For future/current applicants, I’m writing this while it is still fresh in my brain. For non-applicants, you probably don’t care and can come back later to read posts filled with bad puns and funny stories.
The medical clearance is challenging. No two ways about it. I got my tasks on September 19th and finally got medically cleared on December 28th, after six doctors appointments and multiple visits back to pick up paperwork, ask why it wasn’t done, get it filled in correctly, tell the people working that I really did get that tetanus booster on February 12th 2012 and that I do need proof of it, get more blood drawn because the first batch wasn’t entered into the system correctly, get my TB test read, etc.
Within a couple of days after you receive your invitation, you’ll receive an email or two. The first will remind you that you leaving is contingent upon receiving medical clearance, that you should get your tasks done as soon as possible, and that you need to keep medical updated if anything changes, or if you’re considering changing medication, getting lasik, or an IUD, for you uterus-havers.
If there was anything on your health history form that you filled out during the initial application process that raised flags, you’ll get another email saying that your medical review may take a while longer, and remind you again that you should not make any big changes like quitting your job or getting out of a lease until you’re medically cleared. Obviously, they’re serious about this. Don’t quit your day job. Or your night job.
Included in one or both of those emails will be a link to your map. Pop in, take a look, read the intro message from your nurse and don’t freak out. When I logged in, I had eighteen tasks. Most of them were the standard requests for a physical, immunization records, dental check up, and one was a request for more information regarding a past issue.
Make your appointments as soon as possible.
Be honest– they make it clear that if they find out you were dishonest, you could be sent home at any point. Peace Corps takes volunteer safety very seriously and want to make sure that your site has the resources available to help with any known issues.
For the un- or under- insured, your local Veterans Affairs clinic is an option for some of the shots and the physical, but it may take a little more leg work, as many VAs are not aware that they provide these services to Peace Corps invitees. You can also utilize that #thanksobama hashtag for the ACA taking care of preventative health care for us.
With no desire to talk down to anyone, make sure your name, birthdate, and case number are on everything. I had to resubmit a couple of tasks because I forgot about it, and it’s easier to just do it the first time (Weird, right? No one ever says that about anything else. Ever.) Get the most official paperwork possible, with signatures on anything that might possibly need it. And heck, in the interest of being a responsible adult, keep those files somewhere for future reference.
For less common immunizations, like the yellow fever, check out your local travel clinic, but be aware that you’ll probably have to pay out of pocket. When I looked, most of them in the DC area had an appointment fee of about $85 on top of the cost of the immunization.
From the peace corps reddit, I realized that I was incredibly lucky to be assigned a nurse who checked on my forms within a day or two of my submitting them (Tina, if you’re reading this: you’re a gem!), and let me know if there were issues. She also responded promptly to any questions, and was generous with extensions due to insurance issues and struggles with tracking down medical records. Others have said that they have trouble getting responses to questions, or that their nurses didn’t look at the forms until everything was submitted.
Once you submit all your tasks, you’ll get an automated email from the Office of Medical Services saying they’ve received your submissions. This still isn’t clearance and you could get some fun surprise tasks afterwards. My fun surprise task was a polio booster, which was just added to the list for Nepal volunteers. Once I got that taken care of, and resubmitted the more official paperwork, I got another copy of that automated response, and then a message from my nurse asking me to confirm any prescription or OTC drugs I take on a regular basis and then five minutes and four seconds later, clearance, sweet clearance. There was a congratulatory email, with more reminders to keep medical up to date on anything that changes, and a message from my nurse with requirements regarding glasses, prescriptions, allergies, and another request to keep her updated with any changes. Repetition is a theme here.
I’m happy to answer any questions from the applicant side of things. I also found the peace corps reddit to great if you had a quick question about challenges other people have dealt with. Ultimately though, your nurse is your best, most knowledgeable resource.
Bottom line: Get things done. Quickly. My invitation timeline gave me some leeway in terms of extensions, and as my dentist said “Your history is about as vanilla as it gets.”, so I wasn’t too concerned about not getting cleared, but I still got two extensions and spent many hours tracking down forms.