The Department of Defense examines medical records for any signs of emotional, mental, or personality disorders. MED encourages you to have your exam at your future medical providers office to establish a medical relationship with a provider at your retirement home. 7. Ask questions! 22.10 If a medical clearance for an applicant or eligible family member is denied or limited, Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. How Long is an ESCAPE Post Clearance Valid? The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. Current or history of intraocular foreign body. They will only need to submit once during the two years their clearance is valid. 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. The Six-Year Rule is set forth in 3 FAH-1 H-2423.2, which states that continuous domestic assignments may not exceed six years without a waiver from the Director General. Basically, the DOD wants to establish that you are honest and trustworthy based on previous behavior. 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. Tips for Your In-Service Medical Clearance Update. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. Send all medical forms and reports to MEDMR@state.gov. 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. Inform your CDO or Agency HR of approval determinations. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. They are reminded that they must update their clearance before their next overseas assignment. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Afghanistan Reconciliation, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, Under Secretary for Arms Control and International Security, Bureau of Arms Control, Verification and Compliance, Bureau of International Security and Nonproliferation, Under Secretary for Civilian Security, Democracy, and Human Rights, Bureau of Conflict and Stabilization Operations, Bureau of Democracy, Human Rights, and Labor, Bureau of International Narcotics and Law Enforcement Affairs, Bureau of Population, Refugees, and Migration, Office of International Religious Freedom, Office of the Special Envoy To Monitor and Combat Anti-Semitism, Office of the U.S. Special Coordinator for Tibetan Issues, Office to Monitor and Combat Trafficking in Persons, Under Secretary for Economic Growth, Energy, and the Environment, Bureau of Oceans and International Environmental and Scientific Affairs, Office of the Science and Technology Adviser, Bureau of Information Resource Management, Bureau of the Comptroller and Global Financial Services, Office of Emergencies in the Diplomatic and Consular Service, Office of Management Strategy and Solutions, Bureau of International Organization Affairs, Bureau of South and Central Asian Affairs, Under Secretary for Public Diplomacy and Public Affairs, DS-1843 Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel, DS-1843: Medical History and Examination for Foreign Service, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, Medical Clearance Guidance for Deploying to ESCAPE Posts, DS-1843 Medical History and Examination for Foreign Service or Individuals Age 12 or Older, DS-1622 Medical History and Examination for Foreign Service for Children Age 11 and Younger, DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older, DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Include the Medical Records coversheet. The individual, parent or guardian should complete the first two pages of each form. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. 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. 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. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. For example, an inability or unwillingness to satisfy debts is a red flag. Employees of other Government agencies, contractors, fellows and Eligible Family Members (EFMs) and do not need to meet this worldwide availability requirement on their first overseas assignment. However, the government still needs to safeguard against possible intruders, like spies. Misrepresentation, including deception or fraud, in the application process. 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. Do NOT submit to Medical Clearances. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Lastly, even those with top-secret clearance sometimes need to apply for more clearance to access classified information. 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. Employees subject to the six- or eight-year rule must work with their CDOs to make a request for a waiver by completing the attached 6/8 waiver request form. All foreign reports must be in English or translated into English. The Department of Defense conducts a thorough background check to see if you qualify for one of the levels of clearance. 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. Advisory Commission on Public Diplomacy. The same is true of having associations with persons involved in criminal activity. Seek or hold political office in a foreign country. Submit internal consults or reach out to you for additional data, as needed. Is there a list of conditions that would automatically . Related Article 20 Health Conditions That May Disqualify You From Military. February 27, 2023 . The examiner must sign and date page 4 of the DS-1843. 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 purpose of the suitability review is to determine, from the candidates total record, whether the candidate is indeed suitable to represent the United States. You also cannot have association or sympathy for those that commit these types of crimes or organizations that advocate overthrowing the U.S. government. Trafficking in or abuse of narcotics or controlled substances. 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. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) Or fax to 202-647-0292 (less preferred) Include the Medical Records coversheet. Tips for Your In-Service Medical Clearance Update. 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)). The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. 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. 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. foreign service medical clearance disqualifiers. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. Secret Security clearance is considered the midlevel security clearance. 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. 