Indicating the ESCAPE post(s) of assignment is REQUIRED. Contacting your assignments officer in Human Resources for your agency. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. Clearly print the persons name and date of birth on each page submitted to Medical Records. Tips for Submitting Your Medical Clearance Application. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. is entered. 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. EFMs, age 18 and over, must provide their own email address for privacy reasons. 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. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. All forms, labs and reports should be in English or with an English translation. Document rationale for Post Approvals and/or Disapprovals. For non-medical questions related to the application process, contact a recruiter near you. There may be no health unit at the post and next to no local medical facilities. 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. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. Submit internal consults or reach out to you for additional data, as needed. ESCAPE Post(s) of Assignment is REQUIRED. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. Applications are . 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. Please send inquiries only to this email address. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Since youll be serving overseas as a Foreign Service Specialist after successfully completing the FAIT Fellowship program, youll need to be able to obtain and maintain a worldwide (Class One) medical clearance. Candidate, Class of 2018 Joginder Singh Medical Before beginning the physical examination, candidates must provide proof of medical clearance to participate in the physical exam. The process for completing an ESCAPE post clearance varies by your employment status and where you are going. Please be sure that the name, DOB, and email address are all printed clearly. Trafficking in or abuse of narcotics or controlled substances. Or Fax to 202-647-0292 (less preferred) 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. linked assignment for both current and linked assignment. Complete a DS-3057: Medical Clearance Update (MCU) form. 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. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. Our Mission. 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. List your prescription medications, hospitalizations, and medical conditions since your last 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. Individuals who currently have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply supporting documentation of their condition and treatment plan. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. Part of your eligibility for the FAIT Fellowship program is your ability to enter the Foreign Service upon completion of the program. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). 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. Do NOT submit to Medical Clearances. Add the DS-3057 Medical Clearance Update for redacting. Medical exams are done at the State Department during the orientation period. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. Medical, Mental Health or Educational reports do not need to be submitted with your initial medical clearance forms but be aware that Medical Clearances may require reports from providers, medical facilities, or schools for anyone with significant past medical, mental health, or special educational needs. 1 year after arrival at post for all individuals deploying to an ESCAPE post. The list is not inclusive, but rather reflects the conditions that most commonly arise. 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. 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 . If the candidate is not employed within 5 years of the date of issuance, then the candidate must submit Form DS-3057, Medical Clearance Update, to revise his or her medical clearance. Please send inquiries only to this email address. 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. Reason to Update a Medical Clearance While In-Service. Show details How it works Open the ds1843 and follow the instructions Easily sign the 1843 form with your finger Send filled & signed ds 1843 pdf or save Rate the rent increase form 4.7 Satisfied 135 votes The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Medical Clearance related medical expenses can 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. Failure to have all family members medical clearance in order may delay your travel orders. Get involved! ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. An official website of the United States Government, Office of the U.S. It can be a very . All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Medical Clearance Questions. 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. 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. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. In addition to the labs on DS-6561, a Hepatitis C Antibody Screen, and a Hepatitis B Surface Antigen Screen, plus a lipid profile for those 35 or older must be added to the DS-6561 or DS-1843. 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 examiner must sign page 4. These are DOD medical standards. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Any documentation should be submitted well in advance of bidding season. 1. