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. { Your request will be forwarded to the Coast Guard Personnel Service Center (PSC) who will review your DoDMERB exam results, medical history, our Chief Medical Officer's recommendation, and your appeal letter. By December 23 - Early Action decisions released. on border-width: 1pt; Consequently, its difficult to get discharged from the military unless a Medical Evaluation Board believes differently. margin-left: 0in; border-width: 1pt; establishing the XML-based Federal Register as an ACFR-sanctioned If a medical waiver is granted, certain conditions may be placed on the mariner in order to maintain the waiver. { Expect your medical health conditions to be closely analyzed if you are in a position that requires a lot of trust or advanced physical fitness. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Theft, Personal Does the condition create an undue hazard to the recruit or other service members in combat situations. 10.303 Medical waivers, limitations, and restrictions. 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. Abnormalities of the external ear requiring recurrent evaluation or treatment or that would interfere with proper wearing/use of military equipment, Perforated eardrum or surgery to correct perforation in the preceding 180 days before physical exam, History of thyroid disorders including, but not limited to hyper/hypothyroidism, thyroiditis, 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, Pes planus (flat-footed) when accompanied by symptoms, Knee ligament repair (ACL/PCL) within 12 months or recurrent repair of ligaments of the knee, Repair of the meniscus in the last 6 months, History of dislocation, subluxation or instability of one or more joints, Recurring stress fractures or single episode of stress fractures in the last 12 months, Uncorrected visual acuity worse than 20/400 in either eye, Distant visual acuity of any degree that does not correct to 20/40 in both eyes with corrective lenses, Refractive error exceeding plus or minus 8.00 diopters (spherical equivalent), Astigmatism exceeding 3.00 diopters and anisometropia exceeding 3.5 diopters. Justification: The Coast Guard recognizes that there is significant clinical variation within the population of individuals with cardiomyopathy, and that not all individuals with cardiomyopathy carry the same risks of sudden incapacitation or sudden death. { 03/03/2023, 159 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. To initiate treatment, talk with your primary care provider. QUESTION: What about Medical Waivers? These conditions may include, at a minimum, that any deterioration of a waivered medical condition be immediately reported to the Coast Guard. margin-bottom: 10.0pt; Its important to remember that many medical conditions listed under the Department of Defense guidelines are not permanently disqualifying. border-bottom-style: solid; [FR Doc. padding: 0in 5.4pt 0in 5.4pt; Here are some frequently asked questions about military medical waivers. The waiver is an acknowledgement by the Coast Guard that the condition was identified and places a Submit an evaluation from the treating physician documenting interval history and two current glycated hemoglobin (HbA1c) levels separated by at least 90 days, the most recent of which is no more than 90 days old. { The Coast Guard PSC is our service's waiver granting authority and their final decision cannot be appealed further. Doctors that are employed by the DOD will contact new recruits if anything comes up on the prescreening that requires a closer examination. On the other hand, a permanent disqualification is something that will not go away with time. .telerik-reTable-4 td.telerik-reTableFooterLastCol-4 It seemed to take forever. color: #FFFFFF; The prescreen application is provided by a Navy recruiter to check for any conditions that might not make you fit for service. (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. DD still waiting. padding: 0in 5.4pt 0in 5.4pt; However, the final determination on a military medical waiver depends on the specific branch with some being more selective than others. Therefore, the disqualifying medical conditions for one branch is the same for another branch, yet the rate of approving medical waivers is different. headings within the legal text of Federal Register documents. 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. These tools are designed to help you understand the official document I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. Hopefully, you will hear soon! If you have any questions on forms, contact the Forms Management Officer at: uscg.forms@uscg.mil. Use the PDF linked in the document sidebar for the official electronic format. endobj A. In general, expect at least two weeks to a month to hear back on a military medical waiver. years depending on the medical condition, condition status and the need for periodic medical evaluations. Your email address will not be published. documents in the last year, 86 % padding: 0in 5.4pt 0in 5.4pt; Basically, MEPS does not want to waste their time and money on you unless the Coast Guard agrees ahead of time to waive and responsibility your condition. The United States Army carries forward many of the same procedures at MEPS as the other military branches. Title. 