It made his day doubly special. Doctors that are employed by the DOD will contact new recruits if anything comes up on the prescreening that requires a closer examination. Publication Number. Spanish, Localized Does the condition create an undue hazard to the recruit or other service members in combat situations. Consequently, the Marine Corps (like other branches) does not allow enlistment without an approved waiver. on .telerik-reTable-4 td.telerik-reTableHeaderOddCol-4 { .telerik-reTable-4 td.telerik-reTableHeaderLastCol-4 vertical-align: top; The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. 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. Speak to a local military recruiter for more questions about disqualifying health conditions. The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard.. 2. U.S. Coast Guard Date: December 22, 2020 Commercial Regulations & Standards Directorate 2703 Martin Luther King Jr Ave SE, STOP 7501 Washington, DC 20593-7501 E-Mail:[email protected] COVID-19 - Mariner Credentials Extension of Merchant Mariner Credential Endorsements, Medical Certificates and Course Approvals Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. 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. 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]. 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. Relevant information about this document from Regulations.gov provides additional context. A military medical waiver is an opportunity to receive special permission to join the military for a disqualifying health condition. For purposes of receiving or maintaining a medical waiver, minimum compliance with positive airway pressure therapy is defined as: (i) Proper use of the CPAP/BiPAP device for at least four hours per night (or per major sleep period) during all major sleep periods while acting under the authority of the mariner credential, and. III. I think the government shut down really had an effect on the process and created a backlog. So all the once who are still waiting, do not give up your hopes. Here is your guide to military medical waivers and what you need to know. Regardless, you need a military medical waiver to receive permission to enlist. Individuals with this condition may be denied medical certification unless they meet the criteria for a medical waiver: 1. } 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. New recruits spend their first few days of basic training at MEPS making sure they pass all the medical requirements. A. padding: 0in 5.4pt 0in 5.4pt; However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. 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. The United States Army carries forward many of the same procedures at MEPS as the other military branches. padding: 0in 5.4pt 0in 5.4pt; If You Have ADHD, What Can You Do To Enlist? border-width: 1pt; 3. Attorney, Terms of 2. Good luck for everyone still waiting. Register, and does not replace the official print version or the official .telerik-reTable-4 tr.telerik-reTableFooterRow-4 Your email address will not be published. Its tremendously important not to lie on your medical prescreening or during your time at MEPS. Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. electronic version on GPOs govinfo.gov. Medical waivers for OSA require submission of an annual sleep specialist evaluation that documents treatment efficacy, the patient's treatment compliance and an assessment for symptoms of daytime sleepiness. Each military branch handles medical waiver reviews differently but usually goes through several layers of approval. 03/03/2023, 1465 (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. border-right-style: solid; Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. (e) The Coast Guard may place a restriction on a medical certificate based upon medical and physical conditions of an applicant. Lumbar or thoracic scoliosis greater than 30 degrees. Medical Waivers For Coast Guard Judgment We will also be entering the waiver process. documents in the last year, 282 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? The United States Air Force is considered slightly more selective than some of the other military branches. Department of Defense Instruction 6130.03 Volume 2. Consequently, its difficult to get discharged from the military unless a Medical Evaluation Board believes differently. The intuitive drag&drop graphical user interface makes it simple to add or move fields. border-bottom-style: solid; Unfortunately, recruits cannot appeal the decision for immediate denial of MEPS. This 1- or 2-year expiration date will apply to all medical certificate categories (e.g., FCP, STCW, and National Certificates). [QUOTE="S_Austin, post: 643219, member: 41419". 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. Background: The Coast Guard is releasing a new version of the Merchant Mariner Credential Medical Evaluation Report (CG-719 K) and the Merchant Mariner Evaluation of Fitness for Entry Level Ratings . January 29 - Deadline for Regular Admissions forms and scores. on If a military uniform administrative disqualifications require dental examination shall ascertain ees, medical waivers for coast guard? AERO is the program/method utilized for aeromedical submissions to NAMI(53HN) Physical Qualifications. { New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. "The Coast Guard always encourages members to seek care for any health concern that impacts their readiness," said Steiner. 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. The Department of Defense established the medical standards for every branch of the military. Then open the form from that location. font-family: "Calibri" , "sans-serif"; .telerik-reTable-4 tr.telerik-reTableEvenRow-4 For complete information about, and access to, our official publications endobj { the Federal Register. 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. border-collapse: collapse; documents in the last year, by the National Oceanic and Atmospheric Administration All the military branches follow the same guidelines set forth by the Department of Defense for disqualifying health conditions. October 15 - Early Action deadline. 