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AR 40-501 Standards of Medical Fitness (27 June 2019)

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

Chapter 2
Physical Standards for Enlistment, Appointment, and Induction

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Chapter 3
Medical Fitness Standards for Retention and Separation, Including Retirement

Comments: This is from the Table of Contents of this 80-page document. Chapter 3 describes the conditions that may qualify a Soldier for a discharge for Disability. To see the detailed description of each condition, click on the link to the regulation in the box above these comments.

Head • 3–5

Eyes • 3–6

Vision • 3–7,

Ears • 3–8

Hearing • 3–9

Nose, sinuses, mouth, and larynx • 3–10

Dental • 3–11

Neck • 3–12

Lungs, chest wall, pleura, and mediastinum • 3–13

Heart • 3–14

Vascular system • 3–15

Abdominal organs and gastrointestinal system • 3–16

Female genital system • 3–17

Male genital system • 3–18

Urinary system • 3–19

Spine and sacroiliac joints • 3–20

Upper extremities • 3–21

Lower extremities • 3–22

Miscellaneous conditions of the extremities • 3–23

Skin and soft tissues • 3–24

Blood and blood-forming tissues • 3–25

Systemic conditions • 3–26

Exertional heat illness • 3–27

Cold injury • 3–28

Endocrine and metabolic • 3–29

Rheumatologic • 3–30

Neurological • 3–31

Sleep disorders • 3–32

Learning, psychiatric, and behavioral health • 3–33

Tumors and malignancies • 3–34

General and miscellaneous conditions and defects • 3–35

Conditions and circumstances not constituting a physical disability • 3–36

Medical examinations • 3–37

Chapter 5 Medical Fitness Standards for Miscellaneous Purposes

Comments: Chapter 5, Section 5-14 describes conditions that may disqualify a soldier for deployment. To see the detailed description of each condition, click on the link to the regulation in the box above these comments.

5–16. Medical fitness standards for certain geographical areas

a. Some Soldiers with certain medical conditions require administrative consideration when assignment to combat areas or certain geographical areas is contemplated. Such consideration of their medical conditions ensures these Soldiers are used within their functional capabilities without undue hazard to their health and well-being as well as ensures they do not produce a hazard to the health or well-being of other Soldiers.

b. Excluding Soldiers affected by paragraph 5–16a, all Soldiers considered medically qualified for continued military service and medically qualified to serve in all or certain CONUS areas are medically qualified to serve in similar or corresponding areas OCONUS in accordance with the AR 635–40 definition of deployability as the minimum standard of fitness for duty.

c. Soldiers who do not meet the medical retention standards in chapter 3 of this regulation must be referred to the DES (see AR 635–40 for fitness determination guidance). However, Soldiers returned to duty by an MAR2, PEB, or Soldiers with temporary medical conditions may still have some assignment/deployment limitations that must be considered before a decision is made to assign to certain geographical areas, such as Korea and other OCONUS areas.

d. Medical Standards for Military Assistance Advisory Groups (MAAGs), military attaches, military missions, and duty in isolated areas where adequate medical or dental care may not be available will consider the following medical conditions and defects to preclude assignments or attachment to duty with MAAGs, military attaches, military missions, or any type of duty in OCONUS isolated areas where adequate medical care is not available:

(1) A history of emotional or behavioral health disorders, including recurrent acute adjustment disorder, of such a de-gree as to have interfered significantly with adjustment or is likely to require treatment during the extent of the tour. For example, a single acute adjustment disorder that resolved with a period of stability of over a year would pose no limitations pending combatant command guidance.

(2) Any medical conditions where maintenance medication is of such toxicity as to require frequent clinical and labor-atory follow up or where the medical condition requires frequent follow up that cannot be delayed for the extent of the tour.

(3) Inherent, latent, or incipient medical or dental conditions that are likely to be aggravated by the climate or general living environment prevailing in the area where the Soldier is expected to reside, to such a degree as to preclude acceptable performance of duty.

(4) Of special consideration are Soldiers with a history of chronic cardiovascular, respiratory, or nervous system disorders that are scheduled for assignment and/or residence in an area 6,000 feet or more above sea level. While such individuals may be completely asymptomatic at the time of examination, hypoxia due to residence at high altitude may aggravate the condition and result in further progression of the disease. Examples of areas where altitude is an important consideration are La Paz, Bolivia; Quito, Ecuador; Bogota, Colombia; and Addis Ababa, Ethiopia.

(5) Medical, dental, or physical conditions or defects that might reasonably be expected to require care during a normal tour of duty in the assigned area are to be corrected prior to departure from CONUS.