An official website of the United States Government Here's how you know

Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

This section applies to Foreign Service Agency Fellows only.

If you will be a Fellows click on what describes your next assignment best.


Pre-Assignment

This section applies to pre-assignment candidates or their eligible family members for Foreign Service Fellows and their eligible family members (spouses and dependents under the age of 21).

    1. Complete a DS-1843: Medical History and Examination for Individuals Age 12 and Older or DS-1622: Medical History and Examination for Children Age 11 and Younger physical exam.

 

    1. 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. For more detailed information see Post Specific (Class 2) Clearance Guidance.

 

    1. Send your completed forms and medical reports:
      Via email in a PDF format to MEDMR@state.gov (preferred)
      Or fax to 202-647-0292 (less preferred)
      Include the Medical Records coversheet.

 

    1. A medical clearance physical exam can be completed by your post’s health unit, a licensed medical provider, or at the Department of State Exam Clinic in Washington DC. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779.

 

    1. Medical Clearance related medical expenses not covered by your medical insurance may be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and Explanation of Benefits to Medical Claims at MEDClaims@state.gov.

 

    1. For more detailed information about the pre-assignment medical clearance process see Pre-Assignment Guidance.

 

    1. Going to an ESCAPE Post? You must also read and complete the information here.

 


New Family Member (Spouse, Newborn, or Adoption)

This section applies to new eligible family members of a Fellow. New eligible family members include new spouses, newborns and adoptees. Your new family member has up to 90 days to obtain a medical clearance and has access to the MED Medical Program during those 90 days.

    1. Immediately notify your human resources that you have a new family member. For most direct hire Federal employees this requires filling out an OF-126 form. A medical clearance, insurance, passports, and travel orders cannot be proceed without completing this form.

 

    1. Complete a DS-1843: Medical History and Examination for Individuals Age 12 and Older or DS-1622: Medical History and Examination for Children Age 11 and Younger physical exam.

 

    1. If a new family member has on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. For more detailed information see Post Specific (Class 2) Clearance Guidance.

 

    1. Send your completed forms and medical reports:
      Via email in a PDF format to MEDMR@state.gov (preferred)
      Or fax to 202-647-0292 (less preferred)
      Include the Medical Records coversheet.

 

    1. A medical clearance physical exam can be completed by your post’s health unit, a licensed medical provider, or at the Department of State Exam Clinic in Washington DC. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779.

 

    1. 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 to MEDClaims@state.gov.

 

    1. For more detailed information about the pre-assignment medical clearance process go to Pre-Assignment Guidance.

 


On Medical Evacuation Travel

This section applies to individuals on medical evacuation (medevac) travel.

An individual’s medical clearances is suspended during a medevac. The medical evacuee’s medical clearance is considered “pending” throughout the medevac.

At the end of a medevac, the individual’s medical clearance status may be reinstated or changed dependent upon post’s capability to meet the medical needs of the individual.

Questions? Contact your medevac center or MED Foreign Programs, the medevac center in Washington DC, at 202-663-1662 or MEDForeignPrograms@state.gov.

U.S. Department of State

The Lessons of 1989: Freedom and Our Future