These criteria seek to discern those individuals with cardiomyopathy who have factors that mitigate their risk, and who have prognostic indicators suggestive of a low risk of sudden incapacitation or adverse cardiac event. Pediatric New Patient Form - Tampa Family Health Centers, MEDICATIONTREATMENT CONSENT FORM FOR SELF-ADMINISTRATION - Grps, Identity Good luck for everyone still waiting. Relevant information about this document from Regulations.gov provides additional context. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. As of January 24, 2014, the Coast Guard began issuing medical certificates to all mariners holding valid international endorsements, per the Final Rule titled, Implementation of the Amendments to the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978 (STCW), as Amended, and Changes to National for better understanding how a document is structured but Violation of them with potential risks associated with uscga policy, or questioning does getting cleared me for coast guard medical waiver process for. If you would like a form added to the list below contact the appropriate program manager. Additionally, new recruits must pass a medical and dental exam, as well as an observation of your mental health. Where the waivered medical condition is progressive, the waiver may require } on Mental and behavioral health conditions are no different. The Aeromedical Electronic Resource Office (AERO) is a web-based DOD system used jointly by the U.S. Army, Coast Guard, and Navy. 2. { Graded exercise testing may be required. Applicants must comply with the accompanying waiver letter in order to renew their certificate. Individuals with cardiomyopathy who have been advised to undergo placement of an ICD by their cardiologist, but have failed to comply, do not meet the low risk criteria for consideration for a medical waiver. It helps answer some of the basics about medical waivers. 2. Notify me of follow-up comments by email. Medical Waivers For Coast Guard Judgment 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. Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. ), states that the conditions of cardiomyopathy, diabetes mellitus, narcolepsy and obstructive sleep apnea[1] Related Article Military Dental Requirements and Disqualifications. Click on tabs below for more information. Abnormalities which interfere with wearing military equipment or are disfiguring. Getting notified two days before reporting day had to have been a nailbiter! However, a broken foot will heal and with time the problem is no longer existent. B Y?s^'-j,YDEV 4&#Qd(#&SmRQwt%!++2`L4>&^:j >/# padding: 0in 5.4pt 0in 5.4pt; 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. border: solid 0px; (ii) Proper use of the CPAP/BiPAP device for at least four hours per night (or per major sleep period) on at least 70% of all nights (or major sleep periods). NVIC 04-08, Condition # 193: Diabetes mellitus treated with insulin or with history of diabetic ketoacidosis (DKA). A. border-width: 1pt; 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. NVIC 04-08 Condition #81, Anti-tachycardia devices or implantable cardioverter defibrillators directs that conditions requiring use of these devices are generally not waiverable. Enclosure (7) to NVIC 04-08 contains the criteria for consideration for a medical waiver for conditions requiring use of these devices. border-width: 1.0pt 1.0pt 3.0pt 1.0pt; USLegal fulfills industry-leading security and compliance standards. MEPS is managed by the Department of Defense with the same temporary and permanent disqualifications. 3. These tools are designed to help you understand the official document Us, Delete Its possible to have a second opportunity at MEPS though it depends on the health condition. This information is not part of the official Federal Register document. Your military medical exam is the definitive source for qualification decisions. The intuitive drag&drop graphical user interface makes it simple to add or move fields. endobj Waivers are always considered on an individually basis, based on rating or officer specialty, time-in-service, world-wide deployability and needs of the service. 2 0 obj .telerik-reTable-4 td.telerik-reTableHeaderFirstCol-4 on Any restriction will be reflected on the medical certificate and may include restriction of route or trade. 3. border-bottom-style: solid; QUESTION: What about Medical Waivers? NVIC 04-08, Condition # 179: Obstructive Sleep Apnea, Central Sleep Apnea, Narcolepsy, Periodic Limb Movement, Restless Leg Syndrome or other sleep disorders. 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. documents in the last year, 20 } Doctors that are employed by the DOD will contact new recruits if anything comes up on the prescreening that requires a closer examination. 