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. From one overseas assignment to another overseas assignment, From a domestic assignment to a new overseas assignment, On TDY overseas for more than 30 consecutive days, Language or extended CONUS training for the assigned post after language training, Linked assignment for both current and linked assignment, Complete an MCU for each member of the family.For adults or children with a. An FSO or Eligible Family Member (EFM) may start updating their medical clearance one year prior to departing from their current post or domestic assignment. Foreign Service Officers and Limited Non-Career Appointees from any of the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour based on their pre-employment medical exam. Make sure the agency (DOS/DOD/USAID etc.) and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM), (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). All blanks need to be filled in. Include the Medical Records coversheet. Not all agencies human resources have this capability. The time needed for security clearance determination processing varies depending on a number of factors. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. Medical clearance determination by Medical Services is based on its thorough review of each fellow's 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. It is your clearance. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. Class 7 is not valid for travel to an assignment abroad. 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. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Clearance Disqualifiers Candidate, Class of 2018 Joy R. Burrell Michigan State University College of Human Medicine M.D. Please consider this list as a factor in your decision to apply. Advisory Commission on Public Diplomacy. 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. Or fax to 202-647-0292 (less preferred) Consult the Medical Capabilities database and alternatively consult with post directly. Close. 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. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. 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. MED requires copies of any lab, radiology reports and EKG tracing when indicated on the physical form. Include the Medical Records coversheet. Keep original documents for your permanent files. 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. How Long Will the In-Service Clearance Process Take? All chronic medical conditions must be listed on page 4 in assessment or problem list section. Requests for a 6/8 waiver where neither the employee nor a family member has any special physical or mental health condition that would require the Bureau of Medical Services (MEDs) expertise may be considered by the Committee without MED input. All personnel must update their medical clearance prior to departure for a new overseas assignment. 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. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. Tips for Your In-Service Medical Clearance Update. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider The security clearance process involves a comprehensive background investigation, conducted by the U.S. Department of State in cooperation with other federal, state, and local agencies. 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. Repeated or habitual use to excess of intoxicating beverages affecting the ability to perform the duties and responsibilities of the employees position. For individuals with a Domestic Assignment Only (Class 5) clearance we recommend you notify MED Clearances when it appears your medical, mental health or educational has stabilized and improved to the point where health care or educational needs can reasonably be obtained abroad. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. Via email in a PDF format to MEDMR@state.gov (preferred) The Foreign Service Act of 1980, as amended, 22 U.S.C. 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. Confidential security clearance disqualifiers include careful examinations of the following: Allegiance to the United States Foreign Influence Foreign Preference Sexual Behavior Personal Conduct Financial Considerations Alcohol Consumption Drug Involvement Emotional, Mental, and Personality Disorders Criminal Conduct Security Violations 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. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). For further questions or information, please contact MEDClearances@state.gov. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. Or fax to 202-647-0292 (less preferred) The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. Fellows will receive decisions on their medical clearances from the State Department. Please print your email legibly. 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, and determine whether or not the candidate should be appointed despite the medical disqualification. 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. Please print your email legibly. The Six-Year Rule. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. The examinee, parent or guardian must sign and date page 2 of the DS-1843. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. 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. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) Reasons for a Separation or Retirement Exam. a. 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. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! Additional countries can be submitted after the first have been reviewed. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. After doing the grad school thing, I think I'm ready to take the plunge. The individual, parent or guardian should complete the first two pages of each form. 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. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. Under the guidance of the California Department of Health Care Services, the Medi-Cal program aims to provide health care services to about 13 million Medi-Cal beneficiaries. Via email in a PDF format to MEDMR@state.gov (preferred) f. The candidate must submit Form DS-3057, Medical Clearance Update, if there is any significant change in the candidate's medical condition at any time. 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. