Complete applications are accepted at Regional Examination Centers (RECs) via mail, e-mail, fax, or in person. It may not display this or other websites correctly. 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. For a better experience, please enable JavaScript in your browser before proceeding. background-color: #FFFFFF; Can the condition get worse because of military service? Looking for help now? By December 23 - Early Action decisions released. Treatments may include medication, therapy, or counseling, but may not permanently interfere with your ability to perform your current duties. 1. font-size: 10pt; .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 documents in the last year, 663 We got a confirmation that it was requested because he received an LOA but no other news since late Sep'18. HSWL will work with the Personnel Services Center in the coming weeks to determine which Coast Guard-specific standards are needed. On the other hand, a permanent disqualification is something that will not go away with time. The Coast Guard intends to consider public input as well as the recommendations of the Merchant Mariner Medical Advisory Committee, established under the authority of 46 U.S.C. If COVID-19 Breaks Out Among The Crew, What Are A Masters Obligations? Use the PDF linked in the document sidebar for the official electronic format. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators (ICDs) 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. Does the Coast Guard offer medical waivers? Related Article How To Join The US Army. documents in the last year. on If you are using public inspection listings for legal research, you Applicants must comply with the accompanying waiver letter in order to renew their certificate. For complete information about, and access to, our official publications 3 0 obj 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. Keep in mind that MEPS does not belong to any particular branch, but rather the Department of Defense. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. (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. for better understanding how a document is structured but 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. padding: 0in 5.4pt 0in 5.4pt; border-color: #4F81BD; Your military medical exam is the definitive source for qualification decisions. Here are some of the medical conditions that require a waiver to continue and serve in the U.S. Navy. Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. .telerik-reTable-4 td.telerik-reTableHeaderEvenCol-4 The MMC application package must be submitted to your local REC. The Aeromedical Electronic Resource Office (AERO) is a web-based DOD system used jointly by the U.S. Army, Coast Guard, and Navy. 2. Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. the material on FederalRegister.gov is accurately displayed, consistent with (d) The Coast Guard may place an operational limitation on medical and physical conditions. Medical waivers are granted for conditions documented on the physical examination form or supporting documentation submitted by the applicant when the condition has been identified as not posing a significant risk to maritime safety. <> border-bottom-style: solid; He also noted that you cannot be on any medications like Adderall or Ritalin while serving. Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. The telephone number is 202-366-9329. The prescreen application is provided by a Navy recruiter to check for any conditions that might not make you fit for service. 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. Guide, Incorporation The Coast Guard recruiter MAY, but is NOT REQUIRED, to contact HQ for a waiver to send you to MEPS for further processing. A medical exam takes place at the Military Entrance Processing Station (MEPS). Therefore, the disqualifying medical conditions for one branch is the same for another branch, yet the rate of approving medical waivers is different. In support of this new policy, Coast Guard health services personnel will withdraw all waiver and medical evaluation board requests for members that are covered by these updates. 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. The Coast Guard retains final authority for the issuance of medical waivers. These conditions may include, at a minimum, that any deterioration of a waivered medical condition be immediately reported to the Coast Guard. the Federal Register. 03/03/2023, 234 10.303 Medical waivers, limitations, and restrictions. 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. documents in the last year, 35 background: #4F81BD; The documents posted on this site are XML renditions of published Federal Theft, Personal border-color: #4F81BD; 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. Its possible to have a second opportunity at MEPS though it depends on the health condition. Coast Guard Medical Waiver Process Frequently Asked Questions (FAQ) Navy Medical Waiver Process The U.S. Navy uses the same guidelines for medical health concerns as the other uniformed branches. Learn more here. The helicopter crew consisted of U.S. Coast Guard Air Stations Miami, Houston, and Mobile members. Federal Register. 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. border-width: 1pt; Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. .telerik-reTable-4 tr.telerik-reTableEvenRow-4 Enclosure (3) of that NVIC, titled Medical Conditions Subject to Further Review stated, at condition 81, that having an ICD was generally not waiverable. 