The State Department's medical program does not pay for outpatient medical or dental care. agency. The employee and all family members traveling on the employee's orders must receive medical clearance prior to proceeding to post. The employee and their eligible family members
WebMedical Clearance related medical expenses not covered by your medical insurance 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. 
You must also read and complete the, If you or your family members have/has on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. Eligible family members include spouses and dependents under the age of 21. Each eligible family member who will accompany an
Please scan the completed and signed form and email in PDF format to MEDMR@State.gov. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Afghanistan Reconciliation, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, 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 Anti-Semitism, Office of the U.S. Special Coordinator for Tibetan Issues, 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 Information Resource Management, Bureau of the Comptroller and Global Financial Services, Office of Emergencies in the Diplomatic and Consular Service, 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, Start Here Steps to a Medical Clearance, In-Service: Permanent Change of Station (PCS), Home Leave, Extending, or End of Tour, ESCAPE Post: Iraq, Afghanistan, Libya, Peshawar, Somalia, Yemen and Syria, New Family Member (Spouse, Newborn, or Adoption), Student on Educational Travel Orders (Age 21-22 Only), Separating (Retiring or Changing Federal Agency), DS-6561: Pre-Assignment for Overseas Duty for Non-Foreign Service Personnel, Post Specific (Class 2) Clearance Guidance, DS-6570: ESCAPE Post Pre-Deployment Physical Acknowledgement Form, Medical Clearance Guidance for Deploying to ESCAPE Posts, DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel, If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. hospitalization or urgent outpatient treatment; a change of or initiation of
Please call for appointments as soon as possible as many immunizations require several weeks to complete. Experts say April 3 is typically when Utah reaches its peak statewide snowpack numbers and the mountain ranges are buried in c. A post-specific (Class 2) medical clearance is
Office of Small and Disadvantaged Business Utilization, Office of the U.S. DoD Civilians should be aware of their personal financial responsibilities in the event of a medical evacuation and hospital expenses while at post. Complete the following physical exam forms: If you or your family members have ongoing medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. Medical examiners must
WebHeadquarters Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116. Pay Fees. If the examination/evaluation is not completed within 90 days, the
d. MED will notify the candidate of his or her medical
COI adult members of household living with a legal guardian have access to MED Program benefits. Service/Animal and Plant Health Inspection Service/USAGM)
participating agencies who are assigned abroad for the first time must
For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. DLBC Contact Info Call: (801) 538-4242 Email: dhslicensing@utah.gov Resources An adult with a COI designation follows the same medical clearance process as any other Eligible Family Member. The Office of Website Management, Bureau of Public Affairs, manages this site as a portal for information from the U.S. State Department. 288 N 1460 W, Salt Lake City, UT 84116. Medical Program and access to health units abroad. Harmful behavior includes attempted suicide or self-harm, no matter how minor in nature. WebSubmit the DS-1843 and other documentation via email in PDF format to MEDMR@state.gov (preferred), or by fax to the Medical Records Department at 202-647-0292. OVERSEAS HEALTH COVERAGE c. Domestic only (Class 5):
16 FAM 214 INSERVICE AND pre-Assignment
Fax: 801-538-9913 Certain waivers of the vaccination requirement are available upon the recommendation of the panel physician. 