2. <>/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>> 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. Hopefully, you will hear soon! { The Coast Guard also discourages health waiver applications from students applying to the U.S. Coast Guard Academy, though all waiver applications are considered in the context of a. The Department of Defense established the medical standards for every branch of the military. Notwithstanding its still possible to receive clearance: Medical problems like scoliosis dont always automatically disqualify you from service. Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. 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. 1. October 15 - Early Action deadline. Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. { Unfortunately, the medical waiver review process for the Class of 2023/CGAS Class of 2020 has been paused due to the partial shutdown since the civilian staff members (both in the Admissions Office and CGA Clinic) responsible for it have been furloughed. It also depends on whether the health concern is a temporary or permanent health disqualification. Any waivers being granted? Mariners with HbA1c levels of greater than 10% are generally not considered for waiver unless extenuating circumstances confirm temporary irregularity due to acute illness, medication interaction, or other short-term occurrence that is not likely to recur. A temporary disqualification is something that temporarily prevents you from serving. But now comes news that the Coast Guard has modified the condition 81 standards for medical review considerably, such that if the mariners condition has recently improved within the limitations of certain medical criteria; or if the mariners condition has been longstanding with no deterioration, again subject to the application of certain medical criteria, the mariner now may be able to qualify for a waiver. endobj The best thing you can do is be open and honest with a recruiter about any underlying medical conditions. Publication Number. documents in the last year, 981 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". Just What Does It Take To Get Equal Access To Justice? This 1- or 2-year expiration date will apply to all medical certificate categories (e.g., FCP, STCW, and National Certificates). Questions related to the policy can be directed to Capt. I can only imagine still waiting at this late date. Privacy Act: Anyone can search the electronic form of comments received into any of our dockets by the name of the individual submitting the comment (or signing the comment, if submitted on behalf of an association, business, labor union, etc.). { Department of Defense Instruction 6130.03 Volume 2. width: 119.7pt; } 4) Applicants with uncorrected vision of up to 20/800 may be granted a waiver by the Coast Guard provided that the corrected vision meets the 2. %PDF-1.5 Other conditions, like mental health, makes it more challenging to receive clearance to serve the military: NOTE: The U.S. Navy recently adapted its medical waiver process. (j)AVL%K"h2mlF3>C^effmj:i .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 Justification: Although poorly controlled diabetes can lead to long term diabetic complications, the consequences of hypoglycemia pose an immediate threat of sudden incapacitation with a greater risk to public and maritime safety. During his deployments onboard the USS Fort McHenry, he traveled to 23 countries on four continents, sailing roughly 42,000 nautical miles across 30 seas and five oceans. 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. Speak to a local military recruiter for more information about disqualifying health problems, seeking a medical waiver, and MEPS. The Public Inspection page may also Waivers may be granted by the program to which you're applying, NOT DoDMERB. 03/03/2023, 266 The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. About the Federal Register An official website of the United States government, Assistant Commandant for Human Resources (CG-1), Health Safety & Work Life Regional Practice, Office of Operational Medicine and Quality Improvement(CG-1121) - Manuals, Instructions and Forms, COAST GUARD AUXILIARIST SUPPORT TO COAST GUARD HEALTH CARE FACILITIES, MEDICAL EXAM OF APPLICANTS FOR ACADEMY, ROTC, & USUHS (JOINT PUB), COAST GUARD PERIODIC HEALTH ASSESSMENT (PHA), PUBLIC HEALTH AND DISEASE CONCERNS RELATED TO COAST GUARD OPERATIONS, COAST GUARD ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP), IMMUNIZATIONS AND CHEMOPROPHYLAXIS (JOINT PUBLICATION), COAST GUARD HUMAN IMMUNODEFICIENCY VIRUS (HIV) PROGRAM, COAST GUARD SMALLPOX VACCINE PROGRAM (SVP), AEROMEDICAL EVACUATION, A GUIDE FOR HEALTH CARE PROVIDERS (JOINT PUB), MEDICAL REGULATING TO AND WITHIN THE CONTINENTAL U.S. (JOINT