5. The Coast Guard recruiter MAY, but is NOT REQUIRED, to contact HQ for a waiver to send you to MEPS for further processing. Two Month Jail Sentence For Falsifying License Application, Recovery Of Attorneys' Fees In ALJ Actions, Properly Preserving Claims Of Bias Against The ALJ, Vice Commandant Appeal Decisions: McCarthy & Dresser, Vice Commandant Appeal Decisions: Wain, Boudreaux & Marshall. better and aid in comparing the online edition to the print edition. documents in the last year, by the Coast Guard This new approach, which mirrors the Department of Defense, ensures that members being treated for mental or behavioral health conditions are treated the same way as members being treated for below the neck conditions. Copyright 2023 www.OperationMilitaryKids.org. You are using an out of date browser. If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic episodes,[3] daily Federal Register on FederalRegister.gov will remain an unofficial However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. B. Speak to a local military recruiter for more information about disqualifying health problems, seeking a medical waiver, and MEPS. documents in the last year, 822 Notwithstanding its still possible to receive clearance: Medical problems like scoliosis dont always automatically disqualify you from service. Just What Does It Take To Get Equal Access To Justice? If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic (*) episodes, and the absence of impairing diabetic complications, then mariners with a consistent pattern of HbA1c levels of less than 8% may be considered for a waiver with biennial (every two years) reporting requirements; and mariners with HbA1c levels between 8%-10% inclusive may be considered for a waiver, with annual reporting requirements. (4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. These criteria seek to discern those individuals with cardiomyopathy who have factors that mitigate their risk, and who have prognostic indicators suggestive of a low risk of sudden incapacitation or adverse cardiac event. Current or history of use of hearing aids. There are a variety of health conditions that are disqualifying in the military. 2. color: #355C8C; "The Coast Guard always encourages members to seek care for any health concern that impacts their readiness," said Steiner. .telerik-reTable-4 td.telerik-reTableHeaderFirstCol-4 2. on NARA's archives.gov. 3. border-color: #4F81BD; 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. & Estates, Corporate - ), states that the conditions of cardiomyopathy, diabetes mellitus, narcolepsy and obstructive sleep apnea[1] Abnormalities which interfere with wearing military equipment or are disfiguring. If you are using public inspection listings for legal research, you He currently resides in Meridian, Mississippi. Shane Steiner, says the new policy is designed to encourage members to seek treatment for mental or behavioral health issues. Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. border-bottom-style: solid; This important process will resume as soon as those employees return to work. { font-family: "Calibri" , "sans-serif"; .telerik-reTable-4 td.telerik-reTableEvenCol-4 border-color: #4F81BD; (Courtesy photo) The U.S. Air Force has admitted nearly 2,000 recruits on medical waivers for eczema, asthma . Our state-specific browser-based samples and simple instructions eradicate human-prone faults. 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. All the military branches follow the same guidelines set forth by the Department of Defense for disqualifying health conditions. These can be useful documents in the last year, 36 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. What Constitutes Timely Reporting To The Coast Guard? 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). } } Enclosure (3) to Navigation and Vessel Inspection Circular 04-08, Medical and Physical Evaluation Guidelines for Merchant Mariner Credentials, Item number 179, specifies that sleep apnea and other sleep disorders are subject to further review. .telerik-reTable-4 td.telerik-reTableFirstCol-4 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. 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. Keep these important dates in mind as you complete your application: July 15 - Admission application opens. Links from these pages to non-Coast Guard sites are provided as a customer service and do not represent any implicit or explicit endorsement by the United States Coast Guard of any commercial or private issues or products presented there. Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. My DS was also granted his waiver. Authority: This prototype edition of the 4. border-width: 1.0pt 1.0pt 3.0pt 1.0pt; 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. } to the courts under 44 U.S.C. padding: 0in 5.4pt 0in 5.4pt; Some argue that the Army is less selective because it has the highest enrollment of the military branches. .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 require further Start Printed Page 8587review. 4) Applicants with uncorrected vision of up to 20/800 may be granted a waiver by the Coast Guard provided that the corrected vision meets the If members covered by these updates have already proceeded to waiver ormedical evaluation board adjudication, health services personnel will submit updated information to ensure that a return to full duty with waiver decision is more likely. .telerik-reTable-4 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. This table of contents is a navigational tool, processed from the 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. TJURJ'8nt5ZK@9u%u +{(sTL~:QPe8J{&oFK,=o!A9pbKkKdT gtn;k=k k(_[sw",9q+4;Bl!t>M'(ex{{Ub>Tv>&D TC[>yPJT$R7}1BC9-IZ]ecE?A!$u'dxP[9kc%73yD9+SNg{? The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard.. vertical-align: top; Notify me of follow-up comments by email. .[/QUOTE]. ALWAYS download the form to a location of your choice. on documents in the last year, 35 If the doctor recommends you for a waiver then you still have a shot at receiving approval. }. I think the government shut down really had an effect on the process and created a backlog. You may submit comments identified by docket number USCG-2015-0090 using any one of the following methods: (1) Federal eRulemaking Portal:http://www.regulations.gov. 4 0 obj documents in the last year. for better understanding how a document is structured but border-right-style: solid; To submit your comment online, go to http://www.regulations.gov,, type the docket number (USCG-2015-0090) in the SEARCH box and click SEARCH. Click on Submit a Comment on the line associated with this document. 2015-03109 Filed 2-17-15; 8:45 am], updated on 4:15 PM on Friday, March 3, 2023, updated on 8:45 AM on Friday, March 3, 2023, 105 documents