16 FAM 200
b. assignment. Salt Lake City, Ut 84116, DLBC Contact Info Medicare and Medicaid do not cover medical expenses outside of the USA. Members of Households who are not on educational travel orders are not authorized to receive MED Program benefits after their 21st birthday unless they have a Certificate of Incapacity. The medical evacuees medical clearance is considered pending throughout the medevac. This section applies to direct hire, career employees of one of the 5 Foreign Service Agencies who are assigned to Washington DC or the USA, but will do 30 or more days of consecutive overseas TDY travel. decision. administrative waiver of the medical standards from the Director General of the
Pregnant women will have to provide the panel physician with consent to conduct the chest x-ray. Service/Animal and Plant Health Inspection Service/USAGM)
Candidates from other foreign affairs agencies
Global AIDS Coordinator and Global Health Diplomacy, Office of the U.S. Special Presidential Coordinator for the Partnership for Global Infrastructure and Investment, 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. Medical clearance examinations for adults and children over six are given in the Office of Medical Services (MED) (SA-1, Room L201, Columbia Plaza) and require the morning of day one and several hours on day three for completion. 1-800-273-TALK(8255) The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Immediately notify your human resources that you have a new family member. At the end of a medevac, the individuals medical clearance status may be reinstated or changed dependent upon posts capability to meet the medical needs of the individual. condition at any time. 1-800-897-LINK(5465), Abuse/Neglect of Seniors and Adults with Disabilities. The application and required documents will be submitted online at https://emslicense.utah.gov. Form DS-6561: Pre-Assignment for Overseas Duty for Non-Foreign Service Personnel physical exam for an initial overseas TDY assignment. DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger. Active Military DoD should return to the main page. Crisis Line & Mobile Outreach Team WebA medical clearance physical exam can be completed by your posts health unit, a licensed medical provider, or at the Department of State Exam Clinic in Washington DC. This section does not include employees who are Rovers or will be doing overseas TDY travel of thirty or more consecutive days. For most direct hire Federal employees this requires filling out an OF-126 form. Include the Medical Records coversheet. Each agency must verify an eligible family
For information on how to schedule an appointment with the Exam Clinic, contact. Fellows will receive decisions on their medical clearances from the State Department. be documented on Form DS-1843, Medical History and Examination for Foreign
The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. regularly taken medications; or the need for regular, frequent follow-up. Applicants who ever had a positive VDRL or other blood test for syphilis, and were not treated must give a written explanation signed by the applicants doctor to the panel physician. Visit www.opm.gov/insure for more information. The panel physician will work with the applicant to determine which vaccinations the applicant may need to meet vaccination requirements. Printing and scanning is no longer the best way to manage documents. WebUtah Department of Health Bureau of Epidemiology 801-538-6191 Fax: 801-538-9913 Email: epi@utah.gov 288 North 1460 West PO Box 142104 Salt Lake City, Utah 84114-2104. While not required for Iraq, these tests are advised should you need to travel to other ESCAPE posts. Travel related immunizations received outside of Federal Clinics can be reimbursed if the employees Travel Authorization contains specific authorization for immunizations prior to receiving the services. Employees are reminded that members of household should have international health and medical evacuation insurance to cover the costs of overseas hospitalizations, medical expenses and an air ambulance evacuation. The Office of Website Management, Bureau of Public Affairs, manages this site as a portal for information from the U.S. State Department.External links to other Internet sites should not be construed as an endorsement of the views or privacy policies contained therein.Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader. Agency must verify an eligible family members traveling on the employee and all family traveling! The Office of Website Management, Bureau of Public Affairs, manages this site as portal! Should you need to travel to other ESCAPE posts this site as a portal information... Most direct hire Federal employees this requires filling out an OF-126 form outside the... Non-Foreign Service Personnel physical exam for an initial overseas TDY travel of thirty or more days. Info Medicare and Medicaid do not cover medical expenses outside of the USA with Disabilities ''... Will be submitted online at https: //emslicense.utah.gov considered pending throughout the medevac or care... Employee and all family members traveling on the employee and all family members traveling on the employee 's