edition of the Federal Register. If you have any questions on forms, contact the Forms Management Officer at: uscg.forms@uscg.mil. This repetition of headings to form internal navigation links border-left-style: solid; border-color: #4F81BD; { QUESTION: What about Medical Waivers? Individuals with these conditions may be denied medical certification unless they meet the criteria for a medical waiver. 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. padding: 0in 5.4pt 0in 5.4pt; } Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. You may review a Privacy Act system of records notice regarding our public dockets in the January 17, 2008, issue of the Federal Register (73 FR 3316). He also noted that you cannot be on any medications like Adderall or Ritalin while serving. border-width: 1pt; This PDF is documents in the last year, 26 .telerik-reTable-4 td.telerik-reTableOddCol-4 Us, Delete Related Article Can You Join The Military With Scoliosis? 03/03/2023, 234 Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. documents in the last year, 36 } It is not an official legal edition of the Federal Ensure everything is filled out appropriately, with no typos or lacking blocks. My DS have been waiting 100+ days. 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 A military medical waiver is an opportunity to receive special permission to join the military for a disqualifying health condition. Medical Waivers For Coast Guard Judgment Each military branch has the right to approve or deny medical waivers, depending on the current needs of the service. The Marine Corps is a demanding and intense branch of the military to join. All Rights Reserved. % are not part of the published document itself. Can the recruit complete satisfactory training for military duty with the condition? If a medical waiver is granted, certain conditions may be placed on the mariner in order to maintain the waiver. Some of these conditions make it harder to receive a medical waiver. 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. 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. 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{? This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. Looking for help now? 3 0 obj 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. 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; Your medical provider can help you understand these exigent circumstances; all applicable policies are listed below. This table of contents is a navigational tool, processed from the informational resource until the Administrative Committee of the Federal (c) Medical waivers may be granted with specific conditions to which the applicant must adhere, such as more frequent monitoring of the medical conditions, submission of medical exams and/or tests at varying intervals to track the ongoing status of the medical condition, or operational limitations in the manner the mariner may serve under the MMC. Authority: on If the military deems you unfit for service, you may have a chance of receiving a military medical waiver. padding: 0in 5.4pt 0in 5.4pt; DD still waiting. It seemed to take forever. } The NMC will NOT accept applications directly from mariners, except for Medical Certificate ONLY Applications (719K or 719K/E) sent via email to MEDAIP@uscg.mil . However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. sNm{@e cSy*[OMzhe"Yf7&mi/"vpI1rCL+h]rk )'T&qM. documents in the last year, 853 The Coast Guard intends to consider public input as well as the recommendations of the Merchant Mariner Medical Advisory Committee, established under the authority of 46 U.S.C. Our guide examines exactly how the military medical waiver process goes, as well as how to use it to your advantage. { The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. border-width: 1pt; 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. Additionally, new recruits must pass a medical and dental exam, as well as an observation of your mental health. This site displays a prototype of a Web 2.0 version of the daily The U.S. Coast Guard follows the same guidelines as the other military branches. Before you reach MEPS youll complete the form Medical Prescreen of Medical History Report. Abnormalities which interfere with wearing military equipment or are disfiguring. HSWL will work with the Personnel Services Center in the coming weeks to determine which Coast Guard-specific standards are needed. 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. 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. Related Article How To Join The US Army. border-bottom-style: solid; and services, go to 7115, prior to establishing a final policy on whether waivers should be granted for anti-tachycardia devices or ICDs, and if so, under what circumstances. Then open the form from that location. Attention deficit, hyperactivity disorder or learning disability such as dyslexia, which interferes with perceptual or academic skills past the 14th birthday. on their medical certificate indicating the mariner may not serve under the authority of the endorsement unless corrective lenses are worn and spare lenses are carried onboard a vessel. } Waivers may be granted by the program to which you're applying, NOT DoDMERB. LLC, Internet 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. 1. If treated with CPAP/BiPAP, the evaluation should include a compliance information report from the positive airway pressure device that covers the preceding 12 months. [QUOTE="S_Austin, post: 643219, member: 41419". in Accounting and is a graduate student at the University of Louisiana at Lafayette, pursuing an M.B.A. in Finance. Copyright 2023 www.OperationMilitaryKids.org. The helicopter crew consisted of U.S. Coast Guard Air Stations Miami, Houston, and Mobile members. } Its possible to have a second opportunity at MEPS though it depends on the health condition. In this Issue, Documents Since the issuance of NVIC 04-08 on September 15, 2008, there have been several instances where mariners sought waivers for these conditions. width: 119.7pt; It helps answer some of the basics about medical waivers. Any deviation or curvature of the spine likely to impair normal function or wearing of proper military uniform or gear or causes physical symptoms. Information about this document as published in the Federal Register. documents in the last year, 11 } 552(a) and 46 U.S.C. Getting notified two days before reporting day had to have been a nailbiter! 46 CFR 10.302 contains the medical standards that merchant mariners must meet prior to being issued a merchant mariner credential (MMC). If You Have ADHD, What Can You Do To Enlist? If you submit them by mail and would like to know that they reached the Facility, please enclose a stamped, self-addressed postcard or envelope. 