PUB), USING THE ARMED FORCES REPOSITORY OF SPECIMEN SAMPLES FOR THE IDENTIFICATION OF REMAINS (AFRSSIR), HEALTH SERVICES ALLOWANCE LIST, AFLOAT (CAC Required), HEALTH SERVICES ALLOWANCE LIST, PART III (SHORE UNITS AND VESSELS), Civilian Human Resources, Diversity and Leadership Directorate (CG-12), Assistant Commandant for Engineering & Logistics (CG-4), Shore Infrastructure Logistic Center (SILC), Environmental Planning and Historic Preservation, The Office of Information Management (CG-61), Assistant Commandant for Acquisitions (CG-9), Surface Acquisitions Logistics Center (SALC), Research, Development, Test and Evaluation, Operational Medicine and Quality Improvement Division (CG-1121), Chemical, Biological and Radiological Defense Med, Health Systems Administration Division (CG-1122), Medical Publications, Directives and Forms, Work-Life Manuals and Commandant Instructions, A Contemporary Approach to Supporting the Modern Coast Guard Family, Mental health and taking care of yourself, UPDATE: Government Shutdown FAQs, CGMA loan information, TRICARE and You: New vision plan for active duty family members, Hosted by Defense Media Activity - WEB.mil, INFECTION PREVENTION AND CONTROL PROGRAM FOR COAST GUARD HEALTH CARE FACILITIES AND WORKERS, STANDARDIZED HEALTH SERVICES TECHNICIAN DRUG FORMULARY (CAC Required), COAST GUARD WEIGHT AND BODY FAT STANDARDS PROGRAM MANUAL, MILITARY PERSONNEL CASUALTIES AND DECEDENT AFFAIRS, SEXUAL ASSAULT PREVENTION AND REPONSE PROGRAM (SAPR), INFORMATION AND LIFE CYCLE MANAGEMENT MANUAL, EVALUEE'S STATEMENT REGARDING THE FINDINGS OF THE MEDICAL BOARD REPORT, THIRD PARTY COLLECTION PROGRAM/ MEDICAL SERVICES ACCOUNT/ OTHER HEALTH INSURANCE, DEPARTMENT OF DEFENSE ACTIVE DUTY/ RESERVE FORCES DENTAL EXAMINATION, AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION, REQUEST TO RESTRICT MEDICAL OR DENTAL INFORMATION. .telerik-reTable-4 td.telerik-reTableFooterOddCol-4 { 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 . Use MicroSoft Edge browser as much as possible instead of Chrome. Related Article Can You Join The Military With Autism? By December 23 - Early Action decisions released. How do I renew my Coast Guard medical certificate? History of Temporomandibular Joint (TMJ) disorder that is symptomatic or had required treatment in the last 12 months. However, each military branch handles the medical waiver process a little differently. border-bottom-style: solid; 3 0 obj See 46 CFR 10.303. developer tools pages. Forms, Real Estate line-height: 115%; Title. Does the Coast Guard offer medical waivers? We got a confirmation that it was requested because he received an LOA but no other news since late Sep'18. Keep these important dates in mind as you complete your application: July 15 - Admission application opens. The Service Academies automatically consider applicants for a medical waiver if they are competitive for admission. For example, breaking a foot inhibits you from carrying out the functions for duty. 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. Medical conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. 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. JavaScript is disabled. Note: Individuals with cardiomyopathy who have had an implantable cardioverter defibrillator (ICD) placed, will be evaluated under the criteria for condition #81, Anti-tachycardia devices or implantable defibrillators. } Lumbar or thoracic scoliosis greater than 30 degrees. that agencies use to create their documents. services, For Small Register, and does not replace the official print version or the official Therefore, what is disqualifying in the Army is also disqualifying in the Navy. The same recommendation is plausible in any of the military branches as MEPS falls under the command of the DOD. font-size: 11.0pt; Its possible to try and enlist in another branch after another denied your military medical waiver. Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). Our state-specific browser-based samples and simple instructions eradicate human-prone faults. Only official editions of the 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. For OSA treated by other means, submit a polysomnogram demonstrating the effectiveness of the alternative therapy. Some new criteria, not previously considered by the Coast Guard, (such as stress test results) may now be submitted as evidence in favor of a waiver. 1 0 obj border-left-style: solid; Policy Pdf In The President of the United States manages the operations of the Executive branch of Government through Executive orders. 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. 