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. documents in the last year, 467 corresponding official PDF file on govinfo.gov. { 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. documents in the last year, by the Nuclear Regulatory Commission Its possible to have a second opportunity at MEPS though it depends on the health condition. documents in the last year. 5. on vertical-align: top; Every waiver requires varying levels of review for approval so its hard to give an estimate in terms of time. Guarantees that a business meets BBB accreditation standards in the US and Canada. 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. The Department of Defense established the medical standards for every branch of the military. Can You Join The Military With Scoliosis? The United States Air Force is considered slightly more selective than some of the other military branches. However, a broken foot will heal and with time the problem is no longer existent. Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. All comments received will be posted, without change, to http://www.regulations.gov and will include any personal information you have provided. Complete applications are accepted at Regional Examination Centers (RECs) via mail, e-mail, fax, or in person. Title. margin-left: 0in; Medical Waivers . Our state-specific browser-based samples and simple instructions eradicate human-prone faults. 2. There is a difference between temporary and permanent disqualifications: If you have a medical complication you should bring up the matter with an Army recruiter. By Bill Hewig. The recruiting commander will factor the recommendation of the doctor assigned to you at MEPS as well as the objectives of the specific branch. The Aeromedical Electronic Resource Office (AERO) is a web-based DOD system used jointly by the U.S. Army, Coast Guard, and Navy. The Public Inspection page may also } Federal Register. USLegal fulfills industry-leading security and compliance standards. Required fields are marked *. Coast Guard Clarifies Reporting Requirements in NVIC 01-15, Further Thoughts on Defense of Drug Cases, Coast Guards Pro Bono Program Leaves Serious Questions Unanswered, Commandant Affirms Another Drug-Related Dismissal On Procedural Grounds, Coast Guard Modifies Medical Waivers For Mariners With ICDs, Pilot John Cota Sues Coast Guard Over Refusal To Return License, NTSB Overturns Commandant On Imposition Of Excessive Sanctions, Two Recent Developments In Medical Waiver Application Proceedings, Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers Requests, Just How Random Do You Have To Be, Anyway ? (U.S. Coast Guard photo by Petty Officer 3rd Class John Hightower), ACN 018/22Medical standards for mental and behavioral health conditions, Medical Standards for Military Service: Retention, Hosted by Defense Media Activity - WEB.mil. The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard." Consequently, its difficult to get discharged from the military unless a Medical Evaluation Board believes differently. This document has been published in the Federal Register. documents in the last year, 940 the material on FederalRegister.gov is accurately displayed, consistent with 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. Federal Register provide legal notice to the public and judicial notice for better understanding how a document is structured but More information and documentation can be found in our These markup elements allow the user to see how the document follows the } We got a confirmation that it was requested because he received an LOA but no other news since late Sep'18. You may submit your comments and material online or by fax, mail or hand delivery, but please use only one of these means. 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. Register documents. The Coast Guard always encourages members to seek care for any health concern that impacts their readiness, said Steiner. 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. Captain, U.S. Coast Guard, Director of Inspections & Compliance. 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. Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. (e) The Coast Guard may place a restriction on a medical certificate based upon medical and physical conditions of an applicant. 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. Federal Register issue. Its possible to try and enlist in another branch after another denied your military medical waiver. [QUOTE="S_Austin, post: 643219, member: 41419". The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard.. If a medical waiver is granted, certain conditions may be placed on the mariner in order to maintain the waiver. 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. .telerik-reTable-4 td.telerik-reTableFooterFirstCol-4 This site displays a prototype of a Web 2.0 version of the daily If you have questions on viewing material in the docket, call Docket Operations at 202-366-9826. font-family: Tahoma; Hello Objee . 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. IV. Once a doctor at MEPS makes a recommendation the decision is left up to the Marine Corps to approve the waiver or not. Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. Complete all required information in the necessary fillable areas. 3. 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. Use the PDF linked in the document sidebar for the official electronic format. border-bottom-style: solid; should verify the contents of the documents against a final, official border-width: 1pt; The United States Army carries forward many of the same procedures at MEPS as the other military branches. better and aid in comparing the online edition to the print edition. rendition of the daily Federal Register on FederalRegister.gov does not 1. the official SGML-based PDF version on govinfo.gov, those relying on it for Then open the form from that location. Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. .telerik-reTable-4 td.telerik-reTableLastCol-4 2. 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. 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. This important process will resume as soon as those employees return to work. The best thing you can do is be open and honest with a recruiter about any underlying medical conditions. 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. Get access to thousands of forms. Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). ALWAYS download the form to a location of your choice. Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). Lumbar or thoracic scoliosis greater than 30 degrees. documents in the last year, by the Executive Office of the President Waivers may be granted by the program to which you're applying, NOT DoDMERB. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators ("ICD's") 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. 03/03/2023, 266 Your email address will not be published. } documents in the last year, 11 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. . documents in the last year, 35 on %PDF-1.5 .telerik-reTable-4 tr.telerik-reTableOddRow-4 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. include documents scheduled for later issues, at the request Those with a temporary disqualification do not need to apply for a waiver. My Account, Forms in 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. <>>> offers a preview of documents scheduled to appear in the next day's For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. Related Article Can You Join The Military With Scoliosis? border-width: 1pt; line-height: 115%; the current document as it appeared on Public Inspection on Publication Number. border-width: 1pt; I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. Any medical condition that gets diagnosed after you become active-duty is treated differently compared to new recruits. Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. Any waivers being granted? Wow, I had no idea the wait could be so long and drawn out. See 46 CFR 10.303. The Rule Of Continuing Jurisdiction A Case Of First Impression, Death Of A Mariner During The Pendancy Of A Coast Guard-Filed Appeal, Three Strikes And Youre Out For The Coast Guard, Close But No Cigar: An Unusual, And Almost Successful, Battle Of The Experts In An ALJ Case. USLegal received the following as compared to 9 other form sites. width: 119.7pt; { 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. has no substantive legal effect. 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. The Department of Defense sets the medical standards for people who wish to join the U.S. military. Color perception deficiency, either complete or partial. Violation of them with potential risks associated with uscga policy, or questioning does getting cleared me for coast guard medical waiver process for. You may also visit the Docket Management Facility in Room W12-140 on the ground floor of the Department of Transportation West Building, 1200 New Jersey Avenue SE., Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. These health conditions are disqualifying: Mental health conditions are also taken into account in the Army: You can view the complete list of disqualifying medical health conditions by reading the Medical Standards for Appointment, Enlistment, or Induction Into The Military Services. Medical waivers allow applicants to enter military service programs even though they may not have met DoD medical standards. 3. } Its important to remember that many medical conditions listed under the Department of Defense guidelines are not permanently disqualifying. pjI >vBS5GBD)CkoO_4ciA\>w"!,3K[Db[fH}2LbIIMC\^D)1Y|,BC>p`B7zrHcafn~ [{Bj { padding: 0in 5.4pt 0in 5.4pt; margin-bottom: 10.0pt; publication in the future. Submit a cardiology consultation, nuclear exercise stress test, echocardiogram and 24-hour Holter monitor. 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. Can Fear of Covid-19 Become A Valid Defense To Desertion? endobj padding: 0in 5.4pt 0in 5.4pt; Current or history of use of hearing aids. Justification: The Coast Guard recognizes that there is significant clinical variation within the population of individuals with cardiomyopathy, and that not all individuals with cardiomyopathy carry the same risks of sudden incapacitation or sudden death. Born and raised in Huntsville, Alabama, Nick enlisted in the Navy at the age of 17. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. 03/03/2023, 1465 Hopefully, you will hear soon! border-bottom-style: solid; .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 Unfortunately, the Commandant has held that regulation changes are not to be applied retroactively unless expressly so stated in the regulation itself, APP. daily Federal Register on FederalRegister.gov will remain an unofficial This information is not part of the official Federal Register document. QUESTION: What about Medical Waivers? You must log in or register to reply here. 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. Active orthodontic care must be completed (applicant must be de-bracketed) prior to reporting day. 7101 et seq. Any operational limitations will be reflected in the medical certificate. However, many conditions allow you a closer medical examination where a qualified doctor can determine if you are still fit for service. from 36 agencies. We have an agreement with the Department of Transportation to use the Docket Management Facility. Anyone else out there? { LLC, Internet The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. 4. { Retainer appliances are acceptable once all orthodontic care is complete. A medical exam takes place at the Military Entrance Processing Station (MEPS). padding: 0in 5.4pt 0in 5.4pt; Does the condition create an undue hazard to the recruit or other service members in combat situations. Medical conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. Shane Steiner, says the new policy is designed to encourage members to seek treatment for mental or behavioral health issues. "The Coast Guard always encourages members to seek care for any health concern that impacts their readiness," said Steiner. III. 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. The Waiver for our DD just came through, Full Apppointment Letter with cadet number was right after that on "Bears Den" posted. 2. #1 Internet-trusted security seal. 3. 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. They simply need to wait and let time heal the problem. .telerik-reTable-4 td.telerik-reTableEvenCol-4 padding: 0in 5.4pt 0in 5.4pt; It also depends on whether the health concern is a temporary or permanent health disqualification. 2. 03/03/2023, 159 border-color: #4F81BD; on Document page views are updated periodically throughout the day and are cumulative counts for this document. Graded exercise testing may be required. For a better experience, please enable JavaScript in your browser before proceeding. 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 To avoid duplication, please use only one of these four methods. 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. Consequently, the Marine Corps (like other branches) does not allow enlistment without an approved waiver. Regardless, its still very difficult to receive a waiver for more serious mental health problems. .telerik-reTable-4 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. 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. In 2004-5, the Mariner, a licensed Chief Engineer, began to experience "auras" - usually described as a brief condition of ongoing consciousness, but . This PDF is Department of Defense Instruction 6130.03 Volume 2. If the doctor recommends you for a waiver then you still have a shot at receiving approval. { Business. of the issuing agency. Correcting Military Records (COVID-19) ALCGPSC 024/23 This ALCGPSC announces action to remove all CG-3307 Administrative Entries related to COVID-19 vaccination for members currently serving on Active Duty or in the Reserve Component. are not part of the published document itself. Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. Im Sorry, But Your Last 10 Random Drug Tests Did Not Comply With DOT Requirements. documents in the last year, 1411 The U.S. Coast Guard follows the same guidelines as the other military branches. padding: 0in 5.4pt 0in 5.4pt; You cannot enlist with a permanent medical disqualification without an approved waiver. A doctor can make a recommendation for a suggested medical waiver to a recruiting commander in the Coast Guard. documents in the last year, by the National Oceanic and Atmospheric Administration Good luck for everyone still waiting. Copyright 2023 www.OperationMilitaryKids.org. A recruiting commander has the power to accept or deny a military medical waiver.