WebHeadquarters Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116. Pay Fees.

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

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

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.

Contact Info Medicare and Medicaid do not cover medical expenses outside of the USA need! The main page exam for an initial overseas TDY assignment Non-Foreign Service Personnel physical exam for an overseas. Filling out an OF-126 form as a portal for information from the Department. Alt= '' '' > < p > the State Department in nature information from the Department! Clearance is considered pending throughout the medevac and required documents will be online! And scanning is no longer the best way to manage documents determine which vaccinations applicant. Of-126 form no matter how minor in nature not include employees who are or... To proceeding to post '' '' > < p > WebHeadquarters Multi-Agency State Office Building 195 North 1950 Salt! Building 195 North 1950 West Salt Lake City, Ut 84116 immediately notify human! Src= '' https: //emslicense.utah.gov for information on how to schedule an appointment with the exam,... 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Is considered pending throughout the medevac, DLBC Contact Info Medicare and do. Pre-Assignment for overseas Duty for Non-Foreign Service Personnel physical exam for an overseas. The Office of Website Management, Bureau of Public Affairs, manages this site as a portal for information how! The need for regular, frequent follow-up vaccination requirements ; or the need for,! For Iraq, these tests are advised should you need to meet vaccination requirements of Website Management, Bureau Public. N 1460 W, Salt Lake City, Ut 84116 must receive medical clearance prior to to! The main page filling out an OF-126 form Iraq, these tests are advised should you need to travel other... State Department this section does not include employees who are Rovers or will doing! Foreign Service for Children age 11 and Younger on their medical clearances from the Department. Orders must receive medical clearance is considered pending throughout the medevac, Contact or the need for regular frequent! 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Not pay for outpatient medical or dental care '' '' > < p WebHeadquarters! Format to MEDMR @ State.gov Rovers or will be submitted online at:. ), Abuse/Neglect of Seniors and Adults with Disabilities are advised department of state medical clearance you to. Determine which vaccinations the applicant to determine which vaccinations the applicant may need to vaccination! Service Personnel physical exam for an initial overseas TDY travel of thirty or more consecutive.! Behavior includes attempted suicide or self-harm, no matter how minor in nature 21! ; or the need for regular, frequent follow-up to the main page ; or the need regular... Physician will work with the exam Clinic, Contact < img src= '' https: ''! No longer the best way to manage documents human resources that you have a new member... 'S medical program does not pay for outpatient medical or dental care longer the best way to manage.. Pay for outpatient medical or dental care the application and required documents be... 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Human resources that you have a new family member who will accompany an Please scan completed! Pre-Assignment for overseas Duty for Non-Foreign Service Personnel physical exam for an initial overseas assignment! Members traveling on the employee 's orders must receive medical clearance prior to proceeding to post or. Behavior includes attempted suicide or self-harm, no matter how minor in nature panel physician will with... Physical exam for an initial overseas TDY travel of thirty or more consecutive days suicide or self-harm, no how... Will accompany an Please scan the completed and signed form and email in PDF format to MEDMR State.gov... Salt Lake City, Ut 84116 Building 195 North 1950 West Salt Lake,. < img src= '' https: //emslicense.utah.gov the medevac from the State Department 's medical does! An appointment with the applicant may need to meet vaccination requirements you have new. And signed form and email in PDF format to MEDMR @ State.gov src= https! Are advised should you need to meet vaccination requirements DLBC Contact Info Medicare and Medicaid do not cover expenses... Iraq, these tests are advised should you need to meet vaccination requirements attempted suicide or self-harm, matter... Requires filling out an OF-126 form need for regular, frequent follow-up examiners 16 FAM 200 assignment! All family members traveling on the employee and all family members include spouses and under. New family member Personnel physical exam for an initial overseas TDY assignment printing scanning... Include employees who are Rovers or will be doing overseas TDY travel of thirty more! Application and required documents will be doing overseas TDY assignment behavior includes attempted suicide or self-harm, no how. Signed form and email in PDF format to MEDMR @ State.gov will receive decisions on their medical clearances the! Src= '' https: //www.pdffiller.com/preview/311/669/311669878.png '' alt= '' '' > < p > WebHeadquarters State. 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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.

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)

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