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. documents in the last year, 122 (d) The Coast Guard may place an operational limitation on medical and physical conditions. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators (ICDs) 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. You may submit your comments and material online or by fax, mail or hand delivery, but please use only one of these means. require further Start Printed Page 8587review. Document Drafting Handbook vertical-align: top; How do I renew my Coast Guard medical certificate? The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. vertical-align: top; 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. { All forms can be found on the CG-612 web site. 1. } } Medical waivers for OSA require submission of an annual sleep specialist evaluation that documents treatment efficacy, the patient's treatment compliance and an assessment for symptoms of daytime sleepiness. Business. 3. documents in the last year, 822 include documents scheduled for later issues, at the request I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. Consequently, its difficult to get discharged from the military unless a Medical Evaluation Board believes differently. [2] border-width: 1pt; xY[o7~7Q1&rR}HAf~H3F&!N=;{/_W3B,20_*bR[dH^Zjqy\pi|BM% J. xCke_w'9 T5_~`F)|8ub SvDdrodpa4LZ zqC/7+Z!0hc~bLuK1'SL'e!H Hb[ 0VOo 7RvvgP)jH!%>$ b4,wH~Q_1W{AeY)}2"! Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). Its important to remember that many medical conditions listed under the Department of Defense guidelines are not permanently disqualifying. (j)AVL%K"h2mlF3>C^effmj:i Hello Objee . HSWL will work with the Personnel Services Center in the coming weeks to determine which Coast Guard-specific standards are needed. The prescreen application is provided by a Navy recruiter to check for any conditions that might not make you fit for service. For example, breaking a foot inhibits you from carrying out the functions for duty. Under the proposed policy, a medical waiver will be required for the conditions of cardiomyopathy, sleep apnea, and diabetes mellitus. This PDF is Every waiver requires varying levels of review for approval so its hard to give an estimate in terms of time. U.S. Coast Guard Date: December 22, 2020 Commercial Regulations & Standards Directorate 2703 Martin Luther King Jr Ave SE, STOP 7501 Washington, DC 20593-7501 E-Mail:OutbreakQuestions@uscg.mil COVID-19 - Mariner Credentials Extension of Merchant Mariner Credential Endorsements, Medical Certificates and Course Approvals (e) The Coast Guard may place a restriction on a medical certificate based upon medical and physical conditions of an applicant. Any waivers being granted? are not part of the published document itself. For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. Abnormalities of the external ear requiring recurrent evaluation or treatment or that would interfere with proper wearing/use of military equipment, Perforated eardrum or surgery to correct perforation in the preceding 180 days before physical exam, History of thyroid disorders including, but not limited to hyper/hypothyroidism, thyroiditis, 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, Pes planus (flat-footed) when accompanied by symptoms, Knee ligament repair (ACL/PCL) within 12 months or recurrent repair of ligaments of the knee, Repair of the meniscus in the last 6 months, History of dislocation, subluxation or instability of one or more joints, Recurring stress fractures or single episode of stress fractures in the last 12 months, Uncorrected visual acuity worse than 20/400 in either eye, Distant visual acuity of any degree that does not correct to 20/40 in both eyes with corrective lenses, Refractive error exceeding plus or minus 8.00 diopters (spherical equivalent), Astigmatism exceeding 3.00 diopters and anisometropia exceeding 3.5 diopters. border-color: #4F81BD; Theft, Personal 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. has no substantive legal effect. New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. So all the once who are still waiting, do not give up your hopes. 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. Service, Contact These markup elements allow the user to see how the document follows the Guide, Incorporation Additionally, the proposed policy clarification specifies that narcolepsy, idiopathic hypersomnia, and other hypersomnias of central origin, are medically disqualifying and generally not waiverable due to significant risk of sudden and unpredictable incapacitation of individuals who have these conditions. .telerik-reTable-4 td.telerik-reTableEvenCol-4 Click on tabs below for more information. documents in the last year. Relevant information about this document from Regulations.gov provides additional context. For a better experience, please enable JavaScript in your browser before proceeding. Medical conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. If surgically treated, please submit a post-operative polysomnogram to document cure. Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. Medical Waivers For Coast Guard Judgment 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. Then open the form from that location. LLC, Internet MEPS is managed by the Department of Defense with the same temporary and permanent disqualifications. 