The documents are necessary to the Foreign Service Act of 1980, as amended (22 U.S.C. 4084, 3901, 3984). They are used to document results of the Foreign Service Medical History and Examination for preemployment decisions. Every person who has been given a conditional offer of employment for Foreign Service with the Department of State (DOS) must be healthy and able to travel to post of assignment worldwide. Those who are not able to travel and serve world wide are not hired. Without these forms, DOS would not have a consistent and fair means to document that each new employee meets the medial criteria for world wide employment in the Foreign Service and family health care needs be met at overseas posts.
The latest form for Medical History and Examination expires 2023-10-31 and can be found here.
Document Name |
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Form and Instruction |
Justification for No Material/Nonsubstantive Change |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |