After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. The military treats mental health very seriously so making the military, in general, is an achievement, much less gaining security clearance. Conduct which clearly shows poor judgment and or lack of discretion which may reasonably affect an individual or the agencys ability to carry out its responsibilities or mission. Criminal conduct is pretty straightforward. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. February 27, 2023 . Expect to work with a variety of personalities from many cultures. Send all medical forms and reports to MEDMR@state.gov. Reason to Update a Medical Clearance While In-Service. 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. 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 . 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 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. In the spirit of that requirement prolonged continuous service domestically of greater than six years requires permission from Human Resources. 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. 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. ESCAPE posts have limited medical capabilities and personal security risks. The Department of Defense uses the Defense Security Service (DSS) to conduct background checks for security clearance. The government has connections to your criminal record so its best to be upfront and honest about any criminal past. 8. Take charge! List your prescription medications, hospitalizations, and medical conditions since your last clearance. Obtaining security clearance is required to make sure you are eligible to access national security information. Do NOT include any personal medical information in this communication to HR, only the posts you wish to bid upon. Have a question about medical clearances? 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. 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. 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. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. It is your clearance. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. Start collecting this information early. 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. For more information, please see our 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). Medical Clearance Notices will be sent to your via the e-mail address you place on your form. Advisory Commission on Public Diplomacy. Do not travel to your next overseas assignment without a valid medical. (CT:MED-41; 03-07-2019) 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. There are many specific medical conditions that may disqualify you from joining the U.S. Military. Please be sure that the name, DOB, and email address are all printed clearly. 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. Do NOT submit your bids to MED Clearances. Top-secret clearance takes four to eight months to complete (sometimes closer to a year depending on the applicant). Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. 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. 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. List your prescription medications, hospitalizations, and medical conditions since your last clearance. 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. Examples of chronic conditions that must meet stricter DOD requirements to be deployed to an ESCAPE include but are not limited to; tighter control of seizures, asthma, headaches and mental health issues; injectable or refrigerated medications; cardiovascular risk factors and excessive weight (BMI >35). This is a medical-legal requirement. 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. 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. Per 16 FAM 122. Reasons for a Separation or Retirement Exam. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. 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. Individuals with no health issues should be notified after review that they have a Worldwide Available (Class 1) clearance. So before you apply to the program, you should be aware of the clearances that you must be able to obtain and maintain to stay in the program. You are in possession of a foreign passport. Reasonable doubt as to loyalty to the U.S. Government. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. Do not travel to your next overseas assignment without a valid medical clearance. Do. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. 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. 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. Keep original documents for your permanent files. 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. Is there a list of conditions that would automatically . For information on how to schedule an appointment with the Exam Clinic, contact. The majority of people who have no significant health concerns and can be posted anywhere in the world. You need to provide 10 years worth of history and information for top-secret levels compared to 5 years for confidential and secret status on the Security Clearance Background Investigation Questionnaire. Foreign Service Officers are required to serve much of their career overseas. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. You served another country in the military. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. 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. Getting reports from specialists, hospitals, therapist and schools is time consuming. A Post Specific (Class 2) Medical Clearance means you (or your EFM) have (or has) an on-going medical, mental health, or educational issue where the medical capabilities needed may not be available at every post in the world. Individuals with a Domestic Only (Class 5) clearance have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Medical exams are done at the State Department during the orientation period. In its recent decision in Katz v. Department of State, Appeal Nos. Other conditions are less restrictive and others are more restrictive in terms of the number of posts with resource. The individual, parent or guardian should complete the first two pages of each form. Denial of Medical Clearance. Tips for Your Separation Medical Examination. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. 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. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. An MCU can be submitted to your health unit (preferred) or directly submitted to. 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. This brief, two-page document does not require a physical exam. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. All chronic medical conditions must be listed on page 4 in assessment or problem list section. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. The examiner must sign page 4. Or fax to 202-647-0292 (less preferred) - All BOL status submissions must be reported as either "Suitable" or . Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Related Article 20 Health Conditions That May Disqualify You From Military. with a medical condition listed will NOT meet the medical standard required for an 1811 or 1801 position. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. Contractors and DOD Civilians should contact their sponsors human resources. Provide explanations in section IIA on page 2 or on a separate sheet of paper. You want to reflect that you have good discretion and judgment when it comes to sex. These are DOD medical standards. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. 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. Review posts with the clinicians in Clearances. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. 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. 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. Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. Sending forms and reports to the wrong email address results in confusion. Required fields are marked *. Reasons for a Separation or Retirement Exam. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. - NAVPERS 1300/16_Rev11-09, Report of Suitability for Overseas Assignment, is required for overseas screening submissions. An SSBI investigation checks records held by employers, courts, and rental offices. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. 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. Keep in mind that the requirements for receiving confidential security clearance are similar to secret or top-secret clearance. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. 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 same is true regarding a pattern of high risk, aggressive, irresponsible, or emotionally unstable behavior. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. A single serious crime (involving more than a year in prison) or multiple lesser offenses are potential security clearance disqualifiers. For information on how to schedule an appointment with the Exam Clinic, contact. As a result, stress levels among employees may be very high. Fellows will receive decisions on their medical clearances from the State Department. Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). If you have questions, please send us an email at FAITFellowship@twc.edu. While not everyone in the military is required to have a security clearance, it helps to know the process. Lastly, even those with top-secret clearance sometimes need to apply for more clearance to access classified information. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. Unsigned forms will not be accepted by Medical Records. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Alcohol-related incidents at work, such as reporting to the place of employment intoxicated or impaired, reflect poorly on a record. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Take charge! Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. Security Clearance Jobs -. A security clearance investigation examines your personal conduct for a reason. When to Start the In-Service Clearance Process. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. These include conditions like depression, bipolar disorder, epilepsy, heart issues, Asperger's, and PTSD. The healthcare provider must also review all current medications, dosages, and frequency of use. Everyone is cleared to be in the United States. 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. A Department of Defense military security clearance investigation examines your character, conduct, criminal background, financial responsibility, and emotional stability. . 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. 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. Tips for Your In-Service Medical Clearance Update. The name of the examinee (employee, contractor, LES or EFM) and DOB must also appear at the top of each page 2, 3, and 4. However, service members are subject to random reinvestigations at any time. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). The Department of Defense does study some habits of your sexual behavior. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). Cookie Notice So its best not to lie and stay truthful as you fill out the personnel security questionnaire. Any illegal or unauthorized entry into information technology systems is a security clearance disqualifier. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Secret Security Clearance disqualifiers include foreign partialities, personal misconduct, drug and alcohol abuse, and mental disorders. If that is the case a Sensitive Compartmented Information (SCI) or Special Access Programs (SAP) is required for clearance. A missing signature will delay the medical clearance review process. 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, . Medical Clearances reviews the submitted documentation and retains a copy in your permanent medical file. 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.