Its important to remember that many medical conditions listed under the Department of Defense guidelines are not permanently disqualifying. Related Article Military Dental Requirements and Disqualifications. documents in the last year, 513 This document has been published in the Federal Register. { font-size: 10pt; .telerik-reTable-4 tr.telerik-reTableOddRow-4 border-width: 1.0pt 1.0pt 3.0pt 1.0pt; border-bottom-style: solid; All forms can be found on the CG-612 web site. padding: 0in 5.4pt 0in 5.4pt; We will also be entering the waiver process. You may submit your comments and material online or by fax, mail or hand delivery, but please use only one of these means. documents in the last year, 940 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. <> Expiration for national mariners: Medical certificates issued to national mariners will be issued for a maximum of 5 years. QUESTION: What about Medical Waivers? It is not an official legal edition of the Federal Keep these important dates in mind as you complete your application: July 15 - Admission application opens. NVIC 04-08, Condition #194: Diabetes requiring oral medication. It may not display this or other websites correctly. He also noted that you cannot be on any medications like Adderall or Ritalin while serving. "The Coast Guard always encourages members to seek care for any health concern that impacts their readiness," said Steiner. Business. Good luck for everyone still waiting. { (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. 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. Below are common forms used by medical. Often, a military medical waiver needs to pass varying levels of approval before you are granted permission to enlist. 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. { Document page views are updated periodically throughout the day and are cumulative counts for this document. The criteria are summarized as follows: (1) The applicant does not have a diagnosis of a cardiac channelopathy affecting the electrical conduction of the heart (to include Brugada syndrome, Long QT syndrome, etc. As a result, contacting a congressperson will not change anything about the matter. See 46 CFR 10.303. Anyone else out there? 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. the current document as it appeared on Public Inspection on border-color: #4F81BD; Speak to a local military recruiter for more information about disqualifying health problems, seeking a medical waiver, and MEPS. pilot). A Proposed Rule by the Coast Guard on 02/18/2015. Note: Individuals with cardiomyopathy who have had an implantable cardioverter defibrillator (ICD) placed, will be evaluated under the criteria for condition #81, Anti-tachycardia devices or implantable defibrillators. He currently resides in Meridian, Mississippi. This feature is not available for this document. Policy Pdf In Unfortunately, recruits cannot appeal the decision for immediate denial of MEPS. 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. documents in the last year, 282 USLegal fulfills industry-leading security and compliance standards. Theft, Personal background: #4F81BD; The first step in a military medical waiver process is receiving a recommendation from a doctor at MEPS. padding: 0in 5.4pt 0in 5.4pt; Born and raised in Huntsville, Alabama, Nick enlisted in the Navy at the age of 17. 3. border-bottom-style: solid; 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). 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. { legal research should verify their results against an official edition of Physician and Chief of Operational Medicine, Capt. the official SGML-based PDF version on govinfo.gov, those relying on it for 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. In general, medical conditions qualify for a waiver when the conditions are sufficiently controlled to mitigate risk to maritime and public . 8. NVIC 04-08, Condition # 179: Obstructive Sleep Apnea, Central Sleep Apnea, Narcolepsy, Periodic Limb Movement, Restless Leg Syndrome or other sleep disorders. <> 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. Get access to thousands of forms. Ophthalmology consultation may be required. However, each military branch handles the medical waiver process a little differently. 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? January 15 - Regular Admission online application deadline. Some specific mental health conditions and certain controlled prescription medicines, for example Ativan and stimulants, remain disqualifying if they must be used to achieve normal duty performance. USLegal received the following as compared to 9 other form sites. 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. { 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. Related Article 20 Health Conditions That May Disqualify You From Military. on FederalRegister.gov Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. 5. border-bottom-style: solid; Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. { The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. 3 0 obj Spanish, Localized Graded exercise testing may be required. New updates to Coast Guard policy loosen restrictions and impacts on service members undergoing mental and behavioral health treatment for conditions including (but not limited to) anxiety and depressive disorders. .telerik-reTable-4 td.telerik-reTableOddCol-4 Narcolepsy,idiopathic hypersomnia and other hypersomnias of central origin: Due to the significant risk of sudden and unpredictable incapacitation of individuals who have these conditions, narcolepsy, idiopathic hypersomnia and other hypersomnias of central origin are considered disqualifying. border-bottom-style: solid; 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. Us, Delete Related Article: 41 Questions To Ask A Military Recruiter. The recruiter is responsible for prescreening health concerns so he or she can inform you of the likelihood of receiving a medical waiver for the problem. A military medical waiver is an opportunity to receive special permission to join the military for a disqualifying health condition. Coast Guard Clarifies Reporting Requirements in NVIC 01-15, Further Thoughts on Defense of Drug Cases, Coast Guards Pro Bono Program Leaves Serious Questions Unanswered, Commandant Affirms Another Drug-Related Dismissal On Procedural Grounds, Coast Guard Modifies Medical Waivers For Mariners With ICDs, Pilot John Cota Sues Coast Guard Over Refusal To Return License, NTSB Overturns Commandant On Imposition Of Excessive Sanctions, Two Recent Developments In Medical Waiver Application Proceedings, Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers Requests, Just How Random Do You Have To Be, Anyway ? Individuals with these conditions may be denied medical certification unless they meet the criteria for a medical waiver. 