However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. Unfortunately, the medical waiver review process for the Class of 2023/CGAS Class of 2020 has been paused due to the partial shutdown since the civilian staff members (both in the Admissions Office and CGA Clinic) responsible for it have been furloughed. { Waivers are always considered on an individually basis, based on rating or officer specialty, time-in-service, world-wide deployability and needs of the service. border-right-style: solid; Federal Register issue. padding: 0in 5.4pt 0in 5.4pt; Attorney, Terms of border-bottom-style: solid; Highest customer reviews on one of the most highly-trusted product review platforms. } The prescreen application is provided by a Navy recruiter to check for any conditions that might not make you fit for service. Captain, U.S. Coast Guard, Director of Inspections & Compliance. For complete information about, and access to, our official publications padding: 0in 5.4pt 0in 5.4pt; Getting notified two days before reporting day had to have been a nailbiter! There are some conditions the Army is willing to accommodate and support because of others. & Estates, Corporate - A. These individuals may be denied medical certification. that agencies use to create their documents. Guide, Incorporation documents in the last year, 122 The Coast Guard PSC is our service's waiver granting authority and their final decision cannot be appealed further. The President of the United States manages the operations of the Executive branch of Government through Executive orders. services, For Small } However, one branch may approve a waiver while another branch may not based on the condition, your role in the military, and other factors. He graduated from Saint Leo University with his B.A. border-bottom-style: solid; Since the issuance of NVIC 04-08 on September 15, 2008, there have been several instances where mariners sought waivers for these conditions. This 1- or 2-year expiration date will apply to all medical certificate categories (e.g., FCP, STCW, and National Certificates). In this regard, recommendations from agencies of the Federal Government operating government vessels, as well as owners and operators of private vessels, made on behalf of their employees, will be given full consideration. documents in the last year, 20 The intuitive drag&drop graphical user interface makes it simple to add or move fields. Related Article How To Lose Weight For The Military: Your 30-Day Plan. background-color: #FFFFFF; padding: 0in 5.4pt 0in 5.4pt; Medical Waivers . Doctors that are employed by the DOD will contact new recruits if anything comes up on the prescreening that requires a closer examination. Before you reach MEPS youll complete the form Medical Prescreen of Medical History Report. { You may review a Privacy Act system of records notice regarding our public dockets in the January 17, 2008, issue of the Federal Register (73 FR 3316). I know of one that came through this past Wednesday. vertical-align: top; We got a confirmation that it was requested because he received an LOA but no other news since late Sep'18. Does the condition create an undue hazard to the recruit or other service members in combat situations. 1099R Form. 2 0 obj Waivers may be granted by the program to which you're applying, NOT DoDMERB. documents in the last year, 853 pjI >vBS5GBD)CkoO_4ciA\>w"!,3K[Db[fH}2LbIIMC\^D)1Y|,BC>p`B7zrHcafn~ [{Bj He also noted that you cannot be on any medications like Adderall or Ritalin while serving. Federal Register. Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard." TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Treatments may include medication, therapy, or counseling, but may not permanently interfere with your ability to perform your current duties. 1. should verify the contents of the documents against a final, official Use of medications to reduce symptoms of ADD or ADHD within the previous 24 months. 2. vertical-align: top; 3. endobj If treated with CPAP/BiPAP, the evaluation should include a compliance information report from the positive airway pressure device that covers the preceding 12 months. { padding: 0in 5.4pt 0in 5.4pt; Im Sorry, But Your Last 10 Random Drug Tests Did Not Comply With DOT Requirements. The same recommendation is plausible in any of the military branches as MEPS falls under the command of the DOD. Therefore, what is disqualifying in the Army is also disqualifying in the Navy. border-left-style: solid; In determining whether a mariner having one of the aforementioned conditions warrants a medical waiver under 46 CFR 10.303, the Coast Guard seeks public input on whether the Coast Guard should consider the following specific medical documentation and medical criteria: I. NVIC 04-08, Condition #77: Cardiac decompensation or cardiomyopathy. Use the PDF linked in the document sidebar for the official electronic format. Criteria for consideration for a waiver include: a left ventricular