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. USLegal fulfills industry-leading security and compliance standards. font-size: 10pt; My son received the email stating his waiver was granted and he was fully accepted while he was in line for graduation (May 23) !! padding: 0in 5.4pt 0in 5.4pt; 03/03/2023, 159 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. [FR Doc. However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. The prescreen application is provided by a Navy recruiter to check for any conditions that might not make you fit for service. border-color: #4F81BD; 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. It is not an official legal edition of the Federal <>>> border-width: 1pt; We have an agreement with the Department of Transportation to use the Docket Management Facility. Unfortunately, the Commandant has held that regulation changes are not to be applied retroactively unless expressly so stated in the regulation itself, APP. 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. These markup elements allow the user to see how the document follows the If you are struggling with depression or anxiety, please seek help and speak with your primary care provider. } border-right-style: solid; This important process will resume as soon as those employees return to work. All forms can be found on the CG-612 web site. A medical exam takes place at the Military Entrance Processing Station (MEPS). DEC. 2646, at 5 (McDonald)(2004), so the changes will likely not help the two mariners noted above. line-height: 115%; Graded exercise testing may be required. documents in the last year, 513 } Moderate hearing loss in the 500 to 4000Hz frequencies. Abnormalities which interfere with wearing military equipment or are disfiguring. Its possible to have a second opportunity at MEPS though it depends on the health condition. Guarantees that a business meets BBB accreditation standards in the US and Canada. legal research should verify their results against an official edition of On the other hand, a permanent disqualification is something that will not go away with time. Mental and behavioral health conditions are no different. You can learn more details about the revised policy, including the opportunity to request a second medical waiver review, here! } & Estates, Corporate - margin-right: 0in; 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. While every effort has been made to ensure that rendition of the daily Federal Register on FederalRegister.gov does not border-bottom-style: solid; Can You Join The Military With Scoliosis? Coast Guard Medical Manual and Medically Related Instructions/Manuals (CG-112) Contact your local Health Safety & Work Life Regional Practice or CG SUPRT 24/7/365. Policy Pdf In What Constitutes Timely Reporting To The Coast Guard? Getting notified two days before reporting day had to have been a nailbiter! informational resource until the Administrative Committee of the Federal 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. .telerik-reTable-4 td.telerik-reTableEvenCol-4 Once again it primarily depends on the health condition. } Treatments may include medication, therapy, or counseling, but may not permanently interfere with your ability to perform your current duties. Business. Some argue that the Army is less selective because it has the highest enrollment of the military branches. Federal Register provide legal notice to the public and judicial notice padding: 0in 5.4pt 0in 5.4pt; { margin-bottom: 10.0pt; The Coast Guard is considering granting waivers to MMC applicants with seizure disorders under the conditions delineated below. This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. 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. Once a doctor at MEPS makes a recommendation the decision is left up to the Marine Corps to approve the waiver or not. LLC, Internet Looking for help now? Assault On The Citadel: Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers Requests. Correcting Military Records (COVID-19) ALCGPSC 024/23 This ALCGPSC announces action to remove all CG-3307 Administrative Entries related to COVID-19 vaccination for members currently serving on Active Duty or in the Reserve Component. .telerik-reTable-4 td.telerik-reTableFooterFirstCol-4 The U.S. Coast Guard follows the same guidelines as the other military branches. If you have questions on viewing material in the docket, call Docket Operations at 202-366-9826. 1 0 obj 5. Hopefully, you will hear soon! The Public Inspection page padding: 0in 5.4pt 0in 5.4pt; } 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. % This information is not part of the official Federal Register document. background-color: #FFFFFF; Therefore, what is disqualifying in the Army is also disqualifying in the Navy. 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. 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. The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. To avoid duplication, please use only one of these four methods. documents in the last year, by the Energy Department border-width: 1pt; Unfortunately, there is no method of an appeal for recruits that get denied for a medical waiver. Register (ACFR) issues a regulation granting it official legal status. documents in the last year, 11 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. Any deviation or curvature of the spine likely to impair normal function or wearing of proper military uniform or gear or causes physical symptoms. Tags. Often, a military medical waiver needs to pass varying levels of approval before you are granted permission to enlist. Related Article Can You Join The Military With Scoliosis? 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. These individuals may be denied medical certification. The helicopter crew consisted of U.S. Coast Guard Air Stations Miami, Houston, and Mobile members. { } margin-left: 0in; to the courts under 44 U.S.C. My DS have been waiting 100+ days. 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". 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. HSWL will work with the Personnel Services Center in the coming weeks to determine which Coast Guard-specific standards are needed. 