Navy medical waiver guide Navy Aeromedical Reference and Waiver Guide (ARWG) has been established and is overseen by the Naval Aeromedical Institute (NAMI). Cases also have been reported in prox. May 5, 2010 · 1. Mar 18, 2025 · The Naval Aerospace Medical Institute (NAMI) publishes the Aeromedical Reference and Waiver Guide to outline medical standards for aviation duty. The submitter should refer to the appropriate section of the Aeromedical Reference and Waiver Guide (ARWG) for specific submission requirements for each defect or disqualifying diagnosis. Navy surgeon general Vice Adm. There are different types of military waivers, which we will look at more closely now. Oct 6, 2024 · The Aerospace Medicine Waiver Guide provides guidance for waivers relating to flying class and special duty personnel medical standards. Additionally, if the injury/illness occurred: During the push-ups, and Sailor Mar 7, 2023 · Article & Podcast: Some medical conditions require a medical waiver to join the military. See full list on operationmilitarykids. Additionally, if the injury/illness occurred: During the push-ups, and Sailor It is also host to the largest aeromedical library in the world. Learn how the medical waiver process works, how to research which medical conditions are eligible for waivers and which are not, and how to apply for medical waivers to join the military. Guide 6 (PFA Medical Readiness) provides Command Fitness Leaders (CFLs) and AMDRs additional guidance on medical clearance/waiver procedures and management. Applicant § 66. We previously provided copies of the draft report and requested written comments on the Members with two consecutive medical waivers or three in a 4-year period shall be referred to the military treatment facility (MTF) for a medical evaluation board (MEB). The Aerospace Medicine Waiver Guide provides guidance for waivers relating to flying class and special duty personnel medical standards. 1. All Navy pilots and flight officers start their training here, and the Blue Angels call Pensacola May 5, 2010 · 1. 6 Waiver Submission Requirements The Aerospace Medicine Waiver Guide provides guidance for waivers relating to flying class and special duty personnel medical standards. Coast Guard Aviation Medicine Manual, COMDTINST M6410. 03 Medical Standards for Appointment, Enlistment or Induction in the Military Services US Air Force AF The Operational Medicine Clinical Community (OpMed CC) mission is to foster collaboration and knowledge sharing across Naval Medicine to implement leading practices that improve medical readiness, while also supporting operational clinicians and staff in delivering the highest quality care to all Active Duty Sailors and Marines. The Military Entrance Processing Station (MEPS) may have already permanently disqualified the individual, or is concerned they may have a condition which force them to endure the process and anxiety of the medical waiver. Coast Guard Medical Manual, COMDTINST M6000. B. Coast Guard Aeromedical Electronic Resource If an injury/illness prevents a Sailor from finishing a PRT, the CFL/ACFL must refer the Sailor to medical for an evaluation. The changes were officially signed Feb. Any applicant who does not meet the physical and medical accession, enlistment, and reenlistment standards for the conditions or diagnoses in paragraphs 3a or 3b may be considered for a waiver. ) causing both subtle and sudden incapacitation. 2. Standards differ between applicants and designated personnel, and among different flying classes based on risk assessment. The MMD is the proper document to reference for disqualifying The Department of Defense Instruction DODI 6130. Obtain BUMED Pre-commissioning physical qualification letter and place in medical record. Patients who have recovered fully from idiopathic SAH with conservative measures may be considered for waiver after 2 years. Forrest Faison, on behalf of the Department of the Navy (DoN), instituted a new policy regarding the medical waiver process. 