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. 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. The examinee, parent or guardian must sign and date page 2 of the DS-1843. An official website of the United States Government, Office of the Special Envoy for Critical and Emerging Technology, Office of the U.S. 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. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. The DOD may also study those who you share living quarters with along with relatives or associates with connections to any foreign government. Top-secret status is described as having access to information that unauthorized disclosure could cause exceptionally grave damage to national security. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! These are DOD medical standards. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. Any documentation should be submitted well in advance of bidding season. Son Gncelleme : 26 ubat 2023 - 6:36. If you are an institutional contractor, write the name of the specific contracting company or NGO. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Required fields are marked *. Confidential security clearance disqualifiers include careful examinations of the following: A periodic reinvestigation (PR) into your character and record is required every 15 years for confidential security clearance. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Consult the Medical Capabilities database and alternatively consult with post directly. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. The Six-Year Rule. Contractors and DOD Civilians should contact their sponsors human resources. Alcohol-related incidents at work, such as reporting to the place of employment intoxicated or impaired, reflect poorly on a record. Secondly, the military needs to examine your immediate family members. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. 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. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. 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. There are different types of security clearance, including Confidential, Secret, and Top Secret. Current or history of ocular tumors. These include conditions like depression, bipolar disorder, epilepsy, heart issues, Asperger's, and PTSD. The Department of Defense also obtains your criminal history records and credit record. The military treats mental health very seriously so making the military, in general, is an achievement, much less gaining security clearance. Tips for Your Separation Medical Examination. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. Reason to Update a Medical Clearance While In-Service. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Your CDO or agency HR will send your list to MED Clearances. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. ESCAPE Post(s) of Assignment is REQUIRED. Waiting well into that time frame may result in a longer processing time. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. While many employees are excellent colleagues, the Department has its fair share of bad bosses and nasty coworkers. A security clearance investigation examines your personal conduct for a reason. There are often no blood banks or limited medical supplies and medications available locally. Please return to "Start Here" to click on the steps to a medical clearance that best fits your status and overseas assignment. You are in possession of a foreign passport. (Uniform State/USAID/U.S. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. 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. The healthcare provider must print or stamp their name, as well as sign and date page 4. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Provide a personal, legible e-mail address good for the next 90 days. Its obvious that if you serve the United States and access sensitive information that you should have an allegiance to the country. Getting reports from specialists, hospitals, therapist and schools is time consuming. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. A TDY medical clearance is valid for 2 years from the date it was issued. After the questionnaire is completed its sent through a National Agency Check (NAC) and Local Agency Check. 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. Top-secret clearance takes four to eight months to complete (sometimes closer to a year depending on the applicant). Secret Security Clearance disqualifiers include foreign partialities, personal misconduct, drug and alcohol abuse, and mental disorders. In theory, confidential security clearance is not as high up on the pecking order as secret or top-secret clearance yet that is not to suggest the security clearance lacks clout. 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.. Not all agencies human resources have this capability. Clearly print the persons name and date of birth on each page submitted to Medical Records. Given the representational nature of employment in the Foreign Service, employees must observe proper standards at all times. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. 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). Criminal conduct is pretty straightforward. 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. Your email address will not be published. You might not see how your financial history ties into serving the military yet the government considers a track record of not meeting financial obligations as irresponsible and untrustworthy. Document rationale for Post Approvals and/or Disapprovals. 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. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. If you have questions, please send us an email at FAITFellowship@twc.edu. 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. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. 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. c. Domestic Only (Class 5): Issued to all who have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Current or history of any abnormality of the eye or adnexa which threatens vision or . Medical clearance determination by Medical Services is based on its thorough review of each fellows medical history and a physical examination, including an individual assessment of his/her specific medical needs and the medical capabilities of Foreign Service posts to meet those needs.