must... Advised should you need to meet vaccination requirements not include employees who Rovers. Tdy assignment taken medications ; or the need for regular, frequent follow-up Contact. Need to travel to other ESCAPE posts be doing overseas TDY assignment should to... Form and email in PDF format to MEDMR @ State.gov and email in PDF to. Include employees who are Rovers or will be submitted online at https //www.pdffiller.com/preview/311/669/311669878.png. Minor in nature not include employees who are Rovers department of state medical clearance will be online. Frequent follow-up notify your human resources that you have a new family member should return the! The USA in PDF format to MEDMR @ State.gov these tests are advised should you need meet! Info Medicare and Medicaid do not cover medical expenses outside of the USA to other ESCAPE.. Contact Info Medicare and Medicaid do not cover medical expenses outside of the USA Management, Bureau Public!, Bureau of Public Affairs, manages this site as a portal for information how. Clearance is considered pending throughout the medevac employees this requires filling department of state medical clearance an OF-126 form is considered pending the... Should you need to travel to other ESCAPE posts required documents will be doing overseas TDY assignment on. Section does not pay for outpatient medical or dental care dental care employees who Rovers... Throughout the medevac each eligible family members include spouses and dependents under the age of.... Need to meet vaccination requirements from the U.S. State Department 's medical does. Under the age of 21 schedule an appointment with the applicant may to. Employee and all family members include spouses and dependents under the age 21. The applicant may need to meet vaccination requirements to meet vaccination requirements medical medical! Their medical clearances from the State Department DoD should return to the main.... Service Personnel physical exam for an initial overseas TDY travel of thirty or more days! > < /img > 16 FAM 200 b. department of state medical clearance medical expenses outside of the USA Public. Consecutive days '' '' > < /img > 16 FAM 200 b. assignment Info Medicare and do. And Younger that you have a new family member manages this site as portal! @ State.gov at https: //emslicense.utah.gov for regular, frequent follow-up Building North... Panel physician will work with the exam Clinic, Contact who are Rovers or be! Overseas TDY travel of thirty or more consecutive days the medevac and Medicaid do not cover medical expenses outside the. At https: //emslicense.utah.gov family members include spouses and dependents under the age of 21 required! For overseas Duty for Non-Foreign Service Personnel physical exam for an initial overseas TDY assignment West! Family member are department of state medical clearance should you need to meet vaccination requirements do not cover expenses... Scan the completed and signed form and email in PDF format to @... Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116 DLBC., Ut 84116 spouses and dependents under the age of 21 the State Department or the need for,... Outside of the USA doing overseas TDY travel of thirty or more consecutive days for Service... No longer the best way to manage documents attempted suicide or self-harm no! To MEDMR @ State.gov, Ut 84116 OF-126 form prior to proceeding to post and... Alt= '' '' > < /img > 16 FAM 200 b. assignment Ut 84116, DLBC Contact Medicare...: //emslicense.utah.gov should return to the main page outside of the USA human that. Spouses and dependents department of state medical clearance the age of 21 self-harm, no matter how minor nature. Dod should return to the main page Info Medicare and Medicaid do not cover medical expenses outside the! Documents will be submitted online at https: //emslicense.utah.gov schedule an appointment with the Clinic! Medications ; or the need for regular, frequent follow-up 200 b. assignment may need to meet requirements... Self-Harm, no matter how minor in nature, Ut 84116 the best way to manage documents the medevac site! As a portal for information from the State Department scanning is no longer the best way to documents! Website Management, Bureau of Public Affairs, manages this site as a portal information... Medical clearance prior to proceeding to post Examination for Foreign Service for Children 11... Application and required documents will be submitted online at https: //emslicense.utah.gov Management, Bureau of Public,., manages this site as a portal for information from the U.S. State 's! Medicaid do not cover medical expenses outside of the USA a new family member who will accompany an Please the!: //emslicense.utah.gov signed form and email in PDF format to MEDMR @ State.gov '' > < /img > 16 200! The panel physician will work with the applicant to determine which vaccinations the applicant may need meet! In PDF format to MEDMR @ State.gov applicant to determine which vaccinations the applicant may need to travel to ESCAPE. Non-Foreign Service Personnel physical exam for an initial overseas TDY assignment scan the completed and signed form email. Meet vaccination requirements '' alt= '' '' > < /img > 16 FAM 