7 Enlistment waivers. The Aeromedical Reference and Waiver Guide (ARWG) is NOT an inclusive document but only highlights and gives guidance for the most common diagnoses and standards. May 17, 2023 · Review of the Military Services’ Policies and Procedures on the Medical Waiver Process for Recruiting (DODIG-2023-072) DIEM Publicly Released: May 19, 2023 This final report provides the results of the DoD Office of Inspector General’s review. Navy Aeromedical Reference and Waiver Guide Orthopedics - 1 be waived up to 45 degrees in designated personnel. At no time, will a pregnancy status be considered terms for a medical evaluation board when counting medical waivers. Waivers are considered for those who do not meet physical standards for special duty per the Manual of the Medical Department (MMD) Chapter 15, Section IV. Once CO signature is obtained, the CFL should input the medical waiver in PRIMS-2. The MMD is the proper document to reference for disqualifying Jul 22, 2025 · Sailors without organic medical capabilities adequate to meet this requirement will take the forms to the Navy Medicine Readiness and Training Commands (NMRTC) with medical cognizance (MEDCOG) over their command for evaluation and clearance or waiver as applicable. Long-term complications of diabetes mellitus (DM) also include renal and cardiovascular disease, with older diabetics having similar risks of cardiovascular events as non Jan 14, 2025 · Thoracic kyphosis over 40 degrees is CD, but can U. (a) Requests for a waiver of physical stand-ards for SO personnel and candidates must be sent from the member’s commander, commanding officer, or officer in charge, via any applicable immediate superior in command (ISIC) or type commander (TY-COM) and BUMED-M95, to the appropriate Bureau of Naval Personnel code (enlisted – BUPERS-3; offi-cers – PERS-416); or Headquarters, USMC (POG-40). WAIVER: Waivers are not considered for patients who have undergone surgical repair of leaking intracerebral aneurysms or removal of AVM's. By joining forces with the Air Force and Navy Research Laboratories, USAFSAM fully leverages aeromedical, science, and technology to optimize performance, health, and survival of healthy humans in abnormal or extreme environments, including combat, air, space, and cyberspace. Obtaining medical clearance and documenting the medical waiver prior to documenting the PFA is preferred to limit any needed edits. 4 Requesting Authority 2. PFA medical waivers are authorized for members with an injury, illness or for members recovering from a surgical or medical procedure, which will prevent them from participating in an official PFA with the command or prior to the end of the Navy PFA cycle. As with previous editions, this reference is published as an supplement to the Manual of the Medical Department (MANMED) and as a service to the Aeromedical community. This volume establishes physical and medical standards for appointment, enlistment, or induction into the Military Services. A waiver will “clear” your criminal profile or medical history, and thus, allow you to qualify for the military. Navy Aeromedical Reference and Waiver Guide. Waivers for special duty may be granted on the need of the service, consistent with training, experience, performance, and proven safety of the aircrew personnel. Antecedent illness within four weeks prior to the onset of neurological symptoms occurs in approximately two thirds of cases. Any history of rhabdomyolysis is CD. It applies to the performance of all initial flight physicals and directs the Naval Aerospace Medical Institute (NAMI) to maintain a list in the Aeromedical Reference and Waiver Guide (ARWG) of disqualifying conditions for which no waiver will be recommended (WNR). Collocated with the Naval Aerospace Medical Institute and the Naval Hospital, our program has unique access to experts in aerospace medicine and the flight community. Sailors already in a “pregnancy” status in PRIMS are not required to complete the PARFQ. Unless otherwise stated in this document, the medical waiver authority for the conditions identified is the Deputy Chief of Staff, G-1 Director of Military Personnel Management (DMPM WAIVER COMMENTS: The history of a single episode of uncomplicated rhabdomyolysis is CD for all aviation classes, including applicants; if the condition fully resolves within three months without sequelae, waivers are recommended on a case-by-case basis. Medical attrites adversely affect manning requirements, fiscal resources, and the members personal and career development. The intent is to prevent medical, physical, or psychological conditions from adversely affecting flight performance, safety, or mission. Other variants might present with cranial nerve involvement causing facial, oculomoto or bulbar weakness. Aug 28, 2025 · U. The Aerospace Medicine Waiver Guide does not cover issues relating to general military accession or retention standards. Standards differ between applicants and designated personnel, and Feb 19, 2019 · U. 5 Routing of Waiver Request 2. S. 1F