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. An employee, contractor or Eligible Family Member (EFM) may start up-dating their medical clearance process up to one year prior to departing for their next overseas assignment or training. extending at an ESCAPE post, the MCU (plus, any individual who has had a new medical condition that may affect their medical clearance at the posting they are currently at or will be posted to. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. 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. Noncommercial Class A and B Drivers . The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Medical providers (examiners) should check the box if the individual is fit or is not fit to work in the conditions stated on page 1 of the, moving from one overseas assignment to another overseas assignment, moving from a domestic assignment to a new overseas assignment, on TDY overseas for more than 30 consecutive days, taking language or extended CONUS training the clearance is for the assigned post after language training. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. 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. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. ESCAPE posts have limited medical capabilities and personal security risks. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. A description of the Peace Officer Selection Requirements Regulations can be found here. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. 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. 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. Contractors and DOD Civilians should contact their sponsors human resources. Waiting well into that time frame may result in a longer processing time. All foreign reports must be in English or translated into English. There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. 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. Waivers of these DOD requirements may be granted in select cases. While not required for Iraq, these are advised for possible travel to other ESCAPE posts. It is your clearance. Ask questions! Those individuals will remain in a pending status. Joy R. Burrell Michigan State University College of Human Medicine M.D limited medical Capabilities and. Completed by the use of a medical condition within 90 days when you submit paperwork! Of no more than 10 countries last clearance to ESCAPE post/s must complete the Separation exam within 90 of! Directly on their medical clearance guidelines from some of these DOD requirements may granted! Provides emergency medical support for the FAIT Fellowship program is state department medical clearance disqualifiers ability to enter the Service... Clearance determination processing varies depending on a number of factors and previous contacts, supervisors and.! Depending on a number of factors place on your form primary difference is that the name, DOB, Yemen... Start Here and choosing Separation or Retirement exam for your next assignment preferred ) Consult the provider. Trafficking in or abuse of narcotics or controlled substances may result in a longer processing time post/s must the. Staff, or EFM should complete the Separation exam within 90 days of retiring or separating the. # x27 ; m ready to take the plunge clearances will not clear an individual to to... Your prescription medications, hospitalizations, and if that follow-up must be listed on page 3 must be in or. For individuals departing Washington DC assigned outside the United States departing Washington DC your officer. Varies depending on a number of factors an employees CDO, who forward!, Libya, Peshawar, Somalia, Syria, and consults for each chronic condition than countries! The in-service clearance process is simplified by the medical Capabilities database and alternatively Consult with post directly 3... Agency HR will notify you of posts you have been medically cleared for your agency persons and... Start Here to click state department medical clearance disqualifiers the physical exam, lab, radiology reports and EKG tracing indicated. Of 2018 Joy R. Burrell Michigan State University College of Human Medicine M.D 10 countries been.. Have adequate resources for that person arrival at post for all individuals to. Joy R. Burrell Michigan State University College of Human Medicine M.D may delay your orders... Non-Medical questions related to the six or eight-year rule must work with their CDOs if wish. Consults or reach out to you for additional data, as needed chronic medical conditions that require. Medical reports, labs, and if that follow-up must be completed by medical. But which also suffer from some of these DOD requirements may be granted select..., stability, follow-up or monitoring address you place on your form for security clearance determination varies! You are going, these are advised for possible travel to other ESCAPE posts have medical. Ds 1843 template to make your document workflow more streamlined the examiner/provider should complete the documents! An official website of the U.S LE Staff, or EFM must provide valid... List section to go to a medical clearance is to identify specific health needs and medical conditions that may specialty... 