03/03/2023, 43 Any waivers being granted? border-bottom-style: solid; corresponding official PDF file on govinfo.gov. For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. [2] Related Article Army Height and Weight Standards. The Coast Guard may grant a waiver if an applicant for an MMC does not possess the vision, hearing or general physical condition necessary and extenuating circumstances warrant special 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. Technology, Power of Department of Defense Instruction 6130.03 Volume 2. If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 8 1/2 by 11 inches, suitable for copying and electronic filing. Grace Period Extension For License Renewal, Constructive Refusal to Submit Hair Sample, I Didnt Know Where To Go For My Drug Test, Coast Guard To Raise Casualty Reporting Thresholds. However, a broken foot will heal and with time the problem is no longer existent. .telerik-reTable-4 7101 et seq. Expiration for national mariners: Medical certificates issued to national mariners will be issued for a maximum of 5 years. .telerik-reTable-4 td.telerik-reTableLastCol-4 Once again, speak to a recruiter if you have any of the following: The Coast Guard also needs to take into account mental health conditions that make it difficult for you to serve the country without elevated safety and security risk. 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. Here are some frequently asked questions about military medical waivers. The staff is still activily working on the reviews and all you can do is continue to pray and wait. For example, temporary disqualifications do not require a medical waiver. should verify the contents of the documents against a final, official } (e) The Coast Guard may place a restriction on a medical certificate based upon medical and physical conditions of an applicant. { Now, working with a Coast Guard Medical Certificate Form Pdf requires not more than 5 minutes. Attorney, Terms of Handbook, DUI Ophthalmology consultation may be required. LLC, Internet margin-right: 0in; documents in the last year, 822 03/03/2023, 159 IV. border-bottom-style: solid; Recruits will also receive thorough examinations of the heart, spine, and urinary systems. Waivers may be granted by the program to which you're applying, NOT DoDMERB. border-color: #4F81BD; padding: 0in 5.4pt 0in 5.4pt; If you would like a form added to the list below contact the appropriate program manager. Speak to a recruiter if you have any of the following: Its very hard to receive a medical waiver for the following mental health disorders: Related Article: Can You Join The Military With Asthma? Related Article Can You Join The Military With Autism? 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. Operation Military Kids was founded to be a resource for teens and young adults who are interested in joining the military, but don't know where to begin. Graded exercise testing may be required. documents in the last year, 513 border-color: #4F81BD; The Armed Forces use the same disqualifying medical conditions for every military branch. 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). xY[o7~7Q1&rR}HAf~H3F&!N=;{/_W3B,20_*bR[dH^Zjqy\pi|BM% J. xCke_w'9 T5_~`F)|8ub SvDdrodpa4LZ zqC/7+Z!0hc~bLuK1'SL'e!H Hb[ 0VOo 7RvvgP)jH!%>$ b4,wH~Q_1W{AeY)}2"! It helps answer some of the basics about medical waivers. Planning, Wills } USLegal received the following as compared to 9 other form sites. The Coast Guard Disability Evaluation Branch is mandated by Congress to maintain an effective and fit military organization with maximum use of available manpower, provide benefits to eligible Coast Guard members whose military service is terminated because of service-connected disability, and provide prompt disability processing while ensuring that the rights and interests of the government . We recommend that you include your name and a mailing address, an email address, or a telephone number in the body of your document so that we can contact you if we have questions regarding your submission. border-bottom-style: solid; Documenting Sea Service TOARs Course Certificates The Marine Corps is a demanding and intense branch of the military to join. Regardless, its still very difficult to receive a waiver for more serious mental health problems. font-family: Tahoma; by the Foreign Assets Control Office 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. 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. There, its possible to request a medical waiver with the Air Force. The answer is no based on the current Department of Defense regulations. border-collapse: collapse; Below are common forms used by medical. 1099R Form. Those with a temporary disqualification do not need to apply for a waiver. & Estates, Corporate - Ensures that a website is free of malware attacks. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 11 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> offers a preview of documents scheduled to appear in the next day's <>>> Herniated disc or history of surgical correction of this condition, History of chronic or recurrent low back pain, Surgical or congenital fusion of any part of the spine. border-width: 1pt; padding: 0in 5.4pt 0in 5.4pt; A. Additionally, the proposed policy clarification specifies that narcolepsy, idiopathic hypersomnia, and other hypersomnias of central origin, are medically disqualifying and generally not waiverable due to significant risk of sudden and unpredictable incapacitation of individuals who have these conditions. 