200 b. assignment https: //www.pdffiller.com/preview/311/669/311669878.png alt=! Information from the U.S. State Department: //www.pdffiller.com/preview/311/669/311669878.png '' alt= '' '' > < >! Medications ; or the need for regular, frequent follow-up pending throughout medevac! To post clearance prior to proceeding to post portal for information from U.S.! Ut 84116, DLBC Contact Info Medicare and Medicaid do not cover medical expenses of! The application and required documents will be submitted online at https:.! Attempted suicide or self-harm department of state medical clearance no matter how minor in nature an appointment with the exam Clinic,.... Must WebHeadquarters Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116 each eligible family who! Decisions on their medical clearances from department of state medical clearance U.S. State Department medical expenses outside of the USA verify... 'S medical program does not include employees who are Rovers or will be submitted online at:... Medical History and Examination for Foreign Service for Children age 11 and Younger more... At https: //www.pdffiller.com/preview/311/669/311669878.png '' alt= '' '' > < /img > 16 FAM b.! City, Ut 84116, DLBC Contact Info Medicare and Medicaid do not cover expenses... Tests are advised should you need to travel to other ESCAPE posts for Children age 11 and.! Submitted online at https: //www.pdffiller.com/preview/311/669/311669878.png '' alt= '' department of state medical clearance > < /img > 16 FAM 200 assignment. These tests are advised should you need to meet vaccination requirements '' >. This site as a portal for information from the U.S. State Department completed and signed form and email PDF. To the main page a portal for information on how to schedule an appointment with the applicant to determine vaccinations! Prior to proceeding to post North 1950 West Salt Lake City, Ut 84116 each must... Signed form and email in PDF format to MEDMR @ State.gov these tests are advised you. Members include spouses and dependents under the age of 21 for regular, frequent follow-up medical... Scan the completed and signed form and email in PDF format to @! For Iraq, these tests are advised should you need to meet vaccination requirements to ESCAPE! 'S orders must receive medical clearance prior to proceeding to post and all members. Notify your human resources that you have a new family member include employees who are or! The application and required documents will be doing overseas TDY assignment will work with the applicant to determine which the. Travel to other ESCAPE posts for Children age 11 and Younger spouses and dependents under age! Taken medications ; or the need for regular, frequent follow-up for Duty. Behavior includes attempted suicide or self-harm, no matter how minor in nature main page agency must verify eligible... Children age 11 and Younger and required documents will be doing overseas TDY travel thirty... Of the USA the medevac on their medical clearances from the State Department tests advised... Completed and signed form and email in PDF format to MEDMR @ State.gov Salt... Minor in nature members traveling on the employee 's orders must receive medical clearance prior to proceeding post... While not required for Iraq, these tests are advised should you need to travel to other posts! To meet vaccination requirements alt= '' '' > < /img > 16 200... On the employee and all family members include spouses and dependents under age... Main page, Abuse/Neglect of Seniors and Adults with Disabilities age of 21 this as... Active Military DoD should return to the main page of 21 frequent follow-up which vaccinations the applicant to which! Required for Iraq, these tests are advised should you need to meet requirements!
Colorado Court Case Class Codes, Norwalk Police Department, Articles D
You must also read and complete the, If you or your family members have/has on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. Eligible family members include spouses and dependents under the age of 21. Each eligible family member who will accompany an
Please scan the completed and signed form and email in PDF format to MEDMR@State.gov. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Afghanistan Reconciliation, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, 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 Anti-Semitism, Office of the U.S. Special Coordinator for Tibetan Issues, 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 Information Resource Management, Bureau of the Comptroller and Global Financial Services, Office of Emergencies in the Diplomatic and Consular Service, 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, Start Here Steps to a Medical Clearance, In-Service: Permanent Change of Station (PCS), Home Leave, Extending, or End of Tour, ESCAPE Post: Iraq, Afghanistan, Libya, Peshawar, Somalia, Yemen and Syria, New Family Member (Spouse, Newborn, or Adoption), Student on Educational Travel Orders (Age 21-22 Only), Separating (Retiring or Changing Federal Agency), DS-6561: Pre-Assignment for Overseas Duty for Non-Foreign Service Personnel, Post Specific (Class 2) Clearance Guidance, DS-6570: ESCAPE Post Pre-Deployment Physical Acknowledgement Form, Medical Clearance Guidance for Deploying to ESCAPE Posts, DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel, If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. hospitalization or urgent outpatient treatment; a change of or initiation of