ejection fraction of 35%, no symptomatic or clinically significant heart failure in the past 2 years (must be New York Heart Association Class I), absence of significant ischemia on stress testing, exercise capacity of 8 METs, no history of syncope or ventricular arrhythmia in the past three years; and the written opinion of the treating cardiologist or electrophysiologist supports low risk for sudden death, ventricular arrhythmia, adverse cardiac event and sudden incapacitation based upon objective testing and standard evaluation tools. Applicants must comply with the accompanying waiver letter in order to renew their certificate. The MMC application package must be submitted to your local REC. The new ICD standards, published as Enclosure (7) to NVIC, can be accessed at www.uscg.mil/nmc. on There is a difference between temporary and permanent disqualifications: If you have a medical complication you should bring up the matter with an Army recruiter. DEC. 2646, at 5 (McDonald)(2004), so the changes will likely not help the two mariners noted above. .telerik-reTable-4 tr.telerik-reTableFooterRow-4 border: solid 0px; border-collapse: collapse; .telerik-reTable-4 td.telerik-reTableHeaderLastCol-4 [QUOTE="S_Austin, post: 643219, member: 41419". { Related Article Military Dental Requirements and Disqualifications. Learn more here. has no substantive legal effect. (The Vice Commandant Remands A GC Drug Complaint), USCG Marine Casualty Investigations And The Role Of The Party In Interest, NTSB Finds Pilot Fatigue And Lack Of Coordination At Fault In Sabine River Collision, Overview Of D.O.T. If you are using public inspection listings for legal research, you .telerik-reTable-4 td.telerik-reTableHeaderOddCol-4 The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. documents in the last year, 11 "Mental and behavioral health conditions are no different. Office of Operational Medicine and Quality Improvement (CG-1121) - Manuals, Instructions and Forms Vision Questionnaire All forms can be found on the CG-612 web site. NVIC 04-08, Condition # 193: Diabetes mellitus treated with insulin or with history of diabetic ketoacidosis (DKA). All the military branches follow the same guidelines set forth by the Department of Defense for disqualifying health conditions. establishing the XML-based Federal Register as an ACFR-sanctioned } Unfortunately, recruits cannot appeal the decision for immediate denial of MEPS. for better understanding how a document is structured but NVIC 04-08, Condition #194: Diabetes requiring oral medication. These health conditions are disqualifying: Mental health conditions are also taken into account in the Army: You can view the complete list of disqualifying medical health conditions by reading the Medical Standards for Appointment, Enlistment, or Induction Into The Military Services. } Refractive error corrected by orthokeratology, kerato-refractive, PRK, laser or any other corneal enhancement have numerous criteria to meet in order to be qualified. .telerik-reTable-4 td.telerik-reTableEvenCol-4 I am curious to know if any USCGA 2023 candidates with DQ's been granted a medical waiver from USCGA's waiver authority. color: #666666; For OSA treated by other means, submit a polysomnogram demonstrating the effectiveness of the alternative therapy. Related Article Can You Join The Military With Autism? An official website of the United States government, Assistant Commandant for Human Resources (CG-1), Health Safety & Work Life Regional Practice, Office of Operational Medicine and Quality Improvement(CG-1121) - Manuals, Instructions and Forms, COAST GUARD AUXILIARIST SUPPORT TO COAST GUARD HEALTH CARE FACILITIES, MEDICAL EXAM OF APPLICANTS FOR ACADEMY, ROTC, & USUHS (JOINT PUB), COAST GUARD PERIODIC HEALTH ASSESSMENT (PHA), PUBLIC HEALTH AND DISEASE CONCERNS RELATED TO COAST GUARD OPERATIONS, COAST GUARD ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP), IMMUNIZATIONS AND CHEMOPROPHYLAXIS (JOINT PUBLICATION), COAST GUARD HUMAN IMMUNODEFICIENCY VIRUS (HIV) PROGRAM, COAST GUARD SMALLPOX VACCINE PROGRAM (SVP), AEROMEDICAL EVACUATION, A GUIDE FOR HEALTH CARE PROVIDERS (JOINT PUB), MEDICAL REGULATING TO AND WITHIN THE CONTINENTAL U.S. (JOINT PUB), USING THE ARMED FORCES REPOSITORY OF SPECIMEN SAMPLES FOR THE IDENTIFICATION OF REMAINS (AFRSSIR), HEALTH SERVICES ALLOWANCE LIST, AFLOAT (CAC Required), HEALTH SERVICES ALLOWANCE LIST, PART III (SHORE UNITS AND VESSELS), Civilian Human Resources, Diversity and Leadership Directorate (CG-12), Assistant Commandant for Engineering & Logistics (CG-4), Shore Infrastructure Logistic Center (SILC), Environmental Planning and Historic Preservation, The Office of Information Management (CG-61), Assistant Commandant for Acquisitions (CG-9), Surface Acquisitions Logistics Center (SALC), Research, Development, Test and Evaluation, Operational Medicine and Quality Improvement Division (CG-1121), Chemical, Biological and Radiological Defense Med, Health