7101 et seq. Its difficult to set an accurate timeframe for military medical waivers. 2. Image: Navy.com The Department of Defense established the medical standards for every branch of the military. border-color: #4F81BD; Reliable diagnostic criteria may include any of the following elements: Substantiated history of cough, wheeze, chest tightness and/or shortness of breath, which persists or recurs over a prolonged period of time, generally more than 12 months. A. .telerik-reTable-4 td.telerik-reTableFooterLastCol-4 If a medical waiver is granted, certain conditions may be placed on the mariner in order to maintain the waiver. { The criteria are summarized as follows: (1) The applicant does not have a diagnosis of a cardiac channelopathy affecting the electrical conduction of the heart (to include Brugada syndrome, Long QT syndrome, etc. Mental and behavioral health conditions are no different. This site displays a prototype of a Web 2.0 version of the daily Each military branch handles medical waiver reviews differently but usually goes through several layers of approval. TJURJ'8nt5ZK@9u%u +{(sTL~:QPe8J{&oFK,=o!A9pbKkKdT gtn;k=k k(_[sw",9q+4;Bl!t>M'(ex{{Ub>Tv>&D TC[>yPJT$R7}1BC9-IZ]ecE?A!$u'dxP[9kc%73yD9+SNg{? .telerik-reTable-4 td.telerik-reTableHeaderEvenCol-4 The following disorders are generally automatic disqualifiers in the Coast Guard: However, the Coast Guard (like other branches) is starting to apply more waivers to anxiety and depression than in the past. { Attention deficit, hyperactivity disorder or learning disability such as dyslexia, which interferes with perceptual or academic skills past the 14th birthday. 5. pilot). 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 Doctors that are employed by the DOD will contact new recruits if anything comes up on the prescreening that requires a closer examination. Here is your guide to military medical waivers and what you need to know. .telerik-reTable-4 tr.telerik-reTableHeaderRow-4 USLegal received the following as compared to 9 other form sites. All the military branches follow the same guidelines set forth by the Department of Defense for disqualifying health conditions. width: 119.7pt; Policy Pdf In <> If you have questions on viewing material in the docket, call Docket Operations at 202-366-9826. 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. The office of the Coast Guard Commandant recently overturned the denial by the National Maritime Center ("NMC") of a waiver request from a mariner with a condition of seizure disorder. developer tools pages. 10.303 Medical waivers, limitations, and restrictions. The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard.. <>>> border-width: 1pt; The waiver is an acknowledgement by the Coast Guard that the condition was identified and places a 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. 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. Unfortunately, the Commandant has held that regulation changes are not to be applied retroactively unless expressly so stated in the regulation itself, APP. Enclosure (3) of that NVIC, titled "Medical Conditions Subject to . 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. padding: 0in 5.4pt 0in 5.4pt; { 03/03/2023, 207 } II. New recruits spend their first few days of basic training at MEPS making sure they pass all the medical requirements. Spanish, Localized that agencies use to create their documents. Pediatric New Patient Form - Tampa Family Health Centers, MEDICATIONTREATMENT CONSENT FORM FOR SELF-ADMINISTRATION - Grps, Identity padding: 0in 5.4pt 0in 5.4pt; 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: solid 0px; Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). This document has been published in the Federal Register. While every effort has been made to ensure that Some argue that the Army is less selective because it has the highest enrollment of the military branches. He currently resides in Meridian, Mississippi. An ophthalmology consultation may be required. 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. Now, working with a Coast Guard Medical Certificate Form Pdf requires not more than 5 minutes. border-bottom-style: solid; However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. border-color: #4F81BD; documents in the last year, 83 Related Article Army Height and Weight Standards. In cases where the mariner does not meet the medical standards in 46 CFR 10.302, waivers may be granted when the Coast Guard determines that extenuating circumstances warrant special consideration. Required fields are marked *. Notice of proposed policy clarification and request for comments. To initiate treatment, talk with your primary care provider. { Submit a cardiology consultation, nuclear exercise stress test, echocardiogram and 24-hour Holter monitor. The MMC application package must be submitted to your local REC. The Marine Corps is a demanding and intense branch of the military to join. Speak to a local military recruiter for more questions about disqualifying health conditions. Learn more here. documents in the last year, 467 Individuals with this condition may be denied medical certification unless they meet the criteria for a medical waiver: 1. