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This section applies to Foreign Service Agency Locally Employed (LE) Staff only.

If you will be a Locally Employed (LE) Staff or their Eligible Family Member (EFM) click on what describes your next assignment best.


Post Other Than My Home Post, Including TDY for 30 or More Consecutive Days

This section applies to Locally Employed (LE) Staff assigned to or TDY for 30 or more consecutive days to another post.

    1. Complete a DS-1843: Medical History and Examination for Individuals Age 12 and Older  physical exam.

 

    1. If you have ongoing 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 expenses should be discussed with your Human Resources contact.

 

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

 

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

ESCAPE Post – Iraq, Afghanistan, Libya, Peshawar, Somalia, Yemen, and Syria

This section applies to Locally Engaged (LE) Staff who is assigned to TDY for 30 or more consecutive days to an ESCAPE Post. Current ESCAPE posts are Iraq, Afghanistan, Libya, Peshawar, Somalia, Yemen, and Syria.

    1. (A) For a first deployment, complete the following:
      Form DS-1843: Medical History and Examination for Individuals Age 12 and Older physical exam.
      Form DS-6570 Pre-Deployment Physical Acknowledgement Form co-signed by your medical provider.

      All labs clinically indicated on page 4 of DS-6561; plus an HIV 1&2, Hepatitis C antibody screen, a Hepatitis B surface antigen screen, plus a lipid profile for those age 35 and older. These are military command requirements and additional testing depending on an individual’s risk profile may be requested. While not required for Iraq, these tests are advised should you need to travel to other ESCAPE posts.

      (B) LE Staff who have a current valid ESCAPE post medical clearance and are extending their assignment at an ESCAPE post may be able to do a DS-3057: Medical Clearance Update rather than a full physical. They should consult with their Health Unit or Medical Clearances.

 

    1. An ESCAPE Post medical clearance is valid for 1 year from arrival at post. An ESCAPE post medical clearance for frequent TDYs is valid for 2 years.

 

    1. If you have an on-going medical or mental health 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. Discuss with Human Resources and/or the HU regarding Medical Clearance related medical expenses.

 

  1. For more detailed information about ESCAPE posts medical clearance process see Medical Clearance Guidance for Deploying to ESCAPE Posts.

U.S. Department of State

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