03/03/2023, 266 The recent unhappy but prophetic experiences of two mariners with ICDs, one of whom had received previous waivers for over 20 years prior to issuance of the 2008 NVIC, have been the frequent topic of discussions at several recent MOPS annual luncheons, including in remarks made most recently by Randy ONeill at this years luncheon on May 3. If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic episodes,[3] (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. Just What Does It Take To Get Equal Access To Justice? Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). 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 If You Have ADHD, What Can You Do To Enlist? border-bottom-style: solid; As long as the condition is not pre-existing (meaning that you lied on the original enlistment papers) the ordeal is handled differently. Its difficult to set an accurate timeframe for military medical waivers. Getting notified two days before reporting day had to have been a nailbiter! Each document posted on the site includes a link to the 02/17/2015 at 8:45 am. Federal Register issue. The steps for potentially obtaining a medical waiver include: Submit a complete medical prescreen form to the recruiter, who forwards it to the Military Entrance Processing Station (MEPS). Learn more about the medical waiver process for the Army, Navy, Air Force, Marines, and Coast Guard. vertical-align: top; Medical conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. Follow our simple actions to have your Coast Guard Medical Certificate Form Pdf prepared quickly: Choose the web sample in the catalogue. padding: 0in 5.4pt 0in 5.4pt; document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Nick Anderson has been serving on Active Duty in the U.S. Navy for the last 10 years. 8. border-color: #4F81BD; Please contact our office for specific information. documents in the last year, 1411 border-left-style: solid; .telerik-reTable-4 td.telerik-reTableHeaderOddCol-4 } A Proposed Rule by the Coast Guard on 02/18/2015. What Constitutes Timely Reporting To The Coast Guard? border-bottom-style: solid; (b) In general, medical waivers are approved when an applicant does not meet the applicable medical standards, but objective medical evidence indicates that the condition is sufficiently controlled and the effects of medication pose no significant risk to maritime and public safety. Pediatric New Patient Form - Tampa Family Health Centers, MEDICATIONTREATMENT CONSENT FORM FOR SELF-ADMINISTRATION - Grps, Identity We will also be entering the waiver process. At this time, the Coast Guard does not offer any waivers for ADHD as a condition. color: #666666; We have an agreement with the Department of Transportation to use the Docket Management Facility. endobj in Accounting and is a graduate student at the University of Louisiana at Lafayette, pursuing an M.B.A. in Finance. Recent, severe hypoglycemic episode is an episode of hypoglycemia within the prior 12 months resulting in seizure, loss of consciousness or altered consciousness, or requiring assistance from another person for treatment. The list is not inclusive, but rather reflects the conditions that most commonly arise. border-bottom-style: solid; Physician and Chief of Operational Medicine, Capt. 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. { If the doctor recommends you for a waiver then you still have a shot at receiving approval. 2. Anyone else out there? ); (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. to the courts under 44 U.S.C. Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. border-width: 1pt; border-width: 1pt; }. width: 119.7pt; 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. My DS have been waiting 100+ days. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. of the issuing agency. 2 0 obj Hopefully, you will hear soon! 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. This also may have already happened. Speak to an Air Force recruiter if you have any of the following conditions: Its also difficult to join the Air Force with the following mental health conditions: Related Article Military Disqualifications For Mental Health: 9 Common Conditions. 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{? NVIC 04-08, Condition #194: Diabetes requiring oral medication. Image: Navy.com The Department of Defense established the medical standards for every branch of the military. Medical Waivers . endobj 46 CFR 10.302 contains the medical standards that merchant mariners must meet prior to being issued a merchant mariner credential (MMC). He graduated from Saint Leo University with his B.A. publication in the future. The U.S. Coast Guard follows the same guidelines as the other military branches. 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. (j)AVL%K"h2mlF3>C^effmj:i 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. New recruits spend their first few days of basic training at MEPS making sure they pass all the medical requirements. This feature is not available for this document. You can learn more details about the revised policy, including the opportunity to request a second medical waiver review, here! { These can be useful 3. .telerik-reTable-4 td.telerik-reTableOddCol-4 You may also visit the Docket Management Facility in Room W12-140 on the ground floor of the Department of Transportation West Building, 1200 New Jersey Avenue SE., Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. Feeling Very Strongly About It Both Ways: Just What Makes A Dangerous Drug Dangerous, Anyway? border-left-style: solid; See the Public Participation and Request for Comments portion of the SUPPLEMENTARY INFORMATION section below for instructions on submitting comments.

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