omission, concealment, or falsification of relevant and material facts from a questionnaire is among the security clearance disqualifiers. 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 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. The Office of Medical Services (MED) determines approval for assignment to a specific post based on the criteria above. Include the Medical Records coversheet. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. 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. 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. Those individuals will remain in a pending status. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Please check the signature area. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). We take the protection, release, and use of health information very seriously and follow strict privacy standards as stated in the Health Insurance Portability and Accountability Act of 1996 . Do NOT submit to Medical Clearances. Provide explanations in section IIA on page 2 or on a separate sheet of paper. 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. Get involved! 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. 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. Once youve completed the background investigation and medical examination, a State Department Suitability Review Panel will examine your file (minus any privileged medical information) to determine your suitability for employment with the Foreign Service. Reason to Update a Medical Clearance While In-Service. 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. A missing signature will delay the medical clearance review process. 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. Operation Military Kids was founded to be a resource for teens and young adults who are interested in joining the military, but don't know where to begin. Keep original documents for your permanent files. Take charge! 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. This includes those retiring/separating from the Foreign Service, moving to the private sector, Civil Service or another agency, divorcing from a Foreign Service Spouse and Eligible Family Members turning 21 years of age. For further questions or information, please contact MEDClearances@state.gov. The majority of people who have no significant health concerns and can be posted anywhere in the world. For more information, please see our For further questions or information, please contact MEDClearances@state.gov. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Please be sure that the name, DOB, and email address are all printed clearly. Provide a personal, legible e-mail address good for the next 90 days. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. with a medical condition listed will NOT meet the medical standard required for an 1811 or 1801 position. 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. Include the Medical Records coversheet. The Inservice Medical Clearance Process. Mental incompetence determined by a mental health professional. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. In the spirit of that requirement prolonged continuous service domestically of greater than six years requires permission from Human Resources. Early summer through the fall bidding cycle is the busy season for MED Clearances. These 12 will automatically disqualify you from obtaining a clearance, which can affect your job prospects. If you are retiring and plan to work as a REA/WAE, please check the form under both separation and pre-assignment with REA/WAE handwritten next to pre-assignment. The misuse of information technology systems is a fairly new addition to the background investigation with growing technology as well as the advent of social media. Please print your email legibly. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. 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. 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. Consequently, you can expect the most scrutiny and thorough background investigation of any of the three levels. Review the list of posts submitted by the CDO or agency HR. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. Any recent drug involvement is frowned upon heavily. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. Therefore, the background investigation studies to see if there are any signs of sabotage, espionage, terrorism, treason, or sedition against the U.S. government or country. of the Foreign Service or a Deputy Assistant Secretary of Global Talent Management as the Director General's delegatee will review the case of any Department of State Foreign Service candidate who has been denied an unlimited medical clearance for assignment worldwide, . As a result, stress levels among employees may be very high. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. I would like to crush my dreams to dust sooner than later, so any advice on this topic would be much appreciated. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. 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. Consult the Medical Capabilities database and alternatively consult with post directly. The Suitability Review Panel has the authority to terminate your candidacy. Medical Clearance Notices will be sent to your e-mail address you place on your form. This is not guaranteed. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. Getting reports from specialists, hospitals, therapist and schools is time consuming. Outside activities also get analyzed by the Department of Defense. A TDY medical clearance is valid for 2 years from the date it was issued. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. The healthcare provider must also review all current medications, dosages and frequency of use. However, the government still needs to safeguard against possible intruders, like spies. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. Confidential Medical Information. Page 2 must be signed and dated. 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.
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