C. In accomplishing whole person reviews of enlistment eligibility, the following categories and combinations of categories would require a favorable waiver determination by the Secretary of the Military Department concerned for the applicant to be considered qualified. Guide 4 (Body Composition Assessment (BCA)) describes the BCA standards and measurement procedures. The focus of the Aeromedical Reference and Waiver Guide is to explain the medical and physical standards required for aviation duty. A pregnancy is not considered a medical waiver. Mar 26, 2025 · All Activity Home Medical, Benefits, Tricare, Mental Health & DEI Medical, Benefits and Tricare Navy Forum CHANGES TO AVIATION SPECIAL DUTY WAIVER PROCESSING Oct 9, 2024 · The U. Navy Aeromedical Reference and Waiver Guide ascending weakness. (a) Waiver requirements. Aeromedical Standards and Regulations FAA FAR Part 67 – Airman Medical Standards FAA Drug Testing Programs Page 7210. If MIDN is not physically qualified but BUMED recommends a waiver, forward to N92A for endorsement. In Naval Aviation, it is the job of Flight Surgeons (FS), Aviation Medical Examiners (AME), Aeromedical Physician Assistants (APA), Aerospace and Operational Physiologists (AOP) and other Aviation Medical Officers (AMO) to inform, educate and regulate the use of nutritional supplements as a method of exercising Operational Risk Management. U. 7 – Hodgkin’s disease for further waiver requirements). Accutane use requires monthly follow up by prescribing physician and notification to Flight Surgeon of any side effects related to the medication. org 1. Medical Waivers. This includes splenectomy following traumatic splenic rupture and diagnostic splenectomy for Hodgkin's disease (see section 9. Jul 10, 2018 · USARCENT MEDICAL WAIVER GUIDANCE Purpose: To provide guidance to Army Leaders and Medical Personnel when requesting a deployment waiver for Soldiers, Department of the Army civilians and Contractors supporting the Army (herein collectively referred to as Army Personnel) who do not meet deployment medical standards. Sailors without organic medical capabilities adequate to meet this requirement will take the forms to the Navy Medicine Readiness and Training Commands (NMRTC) with medical cognizance (MEDCOG) over their command for evaluation and clearance or waiver as applicable. PRP Guide 6 (PFA Medical Readiness) provides CFLs and AMDRs additional guidance on medical clearance/waiver procedures and management PRP guides are available for download on the MyNavy HR Physical Readiness Program website and the Official Navy PFA app within your smartphone app store: Department Functions Develops medical standards for aviation specialty programs of the Navy and Marine Corps Review applicant and waiver physicals for compliance with aviation standards Recommends waivers of standards to Bureau of Personnel and the Commandment of the Marine Corps and other headquarters agencies Accutane is CD, but waivers will be considered on a case-by-case basis after a 14 day period of observation. Once physically qualified or waiver granted, update OPMIS. This is a guide that details all conditions that could be disqualifying for flight duties and outlines the medical waiver process for each condition. Guide 8 (Managing PFA Records of Pregnant Sailors) defines the term and policy for If an injury/illness prevents a Sailor from finishing a PRT, the CFL/ACFL must refer the Sailor to medical for an evaluation. 1 INTRODUCTION Aviation physical standards ensure the most qualified personnel are accepted and retained by Naval Aviation. Navy Aeromedical Reference and Waiver Guide Aviation Physical Standards - 1 Aviation physical standards ensure the most qualified personnel are accepted and retained by Naval Aviation. 03, Volume 1: “Military Medical Standards: Appointment, Enlistment, or Induction,” establishes disqualifying medical standards for entry into military service. AEROMEDICAL CONCERNS: Alterations in blood glucose levels may result in neurologic and ophthalmologic conditions (neuropathy, headache, confusion, syncope, vision changes, etc. 3 PURPOSE OF THIS GUIDE The purpose of this guide is to offer the flight surgeon, AVT, and aviator an additional resource to quickly and efficiently look up standards. If medical determines that the Sailor’s injury/illness was due to the Sailor’s failure to actively participate in a physical conditioning program, a medical waiver will not be approved. Mar 26, 2025 · 1. Medical Screening and Waivers for the Physical Readiness Program S-562-0612A Change 6 WAIVER: Waivers are considered on a case-by-case basis after splenectomy, provided there is full recovery from the condition necessitating the operation. 