Brea, CA 92821. Please print your email legibly. You will find below information about the Peace Corps' medical clearance process. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! Welcome to the Medi-Cal Provider Home. 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. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. All foreign reports must be in English or translated into English. 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. The Eight-Year Rule. Complete a DS-3057: Medical Clearance Update (MCU) form. 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. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. For further questions or information, please contact MEDClearances@state.gov. Medical exams are done at the State Department during the orientation period. Those individuals will remain in a pending status. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. These are DOD medical standards. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. Do not travel to your next overseas assignment without a valid medical. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. Indicating the ESCAPE post(s) of assignment is REQUIRED. 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. Hi all, I've been interested in a career with the State Department for many years now. Medical Clearance Notices will be sent to your e-mail address you place on your form. Submit internal consults or reach out to you for additional data, as needed. ESCAPE Post(s) of Assignment is REQUIRED. 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. 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 name of the examinee (employee, contractor, LES or EFM) and DOB must appear at the top of each page 2, 3, & 4. 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. 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. Provide explanations in section IIA on page 2 or on a separate sheet of paper. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. 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. Please check the signature area. Please send inquiries only to this email address. 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. 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. An MCU can be submitted to your health unit (preferred) or directly submitted to. This brief, two-page document requires does not require a physical exam. Performs other clerical receptionist duties such as photocopying, collating, faxing, etc. Provide a current phone number and valid mailing address that can be used even if you are between posts on home leave or personal travel. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). Send all medical forms and reports to MEDMR@state.gov. 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. This brief, two page document requires does not require a physical exam. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. All foreign reports must be in English or translated into English. Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. Medical Clearance prior . If you are an institutional contractor, write the name of the specific contracting company or NGO. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Start collecting this information early. 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. This includes eligible family members who have reached age 21, or persons leaving the program through legal separation, divorce, or death. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. 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 U.S. Submit internal consults or reach out to you for additional data, as needed. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. Travel orders are not required to start the process. Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. Trafficking in or abuse of narcotics or controlled substances. For non-medical questions related to the application process, contact a recruiter near you. Sending forms and reports to the wrong email address results in confusion. 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. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. 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. All blanks need to be filled in. Reasons for a Separation or Retirement Exam. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. Include the Medical Records coversheet. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. An official website of the United States Government, Office of the U.S. 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. 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. Non-Emergency: 714-990-7911. You can begin up to one year prior to departure from your current post. Review posts with the clinicians in Clearances. Misrepresentation, including deception or fraud, in the application process. Evaluation of Common Clinical Syndromes-Vision Guidelines Far Acuity Deficiency Spectacles Contact lenses Orthokeratology Refractive Surgical Procedures LASIK, PRK and LASEK Intrastromal Corneal Rings (ICR) Phakic Intraocular Lenses Radial Keratotomy Color Vision Deficiency Other Visual Functions Visual Field Deficiency Binocular Fusion Deficiency 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. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. This exam is recommended but not mandatory. Reasonable doubt as to loyalty to the U.S. Government. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. Advisory Commission on Public Diplomacy. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Tips for Your In-Service Medical Clearance Update. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. If your child has educational needs or receives SNEA, reach out to the school and other specialists working with your child for recent documentation ideally well before school staff departs for the summer break and much of the staff is not at school. 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