The examiner/provider should complete the physical exam and lab portion of the exam. Post Specific (Class 2) Medical Clearance Process for ESCAPE Posts. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. If that is the case a Sensitive Compartmented Information (SCI) or Special Access Programs (SAP) is required for clearance. A Department of Defense military security clearance investigation examines your character, conduct, criminal background, financial responsibility, and emotional stability. PDF Frequently Asked Questions - Careers 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. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. Parts 160 and 164. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. An SSBI investigation checks records held by employers, courts, and rental offices. Essentially the DOD is confirming that you dont have signs of alcohol abuse or dependence. 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. Many Health Units do not have a provider, resources, or time to complete a medical clearance. Criminal conduct is pretty straightforward. 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. A foreign preference is comparable to foreign influence. 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. If you are an institutional contractor, write the name of the specific contracting company or NGO. 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. Inform your CDO or Agency HR of approval determinations. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. Insure the patients name and date of birth is at the top of each page of the exam form. Clearly print the persons name on each page submitted to Medical Records. There are often no blood banks or limited medical supplies and medications available locally. 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. 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. . Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. When to Start the In-Service Clearance Process. Or fax to 202-647-0292 (less preferred) All I know is that FS has a pretty thorough medical clearance process. and our If you're thinking of a career as a government agent, beware of the 5 automatic disqualifiers for security clearances. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. Send all medical forms and reports to Additional countries can be submitted after the first have been reviewed. You may start one year prior to departing for your next overseas assignment. For more information, please see our The military treats mental health very seriously so making the military, in general, is an achievement, much less gaining security clearance. Financial irresponsibility, including a history of not meeting financial obligations or an inability to satisfy debts. Or fax to 202-647-0292 (less preferred) If an employee wishes to contest a decision they may contact the Medical Review Panel (MRP) at and a review will be convened by a three-physician panel. Or fax to 202-647-0292 (less preferred) A single serious crime (involving more than a year in prison) or multiple lesser offenses are potential security clearance disqualifiers. - NAVPERS 1300/16_Rev11-09, Report of Suitability for Overseas Assignment, is required for overseas screening submissions. 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. Foreign Service Officers are required to serve much of their career overseas. The major difference is that some areas of your record may not get scrutinized as closely as someone applying for top-secret security clearance. The following conditions may disqualify you for military service: a. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. state department medical clearance disqualifiers - All actions for processing and tracking Overseas/Remote Duty Screening shall be conducted through BOL, IAW MILPERSMAN 1300-302 . Send your completed forms and medical reports: The employee, contractor or EFM will be notified within 30 days of their clearance status. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. Many Military Occupational Specialties (MOS) require some form of security clearance. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. Outside activities also get analyzed by the Department of Defense. Denial of Medical Clearance | Gilbert Employment Law, P.C. After the questionnaire is completed its sent through a National Agency Check (NAC) and Local Agency Check. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. 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. State Department Clearances: What You Need to Know Fellows will receive decisions on their medical clearances from the State Department. The healthcare provider must also review all current medications, dosages, and frequency of use. There are many specific medical conditions that may disqualify you from joining the U.S. Military. Finally, a periodic reinvestigation (PR) is required every five years for top-secret security clearance. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. Current or history of any abnormality of the eye or adnexa which threatens vision or . Medical Clearance Notices will be sent to your via the e-mail address you place on your form. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . Provide a personal, legible e-mail address good for the next 90 days. For further questions or information, please contact All forms, labs and reports should be in English or with an English translation. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. Please be sure that the name, DOB, and email address are all printed clearly. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice.If done overseas insure that the all sections, labs and reports are in English. Per 16 FAM 122. Your email address will not be published. It is your clearance. You are also subject to an interview by an SSBI investigator along with field interviews of your references. Related Article 20 Health Conditions That May Disqualify You From Military. It includes illegal or unauthorized modification, manipulation, destruction, or denial of access to information on a system. Do not travel to your next overseas assignment without a valid medical. You can begin up to one year prior to departure from your current post. The healthcare provider must print or stamp their name, as well as sign and date page 4. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. 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 Complete a DS-1843: Medical History and Examination for Foreign Service or Individuals Age 12 and Older form. foreign service medical clearance disqualifiers. This brief, two-page document does not require a physical exam. 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. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request (see Section below), consistent with applicable privacy laws and policies. Certain conditions may require that the employee stay in the United States for longer than 6 years. There are several extra steps involved in bidding on overseas jobs if you or one of your Eligible Family Members (EFM) has a Post Specific (Class 2) Medical Clearance. The same is true of having associations with persons involved in criminal activity. Part of your eligibility for the FAIT Fellowship . Most of the connections that will raise the eyebrows of government officials are straightforward. 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. 1 year after arrival at post for all individuals deploying to an ESCAPE post. Waivers of these DOD requirements may be granted in select cases. 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). While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid to travel to localities where medical care is inadequate to meet their needs. It is important accompanying family members of tandem couples possess travel orders that match the sponsoring employees next post of assignment. You dont need to be a boy scout but a pattern of dishonesty or rule violations is a red flag for the DOD. 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 Accept some type of benefits from another country. An MCU can be submitted to your health unit (preferred) or directly submitted to. Check the below sections for more detailed information about the different security clearance disqualifiers. A security clearance investigation examines your personal conduct for a reason. 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. For information on how to schedule an appointment with the Exam Clinic, contact. 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. All prospective employees and their family members should understand that principle before pursuing a career in the Foreign Service. The Director General has delegated the authority to grant such a waiver to the Director of HR/CDA (Bureau of Human Resources, Office of Career Development and Assignments) by memorandum dated August 8, 2005. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance 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, . For example, if an individual needs an English speaking speech therapist, there are many posts he or she can go to, but many others that would not have that resource. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. Please send inquiries only to this email address. Reasonable doubt as to loyalty to the U.S. Government. As soon as you are selected for the Fellowship, the Department of State will request that you complete and submit an application within about two weeks. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical 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. The government might ask more questions if: Basically any duties that might serve in the conflict of the interests of the U.S. government may disqualify you from security clearance. Page 2 must be signed and dated. Secondly, the military needs to examine your immediate family members. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. 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. MED encourages you to have your exam at your future medical providers office to establish a medical relationship with a provider at your retirement home. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. Submit your completed forms and other medical reports to Medical Records: Send via email to (preferred) Any recent drug involvement is frowned upon heavily. 9. 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. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. 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. FBI, DEA, and CIA agents are also required to undergo security clearance checks. Keep in mind that the requirements for receiving confidential security clearance are similar to secret or top-secret clearance. Service members applying for secret clearance (along with confidential clearance) must provide five years worth of information. For information on how to schedule an appointment with the Exam Clinic, contact. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. How Long Will the In-Service Clearance Process Take? Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Misrepresentation, including deception or fraud, in the application process. The name of the examinee (employee, contractor, LES or EFM) and DOB must appear at the top of each page 2, 3, & 4. Secret Security clearance is considered the midlevel security clearance. For example, an inability or unwillingness to satisfy debts is a red flag. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Confidential security clearance refers to unauthorized disclosure that could cause damage to national security. Parts 160 and 164. Emotional, Mental, and Personality Disorders, 12. The waiver justification need only provide enough information from the employee and/or MED to demonstrate a strong basis for the request to enable the Committee to make are commendation. Periodic reinvestigations (PR) are required every 10 years for the secret level. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. Via email in a PDF format to (preferred) Public . The time needed for security clearance determination processing varies depending on a number of factors. 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. Have a question about medical clearances? The U.S. government issues military clearance to select personnel at one of three levels. MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. Several Military Occupational Specialties (MOS), including Fire Control Technicians and Geospatial Intelligence Imagery Analysts, require you to have some form of security clearance. 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 Special Envoy for Critical and Emerging Technology, Office of the U.S. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid travel to localities where medical care is inadequate to meet their needs even if that travel is only for a few days. 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. Reasons for a Separation or Retirement Exam. For example, if an individual needs to routinely see a neurologist or an English-speaking speech therapist or attend a school capable of supporting a dyslexic child there are posts he or she can be assigned to, but many other posts that do not have neurology, speech therapy and appropriate schools. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. Many Foreign Service posts are located in remote areas with extremely limited medical support. Top-secret status is described as having access to information that unauthorized disclosure could cause exceptionally grave damage to national security. Start collecting this information early. Have foreign citizenship to protect financial or business interests in another land. Sending forms and reports to the wrong email address results in confusion. Overseas Screening - Navy Security Clearance Jobs -. Advisory Commission on Public Diplomacy. 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. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. 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. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. state department medical clearance disqualifiers An additional sheet of paper may be used if more space is needed. The examinee, parent or guardian must sign and date page 2 of the DS-1843. Clearly print the persons name on each page submitted to Medical Records. 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. Reasons for a Separation or Retirement Exam. Popular Topics - Medical Clearances - United States Department of State For children with special educational needs, starting early is important. 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. The interviewee might also ask about alcohol or drug use, personal finances, or encounters with police. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. 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. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. They will only need to submit once during the two years their clearance is valid. 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. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. fc-falcon">foreign service medical clearance disqualifiers. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. ESCAPE posts comprise a subset of High-Threat, High Risk (HTHR) posts. The medical clearance process is designed to identify on-going medical, mental health, or special educational issues for which adequate resources may not be available at a specific post. All direct hire employees, Locally Employed Staff, contractors, and Eligible Family Members who will be posted to a designated ESCAPE posts for 30 or more consecutive days are required to obtain a more comprehensive medical clearance than other posts. Current or history of intraocular foreign body. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). Tips for Submitting Your Medical Clearance Application. 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. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. 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 Tips for Your In-Service Medical Clearance Update. An additional sheet of paper may be used if more space is needed. As a result, stress levels among employees may be very high. All blanks need to be filled in. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. 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. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. linked assignment for both current and linked assignment. While a candidate may effectively manage a chronic health condition or limitation within the United States or in specific areas outside of the U.S., the Office of Medical Services might well determine that the same individual is not eligible for a worldwide (Class One) medical clearance. Document rationale for Post Approvals and/or Disapprovals. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Candidates who do not receive a security clearance are ineligible for the fellowship. Confidential Medical Information. Tackling Mental Health Care Issues RECOMMENDATIONS TO MANAGEMENT FROM MEMBERS OF THE FOREIGN SERVICE. Two aspects of the military determine your security level: A) your military job (MOS) and B) your assignment. a. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. The point of contact in MED is the Chief of Domestic Programs (, 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. 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. Security clearance qualifiers get established by the Department of Defense to make sure the service member is capable and trusting of not disclosing sensitive information.