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Division 1: Pre-departure certificate of fitness

14.2.3 Member this Division applies to

  1. This Division does not apply to members. It applies to their dependants approved by the Commonwealth to live at the member's posting location.

    See: Chapter 15 Part 5 Division 1, Eligible persons

  2. Health benefits for eligible persons at the posting location are outlined in Chapter 15 Part 5, Excess health costs.

14.2.3A APS employees this Division applies to

This Division applies to APS employees and their dependants approved by the Commonwealth to live at the employee's posting location.

14.2.4 Pre-departure certificate of fitness

  1. Before a person departs Australia for the posting location, they must obtain certificates of both medical and dental fitness. Certificates must state that the person is fit to travel to and live at the posting location.

    Note: This section also applies to dependants embarking on reunion visits to the posting location.

  2. Certificates must be provided by doctors and dentists authorised by Defence. They must be informed that the examinations are required for travelling to and living at the posting location. They must provide a results report to the Joint Health Services Agency (JHSA) for approval.

  3. The JHSA will then advise the Overseas Administration Team of approval or further action required. Files are kept by the JHSA as Medical-in-Confidence information.

  4. The examinations must allow sufficient time for any necessary medical or dental treatment to be undertaken before departure from Australia.

  5. If the examinations reveal a medical, dental, physical, mental or intellectual condition, the JHSA must consider if the posting location has suitable facilities for ongoing treatment of that condition.

  6. If a person has been recognised as a dependant with special needs under this Determination, the decision-maker in the JHSA must consider if the posting location has suitable facilities for ongoing treatment and care of the condition.

    Example: The dependant with special needs has a medical condition that requires monthly hospital treatments. JHSA will consider if a hospital in the posting location has the facilities to be able to perform the monthly treatment.

    See: Chapter 1 Part 3 Division 2 section 1.3.84, Dependants with special needs

  7. This subsection applies if a medical examination shows that a person has a special need. The member may apply for recognition under section 1.3.84, if the person is not already recognised under that section.

    See: Chapter 1 Part 3 Division 2 section 1.3.84, Dependants with special needs

  8. If a person is not certified as fit, the CDF may approve that the person is eligible for health care costs outlined in this Part. The CDF must consider all these criteria.

    1. The state of health of the person.

    2. The nature, availability and cost of health, therapeutic or special needs facilities at the posting location.

    3. The interests of the Commonwealth that would be furthered by the person living at the posting location.

    4. Any climatic or other environmental factor at the posting location that may be especially adverse to the health or the person.

      Example: A recognised dependant with special needs requires a constant temperature between 20 and 25 degrees celsius. The proposed posting location has an average temperature of 35 degrees celsius for most of the year. This location may not be seen as suitable for the dependant's well being.

    5. Any other factor relevant to the person's fitness to live at the posting location.

      Example: Any recognised special needs that the person has.

  9. The member is eligible for the reimbursement for any costs to obtain the certificate of fitness.

  10. Eligible persons are also eligible to be provided with all necessary inoculations, vaccinations and anti-malarial drugs, at Commonwealth cost.

    Note: This includes dependants embarking on reunion visits.

Persons who can make the decision under subsection 14.2.4.8 on behalf of the Secretary/CDF:
Senior ADF Representative at the overseas post
A person who is authorised to manage Defence personnel administration at the overseas post and is not below MAJ(E)/APS 6.
A person working in the Pay and Administration Centre – Victoria who is authorised to manage Defence pay and administration at overseas posts and is not below WO2(E)/APS 5.

Application to Reservists: Yes, on continuous full-time service.




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