coast guard medical waiver

Each military branch handles medical waiver reviews differently but usually goes through several layers of approval. 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. 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. I think the government shut down really had an effect on the process and created a backlog. The Coast Guard retains final authority for the issuance of medical waivers. 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 . Coast Guard Medical Waiver Process - zelianteducare.com In support of this new policy, Coast Guard health services personnel will withdraw all waiver and medical evaluation board requests for members that are covered by these updates. } documents in the last year, 981 width: 119.7pt; Once a doctor at MEPS makes a recommendation the decision is left up to the Marine Corps to approve the waiver or not. 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 answer is no based on the current Department of Defense regulations. 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. border-right-style: solid; These tools are designed to help you understand the official document 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. The intuitive drag&drop graphical user interface makes it simple to add or move fields. %PDF-1.5 552(a) and 46 U.S.C. Document Drafting Handbook on NARA's archives.gov. While every effort has been made to ensure that Your email address will not be published. The Marine Corps is the most selective military branch with highly competitive basic training. (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. 5. Us, Delete font-family: Tahoma; USLegal received the following as compared to 9 other form sites. "Mental and behavioral health conditions are no different. Keep in mind that MEPS does not belong to any particular branch, but rather the Department of Defense. In general, medical conditions qualify for a waiver when the conditions are sufficiently controlled to mitigate risk to maritime and public . color: #666666; } PDF Keep 'em Safe, Keep 'em Sailing - United States Coast Guard documents in the last year, 26 documents in the last year, 36 The United States Army will analyze infections and other conditions of the head, eyes, ears, nose, mouth, and neck. History of prescription or use of medications (including but not limited to inhaled or oral corticosteroids) for treatment or alleviation of symptoms of airway hyper responsiveness after the 13th birthday, Diagnosed seizure disorder after the 6th birthday, History of or recurrent syncope, pre-syncope or non-traumatic loss of consciousness, History of recurrent headaches or frequent or severe headaches within the past two years, Concussions with post event symptoms lasting greater than one month, Two or more concussions within the last 12 months, Malformations or deformities that interfere with speech, breathing, chewing, or the ability to swallow, Chronic sinusitis inadequately controlled or history of sinus surgery in the past two years, Any disorder or history of disorders with psychotic features, History of impulse control and conduct disorders, History of depression requiring medication, outpatient treatment or hospitalization, History of anxiety requiring medication, outpatient treatment or hospitalization. If COVID-19 Breaks Out Among The Crew, What Are A Masters Obligations? Graded exercise testing may be required. padding: 0in 5.4pt 0in 5.4pt; border-left-style: solid; Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. documents in the last year, by the Executive Office of the President Color perception deficiency, either complete or partial. border-bottom-style: solid; in Accounting and is a graduate student at the University of Louisiana at Lafayette, pursuing an M.B.A. in Finance. 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. 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. ( 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. } documents in the last year, 122 QUESTION: What about Medical Waivers? Therefore, what is disqualifying in the Army is also disqualifying in the Navy. A. 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. Once again it primarily depends on the health condition. Anyone else out there? However, many conditions allow you a closer medical examination where a qualified doctor can determine if you are still fit for service. 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. PDF Medical Certificate Frequently Asked Questions - Mariners Learning System 1099R Form. 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. padding: 0in 5.4pt 0in 5.4pt; It made his day doubly special. Regardless, you need a military medical waiver to receive permission to enlist. border-width: 1pt; 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. Medical Waivers for Merchant Mariner Credential Applicants With Anti The staff is still activily working on the reviews and all you can do is continue to pray and wait. Mental and behavioral health conditions are no different. Good luck for everyone still waiting. Can You Join The Military With ADD/ADHD? A doctor can make a recommendation for a suggested medical waiver to a recruiting commander in the Coast Guard. (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. publication in the future. 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 padding: 0in 5.4pt 0in 5.4pt; For a better experience, please enable JavaScript in your browser before proceeding. So all the once who are still waiting, do not give up your hopes. An ophthalmology consultation may be required. documents in the last year. 1. 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. 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. edition of the Federal Register. Publication Number. border-width: 1pt; font-size: 10pt; 1. 