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AFI 48-123 MEDICAL EXAMINATIONS AND STANDARDS (5 Nov 2013)

Comments: To view or download the complete regulation, click on the link to it in the box above these comments.

MEDICAL EXAMINATIONS AND STANDARDS
...
Chapter 4
APPOINTMENT, ENLISTMENT, AND INDUCTION

Section 4A--Medical Standards for Appointment, Enlistment, and Induction.

4.1. References. DoDI 6130.03, Medical Standards for Appointment, Enlistment, and Induction, establishes basic medical standards for enlistment, appointment, and induction into the Armed Forces of the United States according to the authority contained in Title 10, United States Code, Section 113. DoDI 6130.03 sets forth the medical conditions and physical defects that are causes for rejection for military service. These standards are not all inclusive and other diseases or defects can be cause for rejection based upon the medical judgment of the examining healthcare provider.
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Chapter 5
CONTINUED MILITARY SERVICE (RETENTION STANDARDS)

Section 5B--Medical Standards for Continued Military Service (Retention Standards)

5.3. Standards. While this is not an all-inclusive list of disqualifying conditions, conditions and defects  listed  in Chapter  5 and  the  Medical  Standards  Directory  are  potentially  disqualifying and/or  preclude  continued  military  service.  The  standards  and  other  diseases  or  defects  not specifically listed can be cause for rejection based upon the medical judgment of the examining physician or reviewing authority.  Retention standards also require members to be fit for mobility status IAW Chapter  11...While  elective surgery by itself is not necessarily disqualifying, intentional effects and  unintended  complications  from  elective  surgery  may  render  an  individual  unfit  for  WWD.  For elective surgery information, refer to AFI 44-102, Medical Care Management.   In addition, non-emergent elective surgeries within 6 months of separation or retirement must have additional prior approval by HQ AFPC/DPAMM, as required IAW AFI 41-210.

 

Comments: "IAW" means "in accordance with".  These are sections of this 183-page document; to see the detailed descriptions, view or download the complete regulation by clicking on the the link to it in the box above these comments.


5.3.1. General and Miscellaneous Conditions and Defects.


5.3.1.1.
The individual is precluded from a reasonable fulfillment of the purpose of his or her employment in the military service.


5.3.1.2.
The individual’s health or well-being would be compromised if he or she were to remain  in  the  military  service.    This  includes,  but  is  not  limited  to:    dependence  on medications  or  other  treatments  requiring  frequent  clinical  monitoring,  special  handling or severe dietary restrictions.


5.3.1.3.
The  individual’s retention in the military service would prejudice the best interests of the government. Questionable cases are referred to AFPC/DPANM or to the appropriate ARC/SG  for  those ARC members who are not on EAD and are not authorized disability processing.

Comments: AFPC is the "Air Force Personnel Center".  ARC is "Air Reserve Compoent".  EAD is "Extended Active Duty".

5.3.1.4.
The individual has an EPTS defect/condition which requires surgery, but the residuals of surgery may affect his/her retain ability.  In such cases, surgery may not be done until the expected results have been evaluated via I/RILO or MEB, and the member has been returned to duty.

Comments: EPTS is "existing prior to service".  RILO is "Review in Lieu of".  MEB is "Medical Evaluation Board".


5.3.1.5.
Individuals requiring exemption from one or more components of the fitness test for greater than one year do not require I/RILO or MEB unless the underlying condition or limitation does not meet retention or deployment standards.


5.3.1.6.
The individual’s travel by military air transportation is precluded for medical reasons.


5.3.1.7.
The individual has an assignment, TDY or deployment canceled due to a medical condition. Present case to the DAWG within 10 calendar days IAW AFI 41-210. The DAWG will evaluate if member meets retention medical standards or if deployment limiting condition will resolve within 365 days.    If not, the DAWG must refer cases to AFPC/DPANM, AFRC/SGP or ANG/SGP. (T-1)

Comments: DAWG is "Deployment Availability Working Group".


5.3.1.8.
The individual continues to have a mobility limiting condition 1 year (cumulatively) after the defect became limiting and has not yet met an I/RILO/MEB or Fitness for Duty (FFD)


5.3.1.9.
The individual has been hospitalized 90 calendar days and return to duty within 3 more months is not expected. I/RILO or FFD  should be sent to  AFPC/DPANM or appropriate ARC/SGP as determined by the DAWG.


5.3.1.10.
The individual refuses required medical, surgical, or dental treatment or diagnostic  procedures  and  the  condition  renders  them  not  qualified  for  retention  and/or mobility.


5.3.1.11.
The  individual  requires  determination  of  his  or  her  competency  for  pay purposes.


5.3.1.12.
The  individual  has  had  a  sanity  determination  required  by  the  Manual  for Courts-Martial and the psychiatric findings indicate the member’s fitness for continued military service is questionable.


5.3.1.13.
The individual has coexisting medical defects that are thought to be the primary cause of unacceptable behavior or unsatisfactory performance.


5.3.1.14.
A commander can refer a service member’s case to the DAWG through the DAWG Chair or PEBLO, if a commander feels an individual’s medical or mental health condition   causes   sufficient   absence   from   duty   that   it   interferes   with   mission accomplishment, poor duty performance and/or deployment concerns.