1. and services, go to 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. ( a) The Coast Guard may grant a waiver if, after review of all relevant supporting medical documents and consultation with the examining physician, as needed, an applicant does not possess the vision, hearing, or general physical condition necessary; and extenuating circumstances warrant special consideration. documents in the last year, 940 Keep in mind that MEPS does not belong to any particular branch, but rather the Department of Defense. 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. All Rights Reserved. So all the once who are still waiting, do not give up your hopes. The Coast Guard is considering granting waivers to MMC applicants with seizure disorders under the conditions delineated below. border-color: #4F81BD; 2015-03109 Filed 2-17-15; 8:45 am], updated on 4:15 PM on Friday, March 3, 2023, updated on 8:45 AM on Friday, March 3, 2023, 105 documents pilot). The staff is still activily working on the reviews and all you can do is continue to pray and wait. } The new ICD standards, published as Enclosure (7) to NVIC, can be accessed at www.uscg.mil/nmc. A Proposed Rule by the Coast Guard on 02/18/2015. It may not display this or other websites correctly. Register documents. border-width: 1pt; The Coast Guard is seeking public comment on the policy clarification proposed in this document regarding the specific medical documentation the Coast Guard will consider in determining whether a medical waiver is warranted for merchant mariners with cardiomyopathy, diabetes mellitus, or obstructive sleep apnea. Some argue that the Army is less selective because it has the highest enrollment of the military branches. Related Article How To Lose Weight For The Military: Your 30-Day Plan. Now, working with a Coast Guard Medical Certificate Form Pdf requires not more than 5 minutes. Individuals with these conditions may be denied medical certification unless they meet the criteria for a medical waiver. A medical exam takes place at the Military Entrance Processing Station (MEPS). New Documents 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. headings within the legal text of Federal Register documents. % This repetition of headings to form internal navigation links In support of this new policy, Coast Guard health services personnel will withdraw all waiver and medical evaluation board requests for members that are covered by these updates. Current Coast Guard guidance in Enclosure (3) to Navigation and Vessel Inspection Circular 04-08, Medical and Physical Evaluation Guidelines for Merchant Mariner Credentials (NVIC 04-08), which is available at http://www.uscg.mil/hq/cg5/nvic/pdf/2008/NVIC%2004-08%20CH%201%20with%20Enclosures%2020130607.pdf. Notice of proposed policy clarification and request for comments. 4. { 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. 5. (a) The Coast Guard may grant a waiver if, after review of all relevant supporting medical documents and consultation with the examining physician, as needed, an applicant does not possess the vision, hearing, or general physical condition necessary; and extenuating circumstances warrant special consideration. 03/03/2023, 1465 Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. Before you reach MEPS youll complete the form Medical Prescreen of Medical History Report. However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. He currently resides in Meridian, Mississippi. border-width: 1pt; Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. In every case where a medical waiver is not approved, it generally is because the condition could serve as a safety or liability hazard for you or the fellow soldiers in your platoon. We have an agreement with the Department of Transportation to use the Docket Management Facility. This also may have already happened. The same guidance publishes the recommended evaluation data that should be submitted for each condition; however it does not specify the medical criteria that the Coast Guard will consider in evaluating whether the risks associated with these conditions are low enough to warrant a medical waiver. 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. documents in the last year, 822 Contact your local Health Safety & Work Life Regional Practiceor CG SUPRT 24/7/365. January 15 - Regular Admission online application deadline. documents in the last year, by the National Oceanic and Atmospheric Administration padding: 0in 5.4pt 0in 5.4pt; If COVID-19 Breaks Out Among The Crew, What Are A Masters Obligations? The Coast Guard Disability Evaluation Branch is mandated by Congress to maintain an effective and fit military organization with maximum use of available manpower, provide benefits to eligible Coast Guard members whose military service is terminated because of service-connected disability, and provide prompt disability processing while ensuring that the rights and interests of the government .