Document rationale for Post Approvals and/or Disapprovals. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. A TDY medical clearance is valid for 2 years from the date it was issued. Secondly, the military needs to examine your immediate family members. Related Article 20 Health Conditions That May Disqualify You From Military. 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. For children with special educational needs, starting early is important. The examiner must sign page 4. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. 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. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. - All actions for processing and tracking Overseas/Remote Duty Screening shall be conducted through BOL, IAW MILPERSMAN 1300-302 . 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 not required for Iraq, these are advised for possible travel to other ESCAPE posts. 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. The following in-service employees, contractors and EFMs are required to update their medical clearance and can use the MCU form: The following employees, contractors and EFMs must under-go a complete physical and should complete either a DS 1843: Medical History and Examination Form Over 12 Years of Age or a DS-1622: Medical History and Examination for Children Age 11 and Younger . This is not guaranteed. 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. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. 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 healthcare provider must also review all current medications, dosages, and frequency of use. For example, an inability or unwillingness to satisfy debts is a red flag. DOS Medical Guidelines and DOD Medical Deployment Requirements. So its best not to lie and stay truthful as you fill out the personnel security questionnaire. The process for completing the in-service clearance varies by employment status and where you are going. 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. Have a question about medical clearances? 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. Medical Clearance Process for ESCAPE Posts. A MED Clearances Clearance Consultant assigned to you will: Post Approval Process for employees of non-Foreign Service agencies, CONUS-based TDY, WAE/REAs, contractors and their EFMs with a Post Specific (Class 2) Clearance. Clearly print the persons name on each page submitted to Medical Records. 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. 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. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. The examiner must sign and date page 4 of the DS-1843. 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. Read more about the other eligibility requirements in this article and on the How to Apply web page. Foreign Service Officers are required to serve much of their career overseas. Alcohol-related incidents at work, such as reporting to the place of employment intoxicated or impaired, reflect poorly on a record. A medical diagnosis of drug abuse or dependence is problematic for security clearance. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. ESCAPE posts have limited medical capabilities and personal security risks. A Department of Defense military security clearance investigation examines your character, conduct, criminal background, financial responsibility, and emotional stability. 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. These 12 will automatically disqualify you from obtaining a clearance, which can affect your job prospects. Keep in mind that the requirements for receiving confidential security clearance are similar to secret or top-secret clearance. foreign service medical clearance disqualifiers. The following employees, contractors and EFMs should not use a MCU: New employees (including newly hired EFMs), those switching agencies, any person not currently assigned to or has a valid TDY clearance for an ESCAPE post, separating from the Foreign Service, and new REA/WAEs. There are many specific medical conditions that may disqualify you from joining the U.S. Military. 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. Your personal record is scrutinized more than confidential clearance yet not as thoroughly as top-secret clearance. 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. For example, unauthorized disclosure of classified information or violations that were deliberate, multiple, or due to negligence are disqualifiers. 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. Or fax to 202-647-0292 (less preferred) Any service (whether compensated, volunteer, or employed) with a foreign country, national, or interest is questioned. 1 views . MEDICAL REVIEW OF A CLEARANCE DECISION FOR PRE-EMPLOYMENT 22.9 On occasion, a medical clearance may be denied or limited because an applicant has a medical condition that is serious enough to preclude conversion to the Foreign Service. 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. Individuals with no health issues should be notified after review that they have a Worldwide Available (Class 1) clearance. All personnel must update their medical clearance prior to departure for a new overseas assignment. 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. For How Long is a Medical Clearance Valid? 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. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Keep in mind that while recreational marijuana is now legal in many states in the country, the U.S. military still considers it a controlled substance and therefore illegal. Please be sure that the name, DOB, and email address are all printed clearly. Is there a list of conditions that would automatically . Allergies must also be reviewed. Medical clearance process overview. CONUS Option: The employee and EFMs are encouraged to have the separation medical exam completed by their private medical provider in the US. Some countries have inadequate infrastructures such as a poor or negligible public health care system, poor sanitation, unreliable electricity and a lack of potable water. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Tips for Your In-Service Medical Clearance Update. 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. Son Gncelleme : 26 ubat 2023 - 6:36. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. Post Approval Process for Foreign Service Officers, Limited Non-Career Assignment, Foreign Service Fellows or their Eligible Family Members with a Post Specific (Class 2) Clearance. Candidates who do not receive a security clearance are ineligible for the fellowship. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. CONUS-based TDY and WAE/REA should list all known posts they will travel to. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. 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. Additional countries can be submitted after the first have been reviewed. Reasonable doubt as to loyalty to the U.S. Government. Who Should Use a Medical Clearance Update Form? Schools are often closed during American summer months, so the process needs to start well before the end of the school year for children with educational issues. 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. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. Copyright 2023 www.OperationMilitaryKids.org. Criminal, dishonest, or disgraceful conduct. Do NOT submit your bids to MED Clearances. Top-secret status is described as having access to information that unauthorized disclosure could cause exceptionally grave damage to national security. Sending forms and reports to the wrong email address results in confusion. 