State Department Medical Clearance Form

What is state department medical clearance form?

The state department medical clearance form is a document that individuals are required to fill out when seeking medical clearance for specific purposes such as traveling abroad or participating in certain programs.

What are the types of state department medical clearance form?

There are different types of state department medical clearance forms based on the purpose of the clearance. Some common types include:

Medical clearance form for international travel
Medical clearance form for participation in government programs
Medical clearance form for immigration purposes

How to complete state department medical clearance form

Completing the state department medical clearance form is a straightforward process. Here are some steps to guide you through:

01
Gather all necessary information and documents before filling out the form
02
Complete all sections of the form accurately and truthfully
03
Review the form for any errors or missing information before submitting
04
Submit the form according to the instructions provided

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Video Tutorial How to Fill Out state department medical clearance form

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Questions & answers

The medical clearance is based upon the employee participating in a complete head-to-toe physical examination, a complete blood panel, a health history questionnaire, an EKG, vision test, pulmonary function test, hearing test, and a stress test for those over the age of 40 or at the discretion of the provider.
Your medical clearance exam is going to be similar to a regular physical exam, but will also be tailored to the needs of the specific Medical Clearance purpose.
How Long is a Medical Clearance Valid? A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. A CONUS based employee who does TDY travel for 30 or more consecutive days has a medical clearance valid for 2 years from the date it was issued.
The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Additionally, the scope and frequency of the required follow-up must be determined.
The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring.
Related Definitions Medically cleared means a determination made within 24 hours prior to admission by the medical director that an individual is physically capable of participating in facility activities and programming and not at risk of medical complications that would be unmanageable by the facility.