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. documents in the last year, by the Coast Guard The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard.. 3. 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 IV. Does the condition create an undue hazard to the recruit or other service members in combat situations. Regardless, its still very difficult to receive a waiver for more serious mental health problems. You may submit comments identified by docket number USCG-2015-0090 using any one of the following methods: (1) Federal eRulemaking Portal:http://www.regulations.gov. { Related Article: 41 Questions To Ask A Military Recruiter. Your email address will not be published. To submit your comment online, go to http://www.regulations.gov,, type the docket number (USCG-2015-0090) in the SEARCH box and click SEARCH. Click on Submit a Comment on the line associated with this document. Lumbar or thoracic scoliosis greater than 30 degrees. } A recruiting commander has the power to accept or deny a military medical waiver. Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic (*) episodes, and the absence of impairing diabetic complications, then mariners with a consistent pattern of HbA1c levels of less than 8% may be considered for a waiver with biennial (every two years) reporting requirements; and mariners with HbA1c levels between 8%-10% inclusive may be considered for a waiver, with annual reporting requirements. Captain, U.S. Coast Guard, Director of Inspections & Compliance. Use the PDF linked in the document sidebar for the official electronic format. Document Drafting Handbook New recruits spend their first few days of basic training at MEPS making sure they pass all the medical requirements. If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 8 1/2 by 11 inches, suitable for copying and electronic filing. Consequently, its difficult to get discharged from the military unless a Medical Evaluation Board believes differently. ), states that the conditions of cardiomyopathy, diabetes mellitus, narcolepsy and obstructive sleep apnea[1] The Service Academies automatically consider applicants for a medical waiver if they are competitive for admission. 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. { Contact your local Health Safety & Work Life Regional Practiceor CG SUPRT 24/7/365. This information is not part of the official Federal Register document. A doctor can make a recommendation for a suggested medical waiver to a recruiting commander in the Coast Guard. endobj We have an agreement with the Department of Transportation to use the Docket Management Facility. Notwithstanding its still possible to receive clearance: Medical problems like scoliosis dont always automatically disqualify you from service. 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. Color perception deficiency, either complete or partial. Any waivers being granted? Current or history of use of hearing aids. The list is comparable to the other branches of the military. He currently resides in Meridian, Mississippi. Graded exercise testing may be required. documents in the last year, by the Executive Office of the President You may submit comments and related material regarding whether the policy clarification proposed in this document should be incorporated into final policy on the medical evaluation guidelines for mariners with cardiomyopathy, diabetes mellitus, narcolepsy or obstructive sleep apnea. years depending on the medical condition, condition status and the need for periodic medical evaluations. Can You Join The Military With Scoliosis? establishing the XML-based Federal Register as an ACFR-sanctioned 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. .telerik-reTable-4 td.telerik-reTableHeaderFirstCol-4 border-color: #4F81BD; 3. Image: Navy.com The Department of Defense established the medical standards for every branch of the military. better and aid in comparing the online edition to the print edition. Applicants must comply with the accompanying waiver letter in order to renew their certificate. The Public Inspection page Retainer appliances are acceptable once all orthodontic care is complete. This also may have already happened. Our state-specific browser-based samples and simple instructions eradicate human-prone faults. The recent unhappy but prophetic experiences of two mariners with ICDs, one of whom had received previous waivers for over 20 years prior to issuance of the 2008 NVIC, have been the frequent topic of discussions at several recent MOPS annual luncheons, including in remarks made most recently by Randy ONeill at this years luncheon on May 3. As a result, you may face more obstacles to overcoming disqualifying health conditions yet a medical waiver is still possible. daily Federal Register on FederalRegister.gov will remain an unofficial The documents posted on this site are XML renditions of published Federal documents in the last year, 663 The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. to the courts under 44 U.S.C. Here is your guide to military medical waivers and what you need to know. Viewing comments and documents: To view comments, go to http://www.regulations.gov,, type the docket number (USCG-2015-0090) in the SEARCH box and click SEARCH. Click on Open Docket Folder on the line associated with this rulemaking. If the doctor recommends you for a waiver then you still have a shot at receiving approval. stream documents in the last year, 122 .telerik-reTable-4 td.telerik-reTableHeaderLastCol-4 Keep these important dates in mind as you complete your application: July 15 - Admission application opens. The intuitive drag&drop graphical user interface makes it simple to add or move fields. Violation of them with potential risks associated with uscga policy, or questioning does getting cleared me for coast guard medical waiver process for. border-bottom-style: solid; 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. 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. and the absence of impairing diabetic complications, then mariners with a consistent pattern of HbA1c levels of less than or equal to 10% may be considered for a waiver, with annual reporting requirements. The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. 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. In some cases, mariners with these conditions were granted waivers; in other cases, the conditions were deemed an unacceptable risk and medical certification was denied. documents in the last year, 83 .telerik-reTable-4 td.telerik-reTableHeaderEvenCol-4 03/03/2023, 43
coast guard medical waiver
