For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. Physician and Chief of Operational Medicine, Capt. The United States Air Force is considered slightly more selective than some of the other military branches. However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. } 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. Before you reach MEPS youll complete the form Medical Prescreen of Medical History Report. We will consider all comments and material received during the comment period. documents in the last year, 83 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. } 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. ALWAYS download the form to a location of your choice. 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. margin-right: 0in; In general, expect at least two weeks to a month to hear back on a military medical waiver. QUESTION: What about Medical Waivers? 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. 03/03/2023, 43 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. While every effort has been made to ensure that Treatments may include medication, therapy, or counseling, but may not permanently interfere with your ability to perform your current duties. My DD got her waiver followed immediately by full appointment, which she has accepted. 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. 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. However, the final determination on a military medical waiver depends on the specific branch with some being more selective than others. In this regard, recommendations from agencies of the Federal Government operating government vessels, as well as owners and operators of private vessels, made on behalf of their employees, will be given full consideration. In some cases, mariners with these conditions were granted waivers; in other cases, the conditions were deemed an unacceptable risk and medical certification was denied. Those with a temporary disqualification do not need to apply for a waiver. documents in the last year, by the National Oceanic and Atmospheric Administration <> A temporary disqualification is something that temporarily prevents you from serving. better and aid in comparing the online edition to the print edition. 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 Use of medications to reduce symptoms of ADD or ADHD within the previous 24 months. 03/03/2023, 1465 for better understanding how a document is structured but Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. border-width: 1.0pt 1.0pt 3.0pt 1.0pt; { Mariners with HbA1c levels greater than 10% are generally not considered for a waiver unless extenuating circumstances confirm temporary irregularity due to acute illness, medication interaction, or other short-term occurrence that is not likely to recur. 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. documents in the last year, 35 This feature is not available for this document. B. Related Article Can You Join The Military With Autism? { For example, temporary disqualifications do not require a medical waiver. Related Article 20 Health Conditions That May Disqualify You From Military. .[/QUOTE]. font-family: "Calibri" , "sans-serif"; He currently resides in Meridian, Mississippi. Service, Contact 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. Your email address will not be published. Related Article Army Height and Weight Standards. .telerik-reTable-4 td.telerik-reTableEvenCol-4 Shane Steiner, says the new policy is designed to encourage members to seek treatment for mental or behavioral health issues. Open for Comment, This document is issued under the authority of, Russian Harmful Foreign Activities Sanctions, Economic Sanctions & Foreign Assets Control, Fisheries of the Northeastern United States, National Oceanic and Atmospheric Administration, Further Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, https://www.federalregister.gov/d/2015-03109, MODS: Government Publishing Office metadata, http://www.uscg.mil/hq/cg5/nvic/pdf/2008/NVIC%2004-08%20CH%201%20with%20Enclosures%2020130607.pdf. The Department of Defense established the medical standards for every branch of the military. Related Article Military Dental Requirements and Disqualifications. Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). require further Start Printed Page 8587review. 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. Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. 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. documents in the last year, 282 padding: 0in 5.4pt 0in 5.4pt; Current or history of use of hearing aids. Any operational limitations will be reflected in the medical certificate. You must log in or register to reply here. Your military medical exam is the definitive source for qualification decisions. corresponding official PDF file on govinfo.gov. The documents posted on this site are XML renditions of published Federal 3. border-color: #4F81BD; Our guide examines exactly how the military medical waiver process goes, as well as how to use it to your advantage. Document page views are updated periodically throughout the day and are cumulative counts for this document. Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. 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 . Questions related to the policy can be directed to Capt. documents in the last year, by the Coast Guard All forms can be found on the CG-612 web site. Click on tabs below for more information. Planning, Wills The new ICD standards, published as Enclosure (7) to NVIC, can be accessed at www.uscg.mil/nmc. History of anaphylaxis or systemic allergic reactions to stinging insects, food or food additives, Any allergic condition that requires use of emergency medication interventions (Epinephrine auto-injector), Eight or more teeth with multi-surface caries (cavities) that have not been corrected prior to arrival. border-width: 1pt; border-color: #4F81BD; 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. Some argue that the Army is less selective because it has the highest enrollment of the military branches. { Since the issuance of NVIC 04-08 on September 15, 2008, there have been several instances where mariners sought waivers for these conditions. Until the ACFR grants it official status, the XML (3) Mail: Docket Management Facility (M-30), U.S. Department of Transportation, West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE., Washington, DC 20590-0001. Attorney, Terms of The first step in a military medical waiver process is receiving a recommendation from a doctor at MEPS. DD still waiting. Each document posted on the site includes a link to the border-bottom-style: solid; 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. There are a variety of health conditions that are disqualifying in the military. the material on FederalRegister.gov is accurately displayed, consistent with Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. The answer is no based on the current Department of Defense regulations. Does the Coast Guard give medical waivers? (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. 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 MMCPolicy@uscg.mil. Feeling Very Strongly About It Both Ways: Just What Makes A Dangerous Drug Dangerous, Anyway? 2. 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). 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. width: 119.7pt; Enclosure (3) of that NVIC, titled Medical Conditions Subject to Further Review stated, at condition 81, that having an ICD was generally not waiverable. The Public Inspection page Federal Register. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. on 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. 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. 3. border-right-style: solid; 1 0 obj publication in the future. the Federal Register. Medical Waivers . } Then open the form from that location. Refractive error corrected by orthokeratology, kerato-refractive, PRK, laser or any other corneal enhancement have numerous criteria to meet in order to be qualified. } font-size: 10pt; 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". 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. (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. Horseshoe kidney or absence of one kidney, Active or difficult to treat genital herpes (even if asymptomatic), Bilateral kidney stones or single kidney stone in the preceding 12 months of the exam, Cardiovascular defects or other congenital abnormalities, History of recurrent or ongoing cardiopulmonary symptoms including, but not limited to syncope (fainting) and pre-syncope, History of pneumothorax within the past year if due to simple trauma or surgery, or a history within the past three years if spontaneous. JavaScript is disabled. on NARA's archives.gov. 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 Its important to remember that many medical conditions listed under the Department of Defense guidelines are not permanently disqualifying. on Does the condition create an undue hazard to the recruit or other service members in combat situations. A recruiting commander has the power to accept or deny a military medical waiver. 03/03/2023, 207 If surgically treated, please submit a post-operative polysomnogram to document cure. If COVID-19 Breaks Out Among The Crew, What Are A Masters Obligations? If a medical waiver is granted, certain conditions may be placed on the mariner in order to maintain the waiver. documents in the last year, 26 To initiate treatment, talk with your primary care provider. .telerik-reTable-4 tr.telerik-reTableFooterRow-4 Anyone else out there? This document has been published in the Federal Register. Anyone else out there? The Armed Forces use the same disqualifying medical conditions for every military branch. If a military uniform administrative disqualifications require dental examination shall ascertain ees, medical waivers for coast guard? NVIC 04-08, Condition # 193: Diabetes mellitus treated with insulin or with history of diabetic ketoacidosis (DKA). Medical conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. the official SGML-based PDF version on govinfo.gov, those relying on it for 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. 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. border-width: 1pt; padding: 0in 5.4pt 0in 5.4pt; %PDF-1.5 documents in the last year, 853 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. Regardless, its still very difficult to receive a waiver for more serious mental health problems. 7101 et seq. .telerik-reTable-4 td.telerik-reTableHeaderLastCol-4 Graded exercise testing may be required. Federal Register issue. 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. The best thing you can do is be open and honest with a recruiter about any underlying medical conditions. Here are some of the medical conditions that require a waiver to continue and serve in the U.S. Navy. In 2004-5, the Mariner, a licensed Chief Engineer, began to experience "auras" - usually described as a brief condition of ongoing consciousness, but . 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. developer tools pages. documents in the last year, 981 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. Every waiver requires varying levels of review for approval so its hard to give an estimate in terms of time. 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. More information and documentation can be found in our B Y?s^'-j,YDEV 4&#Qd(#&SmRQwt%!++2`L4>&^:j >/# Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. 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. in Accounting and is a graduate student at the University of Louisiana at Lafayette, pursuing an M.B.A. in Finance. 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 . An applicant may submit to the Coast Guard additional correspondence, records, and reports in support of a waiver. pjI >vBS5GBD)CkoO_4ciA\>w"!,3K[Db[fH}2LbIIMC\^D)1Y|,BC>p`B7zrHcafn~ [{Bj documents in the last year, 20 My son received the email stating his waiver was granted and he was fully accepted while he was in line for graduation (May 23) !! .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 He also noted that you cannot be on any medications like Adderall or Ritalin while serving. Learn more here. Applicants must comply with the accompanying waiver letter in order to renew their certificate. If the military deems you unfit for service, you may have a chance of receiving a military medical waiver. These tools are designed to help you understand the official document .telerik-reTable-4 td.telerik-reTableOddCol-4 Please consider this list as a factor in your decision to apply. 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. 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 list is comparable to the other branches of the military. Contact your local Health Safety & Work Life Regional Practiceor CG SUPRT 24/7/365. padding: 0in 5.4pt 0in 5.4pt; padding: 0in 5.4pt 0in 5.4pt; Regardless, you need a military medical waiver to receive permission to enlist. 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. My Account, Forms in Notify me of follow-up comments by email. 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. Graded exercise testing may be required. Some of these conditions make it harder to receive a medical waiver.
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