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 Highest customer reviews on one of the most highly-trusted product review platforms. Theft, Personal require further Start Printed Page 8587review. } the official SGML-based PDF version on govinfo.gov, those relying on it for Complete all required information in the necessary fillable areas. 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. After you complete the medical pre-screening for the United States Air Force (or any military branch) you progress to MEPS. 2 0 obj All comments received will be posted, without change, to http://www.regulations.gov and will include any personal information you have provided. By Bill Hewig. Authority: 46 CFR 10.302 contains the medical standards that merchant mariners must meet prior to being issued a merchant mariner credential (MMC). border-width: 1pt; Learn more about the medical waiver process for the Army, Navy, Air Force, Marines, and Coast Guard. Please consider this list as a factor in your decision to apply. Arborry Hill Road Company, LLC Copyright 2006-2023, Service Academy Forums is a registered trademark of Arborry Hill Road Company, LLC. The recruiting commander will factor the recommendation of the doctor assigned to you at MEPS as well as the objectives of the specific branch. border-width: 1.0pt 1.0pt 3.0pt 1.0pt; documents in the last year, 35 border-left-style: solid; For a better experience, please enable JavaScript in your browser before proceeding. The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. border-bottom-style: solid; { DD still waiting. 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. The Marine Corps is a demanding and intense branch of the military to join. The OFR/GPO partnership is committed to presenting accurate and reliable Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). border-bottom-style: solid; 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. Notice of proposed policy clarification and request for comments. "Mental and behavioral health conditions are no different. documents in the last year, 36 The United States Army will analyze infections and other conditions of the head, eyes, ears, nose, mouth, and neck. Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). daily Federal Register on FederalRegister.gov will remain an unofficial He currently resides in Meridian, Mississippi. establishing the XML-based Federal Register as an ACFR-sanctioned The assessment of fitness for duty will be based on ones ability to perform all functions associated with ones present assignment and ability to remain worldwide deployable. documents in the last year, by the Coast Guard Federal Register. I can only imagine still waiting at this late date. Shane Steiner, says the new policy is designed to encourage members to seek treatment for mental or behavioral health issues. It may not display this or other websites correctly. The health condition is sometimes correctly through surgery or with medication. 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. (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. border-bottom-color: #4F81BD; Only official editions of the years depending on the medical condition, condition status and the need for periodic medical evaluations. This table of contents is a navigational tool, processed from the 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 These can be useful However, many conditions allow you a closer medical examination where a qualified doctor can determine if you are still fit for service. 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. Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. for better understanding how a document is structured but 03/03/2023, 43 I know of one that came through this past Wednesday. Does the Coast Guard give medical waivers? color: #355C8C; Notwithstanding its still possible to receive clearance: Medical problems like scoliosis dont always automatically disqualify you from service. documents in the last year, 467 The list is not inclusive, but rather reflects the conditions that most commonly arise. 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. Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. border-bottom-style: solid; Ensure everything is filled out appropriately, with no typos or lacking blocks. 1. border-left-style: solid; In 2004-5, the Mariner, a licensed Chief Engineer, began to experience "auras" - usually described as a brief condition of ongoing consciousness, but . .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 border-bottom-style: solid; stream 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 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. should verify the contents of the documents against a final, official documents in the last year, 122 <>/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>> Additionally, new recruits must pass a medical and dental exam, as well as an observation of your mental health. documents in the last year, 20 Image: Navy.com The Department of Defense established the medical standards for every branch of the military. There are some conditions the Army is willing to accommodate and support because of others. 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. At this time, the Coast Guard does not offer any waivers for ADHD as a condition. You are using an out of date browser. Wow, I had no idea the wait could be so long and drawn out. However, each military branch handles the medical waiver process a little differently. } (c) Medical waivers may be granted with specific conditions to which the applicant must adhere, such as more frequent monitoring of the medical conditions, submission of medical exams and/or tests at varying intervals to track the ongoing status of the medical condition, or operational limitations in the manner the mariner may serve under the MMC. Since the issuance of NVIC 04-08 on September 15, 2008, there have been several instances where mariners sought waivers for these conditions. { Graded exercise testing may be required. ); (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. Learn more here. 1. Use of medications to reduce symptoms of ADD or ADHD within the previous 24 months.