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AFI 36-3212 PHYSICAL EVALUATION FOR RETENTION, RETIREMENT, AND SEPARATION 2 February 2006 (Incorporating Through Change 2, 27 November 2009)

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Chapter 1

1.3. Eligibility for Disability Evaluation. HQ AFPC/DPPD determines eligibility for disability processing. The mere presence of a physical defect or condition does not qualify a member for disability retirement or discharge. The physical defect or conditions must render the member unfit for duty. Disability evaluation begins only when examination, treatment, hospitalization, or substandard performance result in referral to a Medical Evaluation Board (MEB). ...

Comentario: "HQ AFPC/DPPD" significa "USAF Physical Disability Division" (la división de discapacidad física de la Air Force estadounidense).


2.2. Role of the Medical Officers in the MEB Process.

2.2.1. The attending physician at the medical treatment facility (MTF) will: Conduct the examination. Prepare the documents required to identify medical defects or conditions that may disqualify the member for continued active duty (AD). Refer the case to a MEB.

2.2.2. Medical officers on the MEB will: Evaluate the documentation. Recommend the disposition of the MEB case and refer it to the approving authority as outlined in AFI 48-123.

2.3. Role of the Physical Evaluation Board Liaison Officer (PEBLO). The PEBLO will:

2.3.1. Ensure disability cases referred to the PEB are complete, accurate, and fully documented.

2.3.2. Counsel evaluees concerning their rights in the disability process (see Attachment 2).

2.3.3. Maintain coordination with the member, medical facility, MPF, and HQ AFPC/DPPD.

2.4. Role of Commander and Supervisor. Except in situations of critical illness or injury in which return to duty is not expected, a written statement from the member's immediate commanding officer or supervisor describing the impact of the members medical condition on normal military duties and ability to deploy or mobilize, as applicable, will be submitted with the documentation required by AFI 48-123.
Chapter 3

3.1. Purpose of PEBs. A PEB is a fact-finding body that investigates the nature, origin, degree of impairment, and probable permanence of the physical or mental defect or condition of any member whose case it evaluates. The disability system provides for two PEBs: an Informal PEB and a Formal PEB. If either board finds a member unfit, it recommends appropriate disposition based on the degree of impairment caused by the disabling condition, the date incurred, and the member's line of duty status. A PEB is not a statutory board, and there is no statute of limitations in considering evidence.
Chapter 8

Section 8A- General Guidelines

8.1. Purpose. This chapter provides the guidelines for processing through the disability system certain ARC members who meet eligibility requirements in paragraph 8.2. Paragraph 8.3. gives an ineligibility guideline.
8.2. Eligibility for Disability Processing. The following ARC members who have impairments which were incurred or aggravated in the line of duty are eligible for disability processing:

8.2.1. On active duty for 31 days or more while the member was entitled to basic pay.

8.2.2. After 23 Sep 96, on active duty for 31 days or more but not entitled to basic pay under 37 U.S.C. 502(B) due to authorized absence to participate in an educational program, or for an emergency purpose, as determined by the SAF or designated representative.

Comentario: "SAF" significa "Secretary of the Air Force" (el ministro de la Air Force).

8.2.3. On active duty for 30 days or less or on call to Inactive Duty Training (IDT).

Comentario: Inactive Duty Training significa una instrucción (drill). While traveling directly to or from the place at which such duty is performed; and/or After September 23, l996, any injury, illness, or disease incurred or aggravated while remaining overnight, between successive periods of IDT, at or in the vicinity of the site of the inactive duty training, if the site is outside reasonable commuting distance of the member's residence. Additionally, members of the Ready Reserve with nonduty-related impairments pending separation for failure to meet physical standards. (See eligibility criteria in Section 8E).

8.3. Ineligibility for Disability Processing. ARC members are ineligible for disability processing if the member is pending an approved, unsuspended, punitive discharge or dismissal.



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Chapter 4

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.
Chapter 5

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.

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5.3.1. General and Miscellaneous Conditions and Defects.
The individual is precluded from a reasonable fulfillment of the purpose of his or her employment in the military service.
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.
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.

Comentario: AFPC significa "Air Force Personnel Center".  ARC significa "Air Reserve Compoent".  EAD significa "Extended Active Duty".
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.

Comentario: EPTS significa "existing prior to service".  RILO significa "Review in Lieu of".  MEB significa "Medical Evaluation Board".
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.
The individual’s travel by military air transportation is precluded for medical reasons.
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)

Comentario: DAWG significa "Deployment Availability Working Group".
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)
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.
The individual refuses required medical, surgical, or dental treatment or diagnostic  procedures  and  the  condition  renders  them  not  qualified  for  retention  and/or mobility.
The  individual  requires  determination  of  his  or  her  competency  for  pay purposes.
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.
The individual has coexisting medical defects that are thought to be the primary cause of unacceptable behavior or unsatisfactory performance.
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.