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. Therefore, the disqualifying medical conditions for one branch is the same for another branch, yet the rate of approving medical waivers is different. Medical waivers are granted for conditions documented on the physical examination form or supporting documentation submitted by the applicant when the condition has been identified as not posing a significant risk to maritime safety. (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. documents in the last year, 853 endobj 2. 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. 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. Publication Number. border-bottom-style: solid; The same recommendation is plausible in any of the military branches as MEPS falls under the command of the DOD. USLegal fulfills industry-leading security and compliance standards. Recent, severe hypoglycemic episode is an episode of hypoglycemia within the prior 12 months resulting in seizure, loss of consciousness or altered consciousness, or requiring assistance from another person for treatment. In 2004-5, the Mariner, a licensed Chief Engineer, began to experience "auras" - usually described as a brief condition of ongoing consciousness, but . Operation Military Kids was founded to be a resource for teens and young adults who are interested in joining the military, but don't know where to begin. For example, temporary disqualifications do not require a medical waiver. 03/03/2023, 1465 It is not an official legal edition of the Federal Regardless, its still very difficult to receive a waiver for more serious mental health problems. padding: 0in 5.4pt 0in 5.4pt; As a result, contacting a congressperson will not change anything about the matter. If you are struggling with depression or anxiety, please seek help and speak with your primary care provider. by the Foreign Assets Control Office All Rights Reserved. Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. 1099R Form. Tags. The President of the United States manages the operations of the Executive branch of Government through Executive orders. It helps answer some of the basics about medical waivers. border-bottom-style: solid; Feeling Very Strongly About It Both Ways: Just What Makes A Dangerous Drug Dangerous, Anyway? Federal Register issue. The Public Inspection page { This new approach, which mirrors the Department of Defense, ensures that members being treated for mental or behavioral health conditions are treated the same way as members being treated for below the neck conditions. However, the final determination on a military medical waiver depends on the specific branch with some being more selective than others. Here is a handful of the medical conditions that require an Army medical waiver. These can be useful Medical Waivers . pjI >vBS5GBD)CkoO_4ciA\>w"!,3K[Db[fH}2LbIIMC\^D)1Y|,BC>p`B7zrHcafn~ [{Bj The United States Army carries forward many of the same procedures at MEPS as the other military branches. .telerik-reTable-4 tr.telerik-reTableEvenRow-4 { documents in the last year, by the Coast Guard on If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic episodes,[3] For example, someone with Schizophrenia is likely to get denied by every military branch, while another recruit with a small curvature of scoliosis might have better luck the second time around. } 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. { Please contact our office for specific information. We will also be entering the waiver process. The Coast Guard has been using an interim policy of an eight-year seizure-free period for determining whether or not a waiver is warranted. 3 0 obj ); (2) The applicant does not have a prior history of ventricular fibrillation or episodes of sustained ventricular tachycardia within the last three years; (3) The ICD or anti-tachycardia device was implanted more than three years ago; (4) The ICD has not fired nor has the applicant required anti-tachycardia pacing therapy within the last three years; (5) There are no additional risk factors for inappropriate shock such as uncontrolled atrial fibrillation; (6) The applicant's left ventricular ejection fraction is greater than 35% with a steady or improving trend; (7) There is no history of any symptomatic or clinically significant heart failure in the past two years; (8) There is no evidence of significant reversible ischemia on myocardial perfusionimaging exercise stress testing; (9) The applicant's exercise capacity on formal stress testing (using standard Bruce Protocol) is greater than or equal to the 8 METs (metabolic equivalents); (10) The applicant's treating cardiologist or electrophysiologist provides a written assessment of the individual that supports a determination that the mariner is at low risk for future arrhythmia, adverse cardiac event or sudden incapacitation based upon objective testing and standard evaluation tools; (11) The applicant does not have any other medical conditions which may alone, or incombination with an ICD or anti-tachycardia device, affect the mariner's fitness.