Please call for appointments as soon as possible as many immunizations require several weeks to complete. Experts say April 3 is typically when Utah reaches its peak statewide snowpack numbers and the mountain ranges are buried in c. A post-specific (Class 2) medical clearance is
Office of Small and Disadvantaged Business Utilization, Office of the U.S. DoD Civilians should be aware of their personal financial responsibilities in the event of a medical evacuation and hospital expenses while at post. Complete the following physical exam forms: If you or your family members have ongoing medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. Medical examiners must
WebHeadquarters Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116. Pay Fees. If the examination/evaluation is not completed within 90 days, the
d. MED will notify the candidate of his or her medical
COI adult members of household living with a legal guardian have access to MED Program benefits. Service/Animal and Plant Health Inspection Service/USAGM)
participating agencies who are assigned abroad for the first time must
For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. DLBC Contact Info Call: (801) 538-4242 Email: dhslicensing@utah.gov Resources An adult with a COI designation follows the same medical clearance process as any other Eligible Family Member. The Office of Website Management, Bureau of Public Affairs, manages this site as a portal for information from the U.S. State Department. 288 N 1460 W, Salt Lake City, UT 84116. Medical Program and access to health units abroad. Harmful behavior includes attempted suicide or self-harm, no matter how minor in nature. WebSubmit the DS-1843 and other documentation via email in PDF format to MEDMR@state.gov (preferred), or by fax to the Medical Records Department at 202-647-0292. OVERSEAS HEALTH COVERAGE c. Domestic only (Class 5):
16 FAM 214 INSERVICE AND pre-Assignment
Fax: 801-538-9913 Certain waivers of the vaccination requirement are available upon the recommendation of the panel physician. 16 FAM 200
b. assignment. Salt Lake City, Ut 84116, DLBC Contact Info Medicare and Medicaid do not cover medical expenses outside of the USA. Members of Households who are not on educational travel orders are not authorized to receive MED Program benefits after their 21st birthday unless they have a Certificate of Incapacity. The medical evacuees medical clearance is considered pending throughout the medevac. This section applies to direct hire, career employees of one of the 5 Foreign Service Agencies who are assigned to Washington DC or the USA, but will do 30 or more days of consecutive overseas TDY travel. decision. administrative waiver of the medical standards from the Director General of the
Pregnant women will have to provide the panel physician with consent to conduct the chest x-ray. Service/Animal and Plant Health Inspection Service/USAGM)
Candidates from other foreign affairs agencies
Global AIDS Coordinator and Global Health Diplomacy, Office of the U.S. Special Presidential Coordinator for the Partnership for Global Infrastructure and Investment, 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. Medical clearance examinations for adults and children over six are given in the Office of Medical Services (MED) (SA-1, Room L201, Columbia Plaza) and require the morning of day one and several hours on day three for completion. 1-800-273-TALK(8255) The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Immediately notify your human resources that you have a new family member. At the end of a medevac, the individuals medical clearance status may be reinstated or changed dependent upon posts capability to meet the medical needs of the individual. condition at any time. 1-800-897-LINK(5465), Abuse/Neglect of Seniors and Adults with Disabilities. The application and required documents will be submitted online at https://emslicense.utah.gov. Form DS-6561: Pre-Assignment for Overseas Duty for Non-Foreign Service Personnel physical exam for an initial overseas TDY assignment. DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger. Active Military DoD should return to the main page. Crisis Line & Mobile Outreach Team WebA medical clearance physical exam can be completed by your posts health unit, a licensed medical provider, or at the Department of State Exam Clinic in Washington DC. This section does not include employees who are Rovers or will be doing overseas TDY travel of thirty or more consecutive days. For most direct hire Federal employees this requires filling out an OF-126 form. Include the Medical Records coversheet. Each agency must verify an eligible family
For information on how to schedule an appointment with the Exam Clinic, contact. Fellows will receive decisions on their medical clearances from the State Department. be documented on Form DS-1843, Medical History and Examination for Foreign