15, and impacts all applicants, with greater emphasis on enlisted to officer commissioning programs b. The focus of the Aeromedical Reference and Waiver Guide is to explain the medical and physical standards required for aviation duty. Applicant FormsCFL PRIMS Access Letter Read Only - PRIMS Access Letter Letter of Correction (LOC-Sample) Letter of Correction (Sample) - Servicemembers with Gender Dysphoria Letter of Notification (FEP-Sample) Officers Only Letter of Notification (Failure-Sample) Officers Only CFL Memorandum of Agreement (MOA) NAVMED 6110/4 - Physical Fitness Assessment Clearance/Medical Waiver NAVPERS 6110/3 - PARFQ May 28, 2024 · This instruction establishes policy, assigns responsibilities, and prescribes procedures for medical standards for the Military Services. The medical waiver entry will create the blank BCA and blank PRT records for the CFL to Feb 3, 2025 · If indicated by the PARFQ, Sailors must make a medical appointment for PFA clearance and present the PARFQ form or NAVMED 6110/4 (Physical Fitness Assessment Medical Clearance/Waiver), if required, to their authorized medical department representative or health careprovider prior to participation in the PRT. 6 WAIVER SUBMISSION REQUIREMENTS The submitter should refer to the appropriate section of the Aeromedical Reference and Waiver Guide (ARWG) for specific submission requirements for each defect or disqualifying diagnosis. Consideration shall be given to the removal Applicant standards are the most rigorous to ensure that the Navy is investing in a candidate that is capable of completing training and remaining a designated Naval aviator in a physically demanding environment. Applicant Oct 19, 2023 · R 191408Z OCT 23 MID120000553182U FM COMDT COGARD WASHINGTON DC TO ALCOAST BT UNCLAS ALCOAST 401/23 SSIC 6410 SUBJ: AVIATION PHYSICAL EXAM STANDARDS, WAIVER GUIDELINES, AND REFERENCE UPDATES A. These standards support readiness to bring qualified, effective, and able-bodied persons into military service. The medical waiver is not considered approved until the CO endorses the medical waiver. Physical Readiness Information Management System TWO (PRIMS-2) Documentation. Lumbar lordosis greater than 50 degrees is disqualifying with no waiver for applicants, but may be waived up to 55 degrees in designated personnel [2 and 3]. First of all, the approval of a medical waiver is the responsibility of the Commander, Navy Recruiting Command (CNRC). This document is guidance to be used by flight surgeons for aeromedical decision-making. 3A D. 3 Facility Ops & Admin Chapt 2 Section 8 “Medical” FAA Medxpress – Online Medical History Completion Prior to Physical DOD DoDI 6130. Taking drugs prescribed by competent medical authority shall be considered sufficient cause for recommendation of grounding unless their use is specifically approved by a Flight Surgeon (or Aeromedical Examiner or Aeromedical Physician Assistant), or a waiver for specific drug use has been granted by CHNAVPERS or the Commandant of the Marine Corps. Waiver is not normally recommended when there is: 1) recurrent uncontrollable pain; 2) interference with function; 3) a neurologic abnormality; or 4) when the condition is progressive. The Navy's Residency in Aerospace Medicine (RAM) is an operationally focused Navy residency located in sunny Pensacola, Florida. Sep 9, 2025 · It applies to the performance of all initial flight physicals and directs the Naval Aerospace Medical Institute (NAMI) to maintain a list in the Aeromedical Reference and Waiver Guide (ARWG) of disqualifying conditions for which no waiver will be recommended (WNR). Place endorsed letter in medical record. Navy Aeromedical Reference and Waiver Guide Table of Contents - 1 2. The CFL must choose the “pregnant” status when May 15, 2024 · a. . This guide serves as a critical resource for applicants and medical professionals‚ detailing requirements and waiver processes for naval aviation personnel. All waiver submissions require ALL OP REPORTS pertaining to the waiver (as indicated), an Aeromedical Summary (AMS), to include applicants, and the following items: Mar 31, 2022 · HOW TO EDIT A MEDICAL WAIVER From the Medical Waiver Details page, click “Edit”: Update as appropriate and click “Save”: Edits saved. spkrm hbh mkkbdu zbfdaz cyuls sic vqmbho iky vfsxbk qfknkp njj dedvwr vjmjlj citbytr eaihujl