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border-color: #4F81BD; If you are using public inspection listings for legal research, you 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. We recommend that you include your name and a mailing address, an email address, or a telephone number in the body of your document so that we can contact you if we have questions regarding your submission. The recruiter is responsible for prescreening health concerns so he or she can inform you of the likelihood of receiving a medical waiver for the problem. } Recruits will also receive thorough examinations of the heart, spine, and urinary systems. "The Coast Guard always encourages members to seek care for any health concern that impacts their readiness," said Steiner. 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. documents in the last year, by the Energy Department Handbook, DUI 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. Narcolepsy,idiopathic hypersomnia and other hypersomnias of central origin: Due to the significant risk of sudden and unpredictable incapacitation of individuals who have these conditions, narcolepsy, idiopathic hypersomnia and other hypersomnias of central origin are considered disqualifying. Any waivers being granted? padding: 0in 5.4pt 0in 5.4pt; An official website of the United States government, A U.S. Coast Guard MH-65 Dolphin helicopter flies over the sunset off the northern coast of Haiti on Nov. 23, 2021. 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. Its possible to try and enlist in another branch after another denied your military medical waiver. What Constitutes Timely Reporting To The Coast Guard? 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. Any medical condition that gets diagnosed after you become active-duty is treated differently compared to new recruits. .[/QUOTE]. Any waivers being granted? Its important to remember that many medical conditions listed under the Department of Defense guidelines are not permanently disqualifying. Tags. { Hopefully, you will hear soon! 03/03/2023, 1465 You cannot enlist with a permanent medical disqualification without an approved waiver. border-bottom-style: solid; Waivers may be granted by the program to which you're applying, NOT DoDMERB. { The steps for potentially obtaining a medical waiver include: Submit a complete medical prescreen form to the recruiter, who forwards it to the Military Entrance Processing Station (MEPS). Submit a cardiology consultation, nuclear exercise stress test, echocardiogram and 24-hour Holter monitor. .telerik-reTable-4 tr.telerik-reTableEvenRow-4 Policy Pdf In Mental and behavioral health conditions are no different. 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. } There are some conditions the Army is willing to accommodate and support because of others. It seemed to take forever. Some of these conditions make it harder to receive a medical waiver. on Register documents. As a result, you may face more obstacles to overcoming disqualifying health conditions yet a medical waiver is still possible. Often, a military medical waiver needs to pass varying levels of approval before you are granted permission to enlist. has no substantive legal effect. (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. For purposes of receiving or maintaining a medical waiver, minimum compliance with positive airway pressure therapy is defined as: (i) Proper use of the CPAP/BiPAP device for at least four hours per night (or per major sleep period) during all major sleep periods while acting under the authority of the mariner credential, and. 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. 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. A temporary disqualification is something that temporarily prevents you from serving. 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. Learn more about the medical waiver process for the Army, Navy, Air Force, Marines, and Coast Guard. Get access to thousands of forms. 8. Therefore, the disqualifying medical conditions for one branch is the same for another branch, yet the rate of approving medical waivers is different. ( 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. Getting notified two days before reporting day had to have been a nailbiter! Good luck for everyone still waiting. Additionally, the Coast Guard does not consider the conditions Start Printed Page 8588of narcolepsy,idiopathic hypersomnia, or other hypersomnias of central origin, as low enough risk to warrant consideration for a medical waiver. Every waiver requires varying levels of review for approval so its hard to give an estimate in terms of time. Captain, U.S. Coast Guard, Director of Inspections & Compliance. The answer is no based on the current Department of Defense regulations. The OFR/GPO partnership is committed to presenting accurate and reliable USLegal received the following as compared to 9 other form sites. padding: 0in 5.4pt 0in 5.4pt; Complete all required information in the necessary fillable areas. Regardless, it does not mean that a medical condition will disqualify you from the Marine Corps easier, but it does depend on the health problem. 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 . "Mental and behavioral health conditions are no different. 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. Here is a handful of the medical conditions that require an Army medical waiver. <>/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>> 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. Arborry Hill Road Company, LLC Copyright 2006-2023, Service Academy Forums is a registered trademark of Arborry Hill Road Company, LLC. }. 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. 46 CFR 10.302 contains the medical standards that merchant mariners must meet prior to being issued a merchant mariner credential (MMC). A. Following a thorough review of your Department of Defense Medical Examination Review Board (DoDMERB) exam results and medical history, our medical waiver panel (consisting of our Chief Medical Officer (CMO) and at least one other medical officer) has recommended that you NOT be recommended for a medical waiver to attend the Coast Guard Academy. The standards still appear to be stringent, but many of the factors which were argued by the two mariners discussed on May 3 as mitigating factors, and which were at the times of their hearings not accepted as such by the Coast Guard, now appear to be recognized. 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. Complete applications are accepted at Regional Examination Centers (RECs) via mail, e-mail, fax, or in person. documents in the last year, 1411 border-width: 1.0pt 1.0pt 3.0pt 1.0pt; Here are some frequently asked questions about military medical waivers. [QUOTE="S_Austin, post: 643219, member: 41419". sNm{@e cSy*[OMzhe"Yf7&mi/"vpI1rCL+h]rk )'T&qM. Until the ACFR grants it official status, the XML 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. Notice of proposed policy clarification and request for comments. 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. documents in the last year, 822 .telerik-reTable-4 tr.telerik-reTableOddRow-4 documents in the last year, 282 Active orthodontic care must be completed (applicant must be de-bracketed) prior to reporting day. years depending on the medical condition, condition status and the need for periodic medical evaluations. Documenting Sea Service TOARs Course Certificates It made his day doubly special. Publication Number. 5. .telerik-reTable-4 It may not display this or other websites correctly. Ensures that a website is free of malware attacks. 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. font-family: "Calibri" , "sans-serif"; Spanish, Localized rendition of the daily Federal Register on FederalRegister.gov does not Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. border-width: 1pt; If you would like a form added to the list below contact the appropriate program manager. 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. I know of one that came through this past Wednesday. 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. .telerik-reTable-4 tr.telerik-reTableHeaderRow-4 The Public Inspection page New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. A recruiting commander has the power to accept or deny a military medical waiver. (4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. 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. are not part of the published document itself. padding: 0in 5.4pt 0in 5.4pt; Information about this document as published in the Federal Register. (j)AVL%K"h2mlF3>C^effmj:i } An ophthalmology consultation may be required. 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. At this time, the Coast Guard does not offer any waivers for ADHD as a condition. Any operational limitations will be reflected in the medical certificate. 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. January 29 - Deadline for Regular Admissions forms and scores.