2. 03/03/2023, 207 Tags. } are not part of the published document itself. Notify me of follow-up comments by email. 3. October 15 - Early Action deadline. padding: 0in 5.4pt 0in 5.4pt; Title. ), states that the conditions of cardiomyopathy, diabetes mellitus, narcolepsy and obstructive sleep apnea[1] If COVID-19 Breaks Out Among The Crew, What Are A Masters Obligations? vertical-align: top; { { In cases where the mariner does not meet the medical standards in 46 CFR 10.302, waivers may be granted when the Coast Guard determines that extenuating circumstances warrant special consideration. documents in the last year, 1411 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. Now, working with a Coast Guard Medical Certificate Form Pdf requires not more than 5 minutes. There are some conditions the Army is willing to accommodate and support because of others. To avoid duplication, please use only one of these four methods. include documents scheduled for later issues, at the request Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. 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. Image: Navy.com The Department of Defense established the medical standards for every branch of the military. We will consider all comments and material received during the comment period. Each document posted on the site includes a link to the Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. The MMC application package must be submitted to your local REC. Abnormalities which interfere with wearing military equipment or are disfiguring. NVIC 04-08, Condition # 193: Diabetes mellitus treated with insulin or with history of diabetic ketoacidosis (DKA). Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). Planning, Wills You are using an out of date browser. 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. margin-right: 0in; } } Individuals with this condition may be denied medical certification unless they meet the criteria for a medical waiver: 1. 03/03/2023, 43 See the Public Participation and Request for Comments portion of the SUPPLEMENTARY INFORMATION section below for instructions on submitting comments. ); (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. Submit all pertinent medical information, including sleep studies and a status report. documents in the last year, 86 2 0 obj The Department of Defense sets the medical standards for people who wish to join the U.S. military. You cannot enlist with a permanent medical disqualification without an approved waiver. All Rights Reserved. The United States Army will analyze infections and other conditions of the head, eyes, ears, nose, mouth, and neck. border-width: 1pt; { font-size: 10pt; DEC. 2646, at 5 (McDonald)(2004), so the changes will likely not help the two mariners noted above. These tools are designed to help you understand the official document This important process will resume as soon as those employees return to work. The Coast Guard is considering granting waivers to MMC applicants with seizure disorders under the conditions delineated below. Your medical provider can help you understand these exigent circumstances; all applicable policies are listed below. If You Have ADHD, What Can You Do To Enlist? .telerik-reTable-4 tr.telerik-reTableHeaderRow-4 Enclosure (3) of that NVIC, titled "Medical Conditions Subject to . Only official editions of the If you are using public inspection listings for legal research, you Many service members that are fit for full duty and undergoing prolonged (greater than 12 months) treatment for mental and/or behavioral conditions will no longer require retention waivers and will not be subject to a medical evaluation board. } History of prescription or use of medications (including but not limited to inhaled or oral corticosteroids) for treatment or alleviation of symptoms of airway hyper responsiveness after the 13th birthday, Diagnosed seizure disorder after the 6th birthday, History of or recurrent syncope, pre-syncope or non-traumatic loss of consciousness, History of recurrent headaches or frequent or severe headaches within the past two years, Concussions with post event symptoms lasting greater than one month, Two or more concussions within the last 12 months, Malformations or deformities that interfere with speech, breathing, chewing, or the ability to swallow, Chronic sinusitis inadequately controlled or history of sinus surgery in the past two years, Any disorder or history of disorders with psychotic features, History of impulse control and conduct disorders, History of depression requiring medication, outpatient treatment or hospitalization, History of anxiety requiring medication, outpatient treatment or hospitalization. %PDF-1.5 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. has no substantive legal effect. Related Article Army Height and Weight Standards. The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. You can learn more details about the revised policy, including the opportunity to request a second medical waiver review, here! There are several factors to take into account, and much of the timeframe depends on the type of medical condition and the severity of the issue. The list is not inclusive, but rather reflects the conditions that most commonly arise. border-width: 1pt; documents in the last year, 35 The same recommendation is plausible in any of the military branches as MEPS falls under the command of the DOD. }. Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. Medical Waivers For Coast Guard Judgment [FR Doc. The staff is still activily working on the reviews and all you can do is continue to pray and wait. However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. My Account, Forms in border-collapse: collapse; The Armed Forces use the same disqualifying medical conditions for every military branch. Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). Once a doctor at MEPS makes a recommendation the decision is left up to the Marine Corps to approve the waiver or not. documents in the last year, 20 So all the once who are still waiting, do not give up your hopes. } .telerik-reTable-4 td.telerik-reTableFirstCol-4 the material on FederalRegister.gov is accurately displayed, consistent with color: #666666; January 29 - Deadline for Regular Admissions forms and scores. } For example, temporary disqualifications do not require a medical waiver. About the Federal Register .telerik-reTable-4 tr.telerik-reTableEvenRow-4 Does the Coast Guard offer medical waivers? 3. Hopefully, you will hear soon! .telerik-reTable-4 td.telerik-reTableEvenCol-4 Attorney, Terms of The NMC will NOT accept applications directly from mariners, except for Medical Certificate ONLY Applications (719K or 719K/E) sent via email to MEDAIP@uscg.mil . border-bottom-style: solid; 1 0 obj % on NARA's archives.gov. If surgically treated, please submit a post-operative polysomnogram to document cure. pjI >vBS5GBD)CkoO_4ciA\>w"!,3K[Db[fH}2LbIIMC\^D)1Y|,BC>p`B7zrHcafn~ [{Bj 2. The answer is no based on the current Department of Defense regulations. Im Sorry, But Your Last 10 Random Drug Tests Did Not Comply With DOT Requirements. The Public Inspection page A temporary disqualification is something that temporarily prevents you from serving. We have an agreement with the Department of Transportation to use the Docket Management Facility. Your email address will not be published. Just What Does It Take To Get Equal Access To Justice? The Service Academies automatically consider applicants for a medical waiver if they are competitive for admission. width: 119.7pt; Your email address will not be published. padding: 0in 5.4pt 0in 5.4pt; 7115, prior to establishing a final policy on whether waivers should be granted for anti-tachycardia devices or ICDs, and if so, under what circumstances. For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. & Estates, Corporate - The list is comparable to the other branches of the military. Relevant information about this document from Regulations.gov provides additional context. This site displays a prototype of a Web 2.0 version of the daily This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. Required fields are marked *. (Courtesy photo) The U.S. Air Force has admitted nearly 2,000 recruits on medical waivers for eczema, asthma . If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic episodes,[3] Recruits will also receive thorough examinations of the heart, spine, and urinary systems. We have been receiving word that the Coast Guard's National Maritime Center (NMC) is trying to be more lenient (some might even say reasonable) in their reviewing of mariners' medical records, and in their processing of medical waiver requests. background-color: #FFFFFF; After you complete the medical pre-screening for the United States Air Force (or any military branch) you progress to MEPS. "Mental and behavioral health conditions are no different. border-bottom-style: solid; History of Temporomandibular Joint (TMJ) disorder that is symptomatic or had required treatment in the last 12 months. { The Coast Guard recruiter MAY, but is NOT REQUIRED, to contact HQ for a waiver to send you to MEPS for further processing. 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. 2. 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. On the other hand, a permanent disqualification is something that will not go away with time. margin-bottom: 10.0pt; Questions related to the policy can be directed to Capt. Drug And Alcohol Testing Regulations And Helpful Commandant And ALJ Rulings, Reefer Madness: Scandal-Triggering Pot Case Finally Snuffed, Properly Preserving Claims Of Bias Before A Coast Guard ALJ, Reports Of Coast Guard ALJ Appointment Raise Widespread Concern, Vice Commandant Appeal Decisions Of Interest: Shine. Guarantees that a business meets BBB accreditation standards in the US and Canada. This information is not part of the official Federal Register document. Its possible to have a second opportunity at MEPS though it depends on the health condition. Can You Join The Military With Scoliosis? Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. border-width: 1pt; The Coast Guard PSC is our service's waiver granting authority and their final decision cannot be appealed further. (e) The Coast Guard may place a restriction on a medical certificate based upon medical and physical conditions of an applicant. Getting notified two days before reporting day had to have been a nailbiter! The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. Wow, I had no idea the wait could be so long and drawn out. The helicopter crew consisted of U.S. Coast Guard Air Stations Miami, Houston, and Mobile members. } 10.303 Medical waivers, limitations, and restrictions. The recruiting commander will factor the recommendation of the doctor assigned to you at MEPS as well as the objectives of the specific branch. 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. border-left-style: solid; This 1- or 2-year expiration date will apply to all medical certificate categories (e.g., FCP, STCW, and National Certificates). These individuals may be denied medical certification. Any deviation or curvature of the spine likely to impair normal function or wearing of proper military uniform or gear or causes physical symptoms. 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. 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. daily Federal Register on FederalRegister.gov will remain an unofficial 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. New Documents Once again it primarily depends on the health condition. (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. { Complete all required information in the necessary fillable areas. on The best thing you can do is be open and honest with a recruiter about any underlying medical conditions. [QUOTE="S_Austin, post: 643219, member: 41419". Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. } 2. 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. (4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays.
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