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 including assistance with a medical evacuation or hospitalization. I would like to crush my dreams to dust sooner than later, so any advice on this topic would be much appreciated. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. Many Foreign Service posts are located in remote areas with extremely limited medical support. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. Start collecting this information early. The healthcare provider must also review all current medications, dosages and frequency of use. Reasons for a Separation or Retirement Exam. 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. While many employees are excellent colleagues, the Department has its fair share of bad bosses and nasty coworkers. A foreign preference is comparable to foreign influence. All blanks need to be filled in. Criminal conduct is pretty straightforward. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. The DOD may also study those who you share living quarters with along with relatives or associates with connections to any foreign government. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. 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. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. You served another country in the military. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Submit internal consults or reach out to you for additional data, as needed. 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. Reasons for a Separation or Retirement Exam. The attainment of U.S. foreign policy objectives depends substantially on the confidence of the public (both American and foreign) in the individuals selected to serve in the Foreign Service. All individuals going to these posts must meet strict medical standards. ESCAPE posts have limited medical capabilities and personal security risks. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. 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. 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. 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. MED Clearances strives to review an employee, contractor or EFM initial documentation within 30 days after documents have been uploaded and indexed by MED Records. The Department of Defense also obtains your criminal history records and credit record. 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. Part of your eligibility for the FAIT Fellowship . 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. 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 Six-Year Rule. Include the Medical Records coversheet. 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. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) Our Mission. 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). 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 All forms, labs and reports should be in English or with an English translation. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. The U.S. government issues military clearance to select personnel at one of three levels. All I know is that FS has a pretty thorough medical clearance process. Basically, the DOD wants to establish that you are honest and trustworthy based on previous behavior. Waivers of these DOD requirements may be granted in select cases. Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. Provide a personal, legible e-mail address good for the next 90 days. Include the Medical Records coversheet. You are also subject to an interview by an SSBI investigator along with field interviews of your references. All blanks need to be filled in. This brief, two-page document does not require a physical exam. Driving under the influence, alcohol-related fights, child or spouse abuse, or criminal incidents related to alcohol use all get studied. Additional countries can be submitted after the first 15 have been reviewed. 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. While the questions are personal they are basically just making sure you dont show signs of sexual behavior that is criminal in nature. Contacting your assignments officer in Human Resources for your agency. For more information, please see our This is an opportunity to establish or re-establish a professional relationship with your primary care provider. The Department of Defense examines medical records for any signs of emotional, mental, or personality disorders. A top-secret security clearance is the highest level granted to members of the military. Have foreign citizenship to protect financial or business interests in another land. Security Clearance Jobs -. (Uniform State/USAID/U.S. I would like to be reassured that mental health care will not negatively affect security clearances, and that management understands and appreciates the benefits of mental health care and genuinely encourages people to receive the help they need. You want to reflect that you have good discretion and judgment when it comes to sex. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. The step-by-step process for completing a separation and/or becoming a REA/WAE is found by returning to Start Here and choosing Separation or REA/WAE. Several Military Occupational Specialties (MOS), including Fire Control Technicians and Geospatial Intelligence Imagery Analysts, require you to have some form of security clearance. Any recent drug involvement is frowned upon heavily. (Uniform State/USAID/U.S. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. The majority of people who have no significant health concerns and can be posted anywhere in the world. For information on how to schedule an appointment with the Exam Clinic, contact. If you're thinking of a career as a government agent, beware of the 5 automatic disqualifiers for security clearances. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. Tackling Mental Health Care Issues RECOMMENDATIONS TO MANAGEMENT FROM MEMBERS OF THE FOREIGN SERVICE. The individual, parent or guardian should complete the first two pages of each form. Sending forms and reports to the wrong email address results in confusion. Do not travel to your next overseas assignment without a valid medical clearance. All chronic medical conditions must be listed on page 4 in assessment or problem list section. This includes national security secrets and other sensitive government information. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. 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. Coordinator for the Arctic Region, Deputy Secretary of State for Management and Resources, Office of Small and Disadvantaged Business Utilization, 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 Antisemitism, 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 the Comptroller and Global Financial Services, Bureau of Information Resource Management, 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, U.S. Or Fax to 202-647-0292 (less preferred) Certain conditions may require that the employee stay in the United States for longer than 6 years. Do not travel to your next overseas assignment without a valid medical. 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. 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. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. Essentially the DOD is confirming that you dont have signs of alcohol abuse or dependence. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. Obtaining security clearance is required to make sure you are eligible to access national security information. 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.