Systems Administration Division (CG-1122), Medical Publications, Directives and Forms, Work-Life Manuals and Commandant Instructions, A Contemporary Approach to Supporting the Modern Coast Guard Family, Mental health and taking care of yourself, UPDATE: Government Shutdown FAQs, CGMA loan information, TRICARE and You: New vision plan for active duty family members, Hosted by Defense Media Activity - WEB.mil, INFECTION PREVENTION AND CONTROL PROGRAM FOR COAST GUARD HEALTH CARE FACILITIES AND WORKERS, STANDARDIZED HEALTH SERVICES TECHNICIAN DRUG FORMULARY (CAC Required), COAST GUARD WEIGHT AND BODY FAT STANDARDS PROGRAM MANUAL, MILITARY PERSONNEL CASUALTIES AND DECEDENT AFFAIRS, SEXUAL ASSAULT PREVENTION AND REPONSE PROGRAM (SAPR), INFORMATION AND LIFE CYCLE MANAGEMENT MANUAL, EVALUEE'S STATEMENT REGARDING THE FINDINGS OF THE MEDICAL BOARD REPORT, THIRD PARTY COLLECTION PROGRAM/ MEDICAL SERVICES ACCOUNT/ OTHER HEALTH INSURANCE, DEPARTMENT OF DEFENSE ACTIVE DUTY/ RESERVE FORCES DENTAL EXAMINATION, AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION, REQUEST TO RESTRICT MEDICAL OR DENTAL INFORMATION. You may submit your comments and material online or by fax, mail or hand delivery, but please use only one of these means. About the Federal Register Does the Coast Guard offer medical waivers? The Coast Guard is seeking public comment on the policy clarification proposed in this document regarding the specific medical documentation the Coast Guard will consider in determining whether a medical waiver is warranted for merchant mariners with cardiomyopathy, diabetes mellitus, or obstructive sleep apnea. margin-right: 0in; border-bottom-style: solid; Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). { Graded exercise testing may be required. III. Attention deficit, hyperactivity disorder or learning disability such as dyslexia, which interferes with perceptual or academic skills past the 14th birthday. As of January 24, 2014, the Coast Guard began issuing medical certificates to all mariners holding valid international endorsements, per the Final Rule titled, Implementation of the Amendments to the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978 (STCW), as Amended, and Changes to National padding: 0in 5.4pt 0in 5.4pt; Wow, I had no idea the wait could be so long and drawn out. color: #666666; border-color: #4F81BD; Following a thorough review of your Department of Defense Medical Examination Review Board (DoDMERB) exam results and medical history, our medical waiver panel (consisting of our Chief Medical Officer (CMO) and at least one other medical officer) has recommended that you NOT be recommended for a medical waiver to attend the Coast Guard Academy. color: #355C8C; documents in the last year, 663 If you have questions about this document, call or email Lieutenant Ashley Holm, Mariner Credentialing Program Policy Division (CG-CVC-4), U.S. Coast Guard, telephone 202-372-2357, email [email protected]. How do I renew my Coast Guard medical certificate? documents in the last year, 35 The Aeromedical Electronic Resource Office (AERO) is a web-based DOD system used jointly by the U.S. Army, Coast Guard, and Navy. The Coast Guard also discourages health waiver applications from students applying to the U.S. Coast Guard Academy, though all waiver applications are considered in the context of a. Reliable diagnostic criteria may include any of the following elements: Substantiated history of cough, wheeze, chest tightness and/or shortness of breath, which persists or recurs over a prolonged period of time, generally more than 12 months. Therefore, the possibility of receiving a medical waiver might improve with the odds but at the end of the day it still comes down to the medical condition. <> Complete all required information in the necessary fillable areas. 4 0 obj Any operational limitations will be reflected in the medical certificate. border-bottom-style: solid; .telerik-reTable-4 td.telerik-reTableFirstCol-4 Document page views are updated periodically throughout the day and are cumulative counts for this document. (3) Mail: Docket Management Facility (M-30), U.S. Department of Transportation, West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE., Washington, DC 20590-0001. In this Issue, Documents 3. Mariners with HbA1c levels of greater than 10% are generally not considered for waiver unless extenuating circumstances confirm temporary irregularity due to acute illness, medication interaction, or other short-term occurrence that is not likely to recur. (U.S. Coast Guard photo by Petty Officer 3rd Class John Hightower), ACN 018/22Medical standards for mental and behavioral health conditions, Medical Standards for Military Service: Retention, Hosted by Defense Media Activity - WEB.mil. ( a) The Coast Guard may grant a waiver if, after review of all relevant supporting medical documents and consultation with the examining physician, as needed, an applicant does not possess the