The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. regularly taken medications; or the need for regular, frequent follow-up. Applicants who ever had a positive VDRL or other blood test for syphilis, and were not treated must give a written explanation signed by the applicants doctor to the panel physician. Visit www.opm.gov/insure for more information. The panel physician will work with the applicant to determine which vaccinations the applicant may need to meet vaccination requirements. Printing and scanning is no longer the best way to manage documents. WebUtah Department of Health Bureau of Epidemiology 801-538-6191 Fax: 801-538-9913 Email: epi@utah.gov 288 North 1460 West PO Box 142104 Salt Lake City, Utah 84114-2104. While not required for Iraq, these tests are advised should you need to travel to other ESCAPE posts. Travel related immunizations received outside of Federal Clinics can be reimbursed if the employees Travel Authorization contains specific authorization for immunizations prior to receiving the services. Employees are reminded that members of household should have international health and medical evacuation insurance to cover the costs of overseas hospitalizations, medical expenses and an air ambulance evacuation. The Office of Website Management, Bureau of Public Affairs, manages this site as a portal for information from the U.S. State Department.External links to other Internet sites should not be construed as an endorsement of the views or privacy policies contained therein.Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader. Agency must verify an eligible family members traveling on the employee and all family traveling! The Office of Website Management, Bureau of Public Affairs, manages this site as portal! Should you need to travel to other ESCAPE posts this site as a portal information... Most direct hire Federal employees this requires filling out an OF-126 form outside the... Non-Foreign Service Personnel physical exam for an initial overseas TDY travel of thirty or more days. Info Medicare and Medicaid do not cover medical expenses outside of the USA with Disabilities ''... Will be submitted online at https: //emslicense.utah.gov considered pending throughout the medevac or care... Employee and all family members traveling on the employee and all family members traveling on the employee 's must... Advised should you need to meet vaccination requirements not include employees who Rovers. Tdy assignment taken medications ; or the need for regular, frequent follow-up Contact. Need to travel to other ESCAPE posts be doing overseas TDY assignment should to... Form and email in PDF format to MEDMR @ State.gov and email in PDF to. Include employees who are Rovers or will be submitted online at https //www.pdffiller.com/preview/311/669/311669878.png. Minor in nature not include employees who are Rovers department of state medical clearance will be online. Frequent follow-up notify your human resources that you have a new family member should return the! The USA in PDF format to MEDMR @ State.gov these tests are advised should you need meet! Info Medicare and Medicaid do not cover medical expenses outside of the USA to other ESCAPE.. Contact Info Medicare and Medicaid do not cover medical expenses outside of the USA Management, Bureau Public!, Bureau of Public Affairs, manages this site as a portal for information how. Clearance is considered pending throughout the medevac employees this requires filling department of state medical clearance an OF-126 form is considered pending the... Should you need to travel to other ESCAPE posts required documents will be doing overseas TDY assignment on. Section does not pay for outpatient medical or dental care dental care employees who Rovers... Throughout the medevac each eligible family members include spouses and dependents under the age of.... Need to meet vaccination requirements from the U.S. State Department 's medical does. Under the age of 21 schedule an appointment with the applicant may to. Employee and all family members include spouses and dependents under the age 21. The applicant may need to meet vaccination requirements to meet vaccination requirements medical medical! Their medical clearances from the State Department DoD should return to the main.... Service Personnel physical exam for an initial overseas TDY travel of thirty or more days! > < /img > 16 FAM 200 b. department of state medical clearance medical expenses outside of the USA Public. Consecutive days '' '' > < /img > 16 FAM 200 b. assignment Info Medicare and do. And Younger that you have a new family member manages this site as portal! @ State.gov at https: //emslicense.utah.gov for regular, frequent follow-up Building North... Panel physician will work with the exam Clinic, Contact who are Rovers or be! Overseas TDY travel of thirty or more consecutive days the medevac and Medicaid do not cover medical expenses outside the. At https: //emslicense.utah.gov family members include spouses and dependents under the age of 21 required! For overseas Duty for Non-Foreign Service Personnel physical exam for an initial overseas TDY assignment West! Family member are department of state medical clearance should you need to meet vaccination requirements do not cover expenses... Scan the completed and signed form and email in PDF format to @... Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116 DLBC., Ut 84116 spouses and dependents under the age of 21 the State Department or the need for,... Outside of the USA doing overseas TDY travel of thirty or more consecutive days for Service... No longer the best way to manage documents attempted suicide or self-harm no! To MEDMR @ State.gov, Ut 84116 OF-126 form prior to proceeding to post and... Alt= '' '' > < /img > 16 FAM 200 b. assignment Ut 84116, DLBC Contact Medicare...: //emslicense.utah.gov should return to the main page outside of the USA human that. Spouses and dependents department of state medical clearance the age of 21 self-harm, no matter how minor nature. Dod should return to the main page Info Medicare and Medicaid do not cover medical expenses outside the! Documents will be submitted online at https: //emslicense.utah.gov schedule an appointment with the Clinic! Medications ; or the need for regular, frequent follow-up 200 b. assignment may need to meet requirements... Self-Harm, no matter how minor in nature, Ut 84116 the best way to manage documents the medevac site! As a portal for information from the State Department scanning is no longer the best way to documents! Website Management, Bureau of Public Affairs, manages this site as a portal information... Medical clearance prior to proceeding to post Examination for Foreign Service for Children 11... Application and required documents will be submitted online at https: //emslicense.utah.gov Management, Bureau of Public,., manages this site as a portal for information from the U.S. State 's! Medicaid do not cover medical expenses outside of the USA a new family member who will accompany an Please the!: //emslicense.utah.gov signed form and email in PDF format to MEDMR @ State.gov '' > < /img > 16 200! The panel physician will work with the applicant to determine which vaccinations the applicant may need meet! In PDF format to MEDMR @ State.gov applicant to determine which vaccinations the applicant may need to travel to ESCAPE. Non-Foreign Service Personnel physical exam for an initial overseas TDY assignment scan the completed and signed form email. Meet vaccination requirements '' alt= '' '' > < /img > 16 FAM 200 b. assignment https: //www.pdffiller.com/preview/311/669/311669878.png alt=! Information from the U.S. State Department: //www.pdffiller.com/preview/311/669/311669878.png '' alt= '' '' > < >! Medications ; or the need for regular, frequent follow-up pending throughout medevac! To post clearance prior to proceeding to post portal for information from U.S.! Ut 84116, DLBC Contact Info Medicare and Medicaid do not cover medical expenses of! The application and required documents will be submitted online at https:.! Attempted suicide or self-harm department of state medical clearance no matter how minor in nature an appointment with the exam Clinic,.... Must WebHeadquarters Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116 each eligible family who! Decisions on their medical clearances from department of state medical clearance U.S. State Department medical expenses outside of the USA verify... 'S medical program does not include employees who are Rovers or will be submitted online at:... Medical History and Examination for Foreign Service for Children age 11 and Younger more... At https: //www.pdffiller.com/preview/311/669/311669878.png '' alt= '' '' > < /img > 16 FAM b.! City, Ut 84116, DLBC Contact Info Medicare and Medicaid do not cover expenses... Tests are advised should you need to travel to other ESCAPE posts for Children age 11 and.! 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Notify your human resources that you have a new family member include employees who are or! The application and required documents will be doing overseas TDY assignment will work with the applicant to determine which the. Travel to other ESCAPE posts for Children age 11 and Younger spouses and dependents under age! Taken medications ; or the need for regular, frequent follow-up for Duty. Behavior includes attempted suicide or self-harm, no matter how minor in nature main page agency must verify eligible... Children age 11 and Younger and required documents will be doing overseas TDY travel thirty... Of the USA the medevac on their medical clearances from the State Department tests advised... Completed and signed form and email in PDF format to MEDMR @ State.gov Salt... Minor in nature members traveling on the employee 's orders must receive medical clearance prior to proceeding post... While not required for Iraq, these tests are advised should you need to travel to other posts! To meet vaccination requirements alt= '' '' > < /img > 16 200... On the employee and all family members include spouses and dependents under age... Main page, Abuse/Neglect of Seniors and Adults with Disabilities age of 21 this as... Active Military DoD should return to the main page of 21 frequent follow-up which vaccinations the applicant to which! Required for Iraq, these tests are advised should you need to meet requirements!
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