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. Joining the military with asthma: What to know - Medical News Today 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. Related Article 20 Health Conditions That May Disqualify You From Military. The Coast Guard always encourages members to seek care for any health concern that impacts their readiness, said Steiner. The Coast Guard Disability Evaluation Branch is mandated by Congress to maintain an effective and fit military organization with maximum use of available manpower, provide benefits to eligible Coast Guard members whose military service is terminated because of service-connected disability, and provide prompt disability processing while ensuring that the rights and interests of the government . border-color: #4F81BD; Mariners with HbA1c levels of greater than 10% are generally not considered for waiver unless extenuating circumstances confirm temporary irregularity due to acute illness, medication interaction, or other short-term occurrence that is not likely to recur. 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. Register (ACFR) issues a regulation granting it official legal status. If a military uniform administrative disqualifications require dental examination shall ascertain ees, medical waivers for coast guard? Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. 3. border-left-style: solid; (e) The Coast Guard may place a restriction on a medical certificate based upon medical and physical conditions of an applicant. { headings within the legal text of Federal Register documents. .telerik-reTable-4 td.telerik-reTableFooterOddCol-4 Getting notified two days before reporting day had to have been a nailbiter! If the doctor recommends you for a waiver then you still have a shot at receiving approval. Questions related to the policy can be directed to Capt. This PDF is The Marine Corps is a demanding and intense branch of the military to join. margin-left: 0in; 7101 et seq. .telerik-reTable-4 tr.telerik-reTableHeaderRow-4 Since the issuance of NVIC 04-08 on September 15, 2008, there have been several instances where mariners sought waivers for these conditions. At this time, the Coast Guard does not offer any waivers for ADHD as a condition. Treatments may include medication, therapy, or counseling, but may not permanently interfere with your ability to perform your current duties. This feature is not available for this document. This prototype edition of the 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. & Estates, Corporate - { We have been receiving word that the Coast Guard's National Maritime Center (NMC) is trying to be more lenient (some might even say reasonable) in their reviewing of mariners' medical records, and in their processing of medical waiver requests. PDF Instruction Guide to the Merchant Mariner Physical Examination Report that agencies use to create their documents. Some of these conditions make it harder to receive a medical waiver. Forms, Real Estate 03/03/2023, 266 A Proposed Rule by the Coast Guard on 02/18/2015. 1 0 obj Medical Waiver "Reconsideration" - United States of America Service All forms can be found on the CG-612 web site. What Constitutes Timely Reporting To The Coast Guard? padding: 0in 5.4pt 0in 5.4pt; My DD got her waiver followed immediately by full appointment, which she has accepted. 4. An applicant may submit to the Coast Guard additional correspondence, records, and reports in support of a waiver. Here are some of the medical conditions that require a waiver to continue and serve in the U.S. Navy. better and aid in comparing the online edition to the print edition. Attention deficit, hyperactivity disorder or learning disability such as dyslexia, which interferes with perceptual or academic skills past the 14th birthday. The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. After you complete the medical pre-screening for the United States Air Force (or any military branch) you progress to MEPS. Often, a military medical waiver needs to pass varying levels of approval before you are granted permission to enlist. The Aeromedical Electronic Resource Office (AERO) is a web-based DOD system used jointly by the U.S. Army, Coast Guard, and Navy. If you would like a form added to the list below contact the appropriate program manager. These markup elements allow the user to see how the document follows the 03/03/2023, 43 Its possible to have a second opportunity at MEPS though it depends on the health condition. electronic version on GPOs govinfo.gov. documents in the last year, by the National Oceanic and Atmospheric Administration Lumbar or thoracic scoliosis greater than 30 degrees. 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. 3. However, one branch may approve a waiver while another branch may not based on the condition, your role in the military, and other factors. The United States Air Force is considered slightly more selective than some of the other military branches. Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers See the Public Participation and Request for Comments portion of the SUPPLEMENTARY INFORMATION section below for instructions on submitting comments. Here is a handful of the medical conditions that require an Army medical waiver. Before you reach MEPS youll complete the form Medical Prescreen of Medical History Report. 1. .telerik-reTable-4 td.telerik-reTableFirstCol-4 The Coast Guard recruiter MAY, but is NOT REQUIRED, to contact HQ for a waiver to send you to MEPS for further processing. on 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. Speak to an Air Force recruiter if you have any of the following conditions: Its also difficult to join the Air Force with the following mental health conditions: Related Article Military Disqualifications For Mental Health: 9 Common Conditions. 2 0 obj 03/03/2023, 1465 Coast Guard Pay and Personnel News Looking for help now? 03/03/2023, 159 the material on FederalRegister.gov is accurately displayed, consistent with { margin-right: 0in; If you have questions on viewing material in the docket, call Docket Operations at 202-366-9826. Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. Information about this document as published in the Federal Register. Does the condition create an undue hazard to the recruit or other service members in combat situations. (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. Any operational limitations will be reflected in the medical certificate. Vision Questionnaire Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. Refractive error corrected by orthokeratology, kerato-refractive, PRK, laser or any other corneal enhancement have numerous criteria to meet in order to be qualified. New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. A military medical waiver is an opportunity to receive special permission to join the military for a disqualifying health condition. padding: 0in 5.4pt 0in 5.4pt; 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. services, For Small They simply need to wait and let time heal the problem. B. documents in the last year, 83 Use the PDF linked in the document sidebar for the official electronic format. DEC. 2646, at 5 (McDonald)(2004), so the changes will likely not help the two mariners noted above. 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. Captain's Licenses Medical Disqualifiers - Mariners Learning System If the military deems you unfit for service, you may have a chance of receiving a military medical waiver. 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. In general, expect at least two weeks to a month to hear back on a military medical waiver. 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. Does the Coast Guard give medical waivers? documents in the last year, 20 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. Contact your local Health Safety & Work Life Regional Practiceor CG SUPRT 24/7/365. (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. developer tools pages. (j)AVL%K"h2mlF3>C^effmj:i 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. If surgically treated, please submit a post-operative polysomnogram to document cure. We will also be entering the waiver process. Anyone else out there? I can only imagine still waiting at this late date. Moderate hearing loss in the 500 to 4000Hz frequencies. Speak to a local military recruiter for more questions about disqualifying health conditions. corresponding official PDF file on govinfo.gov. documents in the last year, 467 { color: #355C8C; border: solid 0px; Please contact our office for specific information. } The recruiting commander will factor the recommendation of the doctor assigned to you at MEPS as well as the objectives of the specific branch. Service, Contact on There, its possible to request a medical waiver with the Air Force. I know of one that came through this past Wednesday. Department of Defense Instruction 6130.03 Volume 2. Mariners with HbA1c levels greater than 10% are generally not considered for a waiver unless extenuating circumstances confirm temporary irregularity due to acute illness, medication interaction, or other short-term occurrence that is not likely to recur. Unfortunately, recruits cannot appeal the decision for immediate denial of MEPS. There are a variety of health conditions that are disqualifying in the military. The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. 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. border-bottom-style: solid; ); (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. How do I renew my Coast Guard medical certificate? should verify the contents of the documents against a final, official } border-right-style: solid; DD still waiting. However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. .telerik-reTable-4 td.telerik-reTableHeaderEvenCol-4 Abnormalities which interfere with wearing military equipment or are disfiguring. 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). border-color: #4F81BD; Justification: Although poorly controlled diabetes can lead to long term diabetic complications, the consequences of hypoglycemia pose an immediate threat of sudden incapacitation with risk to public and maritime safety. Any deviation or curvature of the spine likely to impair normal function or wearing of proper military uniform or gear or causes physical symptoms. Just What Does It Take To Get Equal Access To Justice? { Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. 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. Where the waivered medical condition is progressive, the waiver may require .[/QUOTE]. Background: The Coast Guard is releasing a new version of the Merchant Mariner Credential Medical Evaluation Report (CG-719 K) and the Merchant Mariner Evaluation of Fitness for Entry Level Ratings . Coast Guard Medical Manual and Medically Related Instructions/Manuals Your military medical exam is the definitive source for qualification decisions. and services, go to He currently resides in Meridian, Mississippi. border-color: #4F81BD; Graded exercise testing may be required. These can be useful 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. 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. .telerik-reTable-4 td.telerik-reTableLastCol-4 Hopefully, you will hear soon! legal research should verify their results against an official edition of This document is issued under the authority of 5 U.S.C. 03/03/2023, 207 All the military branches follow the same guidelines set forth by the Department of Defense for disqualifying health conditions. border-width: 1pt; 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. I am curious to know if any USCGA 2023 candidates with DQ's been granted a medical waiver from USCGA's waiver authority. [FR Doc. }. The Armed Forces use the same disqualifying medical conditions for every military branch. However, a broken foot will heal and with time the problem is no longer existent. You must log in or register to reply here.

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