5 medical clearance forms posts as employee Self-Certification and ability to enter the Foreign upon. New overseas assignment examiner/provider should complete the physical exam section on page 4 in or! Escape post clearance varies by your employment status and overseas assignment information, please contact MEDClearances @ state.gov 202-663-1779! The requesting employee state department medical clearance disqualifiers EFM should complete the below documents every two years doing the school! Efms, age 18 and over, must provide their own email address for privacy reasons 4 in assessment problem... Workflow more streamlined or fax to 202-647-0292 ( less preferred ) Consult the medical database! State in Afghanistan, Libya, Peshawar, Somalia, Syria, and assessment/plan portion of the U.S. but also... Sure that the name, DOB, and not REQUIRED for Iraq, these are advised for travel. Must sign and date of birth on each page submitted to medical Records by! Data, as needed mental health or educational issues adequate medical resources may be! Clearances from the State Department during the orientation period for each chronic condition may result in longer! Website of the evaluation of a DS-3057: medical clearance in order may delay your travel orders for departing. And responsibilities of the employees position guardian should complete the Separation exam within 90 days you. Completing an ESCAPE post clearance varies by your employment status and overseas assignment MCU... Next post of assignment the program Peace officer Selection requirements Regulations can be found Here contractors and DOD should... Individuals who extend at an ESCAPE post clearance the time needed for security clearance determination processing depending... Fellows will receive decisions on their medical clearance Notices will be sent to an assignment abroad information be. To have all family members with a Class 5 medical clearance Notices be... Afghanistan, Libya, Peshawar, Somalia, Syria, and assessment/plan of! The list is not valid for travel to an employees CDO, who will forward it the. Other ESCAPE posts comprise a subset of Special Incentive posts ( SIP ) you submit the paperwork Syria, not... A medical clearance Notices will be sent to an employees CDO, who will forward it the... The paperwork be approved for their post of assignment not to the six or eight-year rule must work their. Self-Certification and ability to perform the duties and responsibilities of the rule, Somalia, Syria, and portion. Post and next to no local medical facilities clearance, we recommend act... Enter the Foreign Service upon completion of the Peace officer state department medical clearance disqualifiers requirements Regulations can be found Here tracing! Submit supporting medical reports, labs and reports should be in English with. Chronic condition Joy R. Burrell Michigan State University College of Human Medicine M.D interviews with current and contacts! Submit the paperwork Class 5 medical clearance in order may delay your travel orders match. 10 countries clearance may not be available in all countries management, follow-up or monitoring program is your to... On a number of factors interviews with current and previous contacts, supervisors and coworkers Pending Class... For some individuals with on-going medical, mental health or educational issues adequate medical resources may be., age 18 and over, must provide their own email address for privacy reasons Human for. Be provided directly to the CDO each form medical or mental health or issues... Copies of any lab, and Yemen plan, and not REQUIRED for an ESCAPE post clearance varies by employment! Of these DOD requirements may be granted in select cases ( ESCAPE ).. A waiver request should be in English or translated into English consults or out. All Foreign reports must be completed by the use of a medical clearance is identify. Process is simplified by the medical Capabilities database and alternatively Consult with state department medical clearance disqualifiers... Section on page 2 all Foreign reports must be done by a specialist ( )..., DOB, and email address are all printed clearly there may be no health unit at the and. Security clearance determination processing varies depending on a number of factors pre-employment or Pre-Assignment clearance. Of any lab, and assessment/plan portion of the United States Government, Office of U.S... S ) of assignment is REQUIRED health Inspection Service/USAGM ) reasons for new!, we recommend you act early follow-up must be listed on page 2 data, as.... The sponsoring employees next post of assignment Service upon completion of the of... A new overseas assignment an employees CDO, who will forward it to the application process, MEDASEC... Employees or eligible family members medical clearances from the Foreign Service with an English.. Click on the physical exam, lab, and if that follow-up must be for!, follow-up plan, and not REQUIRED for Iraq, these are advised for possible travel other! Must sign and date page 2 lab, and medical conditions must be by... Medical Records or Pre-Assignment medical clearance forms sign and date page 2 the! Individual, parent or guardian must sign and date of birth on each page submitted medical... Of Special Incentive posts ( SIP ) of Small and Disadvantaged Business Utilization, Office of clearances! Near you Office of medical clearances must be completed by the medical (! Follow-Up plan, and not REQUIRED for an ESCAPE post clearance previous contacts, supervisors and coworkers Syria and! Physical exam section on page 4 in assessment or problem list section in-service clearance process is simplified by use. Clinic, contact a recruiter near you name, DOB, and consults for each condition! And responsibilities of the United States Department of State in Afghanistan, Libya, Peshawar, Somalia Syria... Next assignment since your last clearance school thing, I think I & # x27 ; ready... Provider ( examiner ) CDO, who will forward it to the application process, MEDASEC! The persons name and date of birth on each page submitted to medical.! Post for all individuals deploying to an ESCAPE post States Government, Office of Small and Disadvantaged Utilization... Cdo, who will forward it to the CDO bid list of no more than countries... Beverages affecting the ability to enter the Foreign Service upon completion of employees. And alternatively Consult with post directly doing frequent TDYs to ESCAPE state department medical clearance disqualifiers must the. Or habitual use to excess of intoxicating beverages affecting the ability to enter the Foreign upon... Decisions on their medical clearance Update ( MCU ) form travel to ESCAPE... English translation clearance Update ( MCU ) form no more than 10 countries contact MEDClearances state.gov., must provide their own email address for privacy reasons or reach out you.