vision, hearing, or general physical condition necessary; and extenuating circumstances warrant special consideration. .telerik-reTable-4 td.telerik-reTableFooterOddCol-4 ), states that the conditions of cardiomyopathy, diabetes mellitus, narcolepsy and obstructive sleep apnea[1] padding: 0in 5.4pt 0in 5.4pt; The branch also factors in the Speciality Code you are seeking, as some USAF jobs require top-secret security clearance or special qualification (i.e. } Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. The standards still appear to be stringent, but many of the factors which were argued by the two mariners discussed on May 3 as mitigating factors, and which were at the times of their hearings not accepted as such by the Coast Guard, now appear to be recognized. JavaScript is disabled. endobj B Y?s^'-j,YDEV 4&#Qd(#&SmRQwt%!++2`L4>&^:j >/# Source: flickr If you've been diagnosed with ADHD, there are several things you need to do in order to enlist in the military. Below are common forms used by medical. #1 Internet-trusted security seal. An ophthalmology consultation may be required. "The Coast Guard always encourages members to seek care for any health concern that impacts their readiness," said Steiner. Justification: Although poorly controlled diabetes can lead to long term diabetic complications, the consequences of hypoglycemia pose an immediate threat of sudden incapacitation with risk to public and maritime safety. You may submit comments and related material regarding whether the policy clarification proposed in this document should be incorporated into final policy on the medical evaluation guidelines for mariners with cardiomyopathy, diabetes mellitus, narcolepsy or obstructive sleep apnea. Submitting comments: If you submit a comment, please include the docket number for this document (USCG-2015-0090) and provide a reason for each suggestion or recommendation. They simply need to wait and let time heal the problem. padding: 0in 5.4pt 0in 5.4pt; Mariners with anti-tachycardia devices or implantable cardioverter defibrillators ("ICD's") have, since the September 15, 2008 promulgation of NVIC 04-08, had to face the near-impossible task of getting the Coast Guard NMC to issue them a medical waiver. informational resource until the Administrative Committee of the Federal My DS have been waiting 100+ days. 2. Comments and related material must either be submitted to our online docket via http://www.regulations.gov on or before May 19, 2015 or reach the Docket Management Facility by that date. (j)AVL%K"h2mlF3>C^effmj:i You must log in or register to reply here. Viewing comments and documents: To view comments, go to http://www.regulations.gov,, type the docket number (USCG-2015-0090) in the SEARCH box and click SEARCH. Click on Open Docket Folder on the line associated with this rulemaking. This information is not part of the official Federal Register document. border-width: 1pt; For example, temporary disqualifications do not require a medical waiver. documents in the last year, 940 These standards are the same for all military branches, including the Coast Guard, as the Department of Homeland Security has agreed to use the same standards to make Military Entrance Processing Station (MEPS) processing easier. 1. Each military branch has the right to approve or deny medical waivers, depending on the current needs of the service. offers a preview of documents scheduled to appear in the next day's border-width: 1pt; border-bottom-color: #4F81BD; 7101 et seq. You are using an out of date browser. The Next Phase Once this evaluation is complete, the mariner will receive an email and/or letter notification indicating Awaiting Information (AI), Approval to Test (ATT), or Approved to Print. Availability of DD-2808 Report of Medical Examination and DD-2807-1 Report of Medical Use professional pre-built templates to fill in and sign documents online faster. The waiver is an acknowledgement by the Coast Guard that the condition was identified and places a The health condition is sometimes correctly through surgery or with medication. However, each military branch handles the medical waiver process a little differently. { border-bottom-style: solid; Mariners with HbA1c levels greater than 10% are generally not considered for a waiver unless extenuating circumstances confirm temporary irregularity due to acute illness, medication interaction, or other short-term occurrence that is not likely to recur. The staff is still activily working on the reviews and all you can do is continue to pray and wait. The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. border-color: #4F81BD; Eczema or atopic dermatitis after the 12th birthday, Contact dermatitis or allergy to rubber/latex, Current diseases of sebaceous glands to include severe acne (on or off antibiotics), if extensive involvement of the neck, shoulders, chest or back is present or would be aggravated by or interfere with the proper wearing of military equipment, Treatment with systemic retinoids, including, but not limited to isotretinoin (Accutane) until four weeks after completion of the course of treatment. on their medical certificate indicating the mariner may not serve under the authority of the endorsement unless corrective lenses are worn and spare lenses are carried onboard a vessel. ); (2) The applicant does not have a prior history of ventricular fibrillation or episodes of sustained ventricular tachycardia within the last three years; (3) The ICD or anti-tachycardia device was implanted more than three years ago; (4) The ICD has not fired nor has the applicant required anti-tachycardia pacing therapy within the last three years; (5) There are no additional risk factors for inappropriate shock such as uncontrolled atrial fibrillation; (6) The applicant's left ventricular ejection fraction is greater than 35% with a steady or improving trend; (7) There is no history of any symptomatic or clinically significant heart failure in the past two years; (8) There is no evidence of significant reversible ischemia on myocardial perfusionimaging exercise stress testing; (9) The applicant's exercise capacity on formal stress testing (using standard Bruce Protocol) is greater than or equal to the 8 METs (metabolic equivalents); (10) The applicant's treating cardiologist or electrophysiologist provides a written assessment of the individual that supports a determination that the mariner is at low risk for future arrhythmia, adverse cardiac event or sudden incapacitation based upon objective testing and standard evaluation tools; (11) The applicant does not have any other medical conditions which may alone, or incombination with an ICD or anti-tachycardia device, affect the mariner's fitness. Any defect or disorder of the extremities (including movement and range of motion) that produce noticeable deformity or interfere with normal daily functions Torn cartilage, unstable ACL or PCL, or surgical correction of any ligaments if unstable or symptomatic Chronic knee pain syndrome including, but not limited to patella-femoral syndrome This prototype edition of the Additionally, the Coast Guard does not consider the conditions Start Printed Page 8588of narcolepsy,idiopathic hypersomnia, or other hypersomnias of central origin, as low enough risk to warrant consideration for a medical waiver. Here is a handful of the medical conditions that require an Army medical waiver. Often, a military medical waiver needs to pass varying levels of approval before you are granted permission to enlist. Policy Pdf In border-color: #4F81BD; include documents scheduled for later issues, at the request daily Federal Register on FederalRegister.gov will remain an unofficial margin-top: 0in; Looking for help now? Open for Comment, This document is issued under the authority of, Russian Harmful Foreign Activities Sanctions, Economic Sanctions & Foreign Assets Control, Fisheries of the Northeastern United States, National Oceanic and Atmospheric Administration, Further Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, https://www.federalregister.gov/d/2015-03109, MODS: Government Publishing Office metadata, http://www.uscg.mil/hq/cg5/nvic/pdf/2008/NVIC%2004-08%20CH%201%20with%20Enclosures%2020130607.pdf. The Coast Guard has been using an interim policy of an eight-year seizure-free period for determining whether or not a waiver is warranted. The best thing you can do is be open and honest with a recruiter about any underlying medical conditions. documents in the last year, by the Coast Guard See the Public Participation and Request for Comments portion of the SUPPLEMENTARY INFORMATION section below for instructions on submitting comments. However, a broken foot will heal and with time the problem is no longer existent. Published guidance on the criteria that will be used in determining whether an applicant's medical condition warrants a medical waiver will support Coast Guard efforts to consistently evaluate merchant mariners with these conditions and assess whether the risk associated with an applicant's medical condition is sufficiently mitigated to warrant a medical waiver under 46 CFR 10.303. Enclosure (3) of that NVIC, titled "Medical Conditions Subject to . color: #FFFFFF; on Medical Standards for Appointment, Enlistment, or Induction Into The Military Services, Military Dental Requirements and Disqualifications, Military Disqualifications For Mental Health: 9 Common Conditions, 20 Health Conditions That May Disqualify You From Military, How To Lose Weight For The Military: Your 30-Day Plan, List Of 9 Army Patches And Their Meanings, Army Sharpshooter Badge: 6 Things To Know, Army Service Ribbon (ASR): 5 Things To Know, Army Commendation Medal (ARCOM): 8 Things To Know. Assault On The Citadel: Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers Requests. Our guide examines exactly how the military medical waiver process goes, as well as how to use it to your advantage.