HSWL will work with the Personnel Services Center in the coming weeks to determine which Coast Guard-specific standards are needed. Medical Waivers . #1 Internet-trusted security seal. 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). It is not an official legal edition of the Federal Your request will be forwarded to the Coast Guard Personnel Service Center (PSC) who will review your DoDMERB exam results, medical history, our Chief Medical Officer's recommendation, and your appeal letter. 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). 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. Service, Contact Does the Coast Guard offer medical waivers? Some of these conditions make it harder to receive 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. The intuitive drag&drop graphical user interface makes it simple to add or move fields. January 15 - Regular Admission online application deadline. 2. My son received the email stating his waiver was granted and he was fully accepted while he was in line for graduation (May 23) !! the material on FederalRegister.gov is accurately displayed, consistent with Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. padding: 0in 5.4pt 0in 5.4pt; New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. In general, expect at least two weeks to a month to hear back on a military medical waiver. It also depends on whether the health concern is a temporary or permanent health disqualification. Medical conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. .telerik-reTable-4 td.telerik-reTableEvenCol-4 Since the issuance of NVIC 04-08 on September 15, 2008, there have been several instances where mariners sought waivers for these conditions. About the Federal Register documents in the last year, by the Coast Guard Just What Does It Take To Get Equal Access To Justice? However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. A temporary disqualification is something that temporarily prevents you from serving. To initiate treatment, talk with your primary care provider. These criteria seek to discern those individuals with cardiomyopathy who have factors that mitigate their risk, and who have prognostic indicators suggestive of a low risk of sudden incapacitation or adverse cardiac event. If the military deems you unfit for service, you may have a chance of receiving a military medical waiver. If you are using public inspection listings for legal research, you The OFR/GPO partnership is committed to presenting accurate and reliable You cannot enlist with a permanent medical disqualification without an approved waiver. 1. corresponding official PDF file on govinfo.gov. If you have any questions on forms, contact the Forms Management Officer at: uscg.forms@uscg.mil. (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. Here are some of the medical conditions that require a waiver to continue and serve in the U.S. Navy. Your medical provider can help you understand these exigent circumstances; all applicable policies are listed below. (ii) Proper use of the CPAP/BiPAP device for at least four hours per night (or per major sleep period) on at least 70% of all nights (or major sleep periods). border-color: #4F81BD; 3. 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. Image: Navy.com The Department of Defense established the medical standards for every branch of the military. October 15 - Early Action deadline. .telerik-reTable-4 td.telerik-reTableFooterFirstCol-4 This feature is not available for this document. (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. Once again it primarily depends on the health condition. Mental and behavioral health conditions are no different. Here is your guide to military medical waivers and what you need to know. We will also be entering the waiver process. Good luck for everyone still waiting. Any operational limitations will be reflected in the medical certificate. There are several factors to take into account, and much of the timeframe depends on the type of medical condition and the severity of the issue. 1. 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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. Notice of proposed policy clarification and request for comments. The Armed Forces use the same disqualifying medical conditions for every military branch. Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. 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{? should verify the contents of the documents against a final, official Here are some frequently asked questions about military medical waivers. 03/03/2023, 159 Assault On The Citadel: Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers Requests. Therefore, what is disqualifying in the Army is also disqualifying in the Navy. 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. My Account, Forms in All the military branches follow the same guidelines set forth by the Department of Defense for disqualifying health conditions. MEPS is managed by the Department of Defense with the same temporary and permanent disqualifications. provide legal notice to the public or judicial notice to the courts. 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. Feeling Very Strongly About It Both Ways: Just What Makes A Dangerous Drug Dangerous, Anyway? The first step in a military medical waiver process is receiving a recommendation from a doctor at MEPS. Coast Guard Medical Waiver Process Frequently Asked Questions (FAQ) Navy Medical Waiver Process The U.S. Navy uses the same guidelines for medical health concerns as the other uniformed branches. The Coast Guard PSC is our service's waiver granting authority and their final decision cannot be appealed further. (P&D) 1095 Form. Submit all pertinent medical information, including sleep studies and a status report. You can learn more details about the revised policy, including the opportunity to request a second medical waiver review, here! This PDF is 3. 5. My DD got her waiver followed immediately by full appointment, which she has accepted. U.S. Coast Guard Date: December 22, 2020 Commercial Regulations & Standards Directorate 2703 Martin Luther King Jr Ave SE, STOP 7501 Washington, DC 20593-7501 E-Mail:OutbreakQuestions@uscg.mil COVID-19 - Mariner Credentials Extension of Merchant Mariner Credential Endorsements, Medical Certificates and Course Approvals { 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. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. In this Issue, Documents border-width: 1pt; edition of the Federal Register. Open for Comment, This document is issued under the authority of, Russian Harmful Foreign Activities Sanctions, Economic Sanctions & Foreign Assets Control, Fisheries of the Northeastern United States, National Oceanic and Atmospheric Administration, Further Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, https://www.federalregister.gov/d/2015-03109, MODS: Government Publishing Office metadata, http://www.uscg.mil/hq/cg5/nvic/pdf/2008/NVIC%2004-08%20CH%201%20with%20Enclosures%2020130607.pdf. For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. of the issuing agency. vertical-align: top; Click on tabs below for more information. color: #666666; border-bottom-style: solid; Unfortunately, the Commandant has held that regulation changes are not to be applied retroactively unless expressly so stated in the regulation itself, APP. regulatory information on FederalRegister.gov with the objective of 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. Title. 46 CFR 10.302 contains the medical standards that merchant mariners must meet prior to being issued a merchant mariner credential (MMC). developer tools pages. informational resource until the Administrative Committee of the Federal 4) Applicants with uncorrected vision of up to 20/800 may be granted a waiver by the Coast Guard provided that the corrected vision meets the documents in the last year. establishing the XML-based Federal Register as an ACFR-sanctioned 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. Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. 1099R Form. offers a preview of documents scheduled to appear in the next day's border-left-style: solid; Information about this document as published in the Federal Register. Wow, I had no idea the wait could be so long and drawn out. Ensure everything is filled out appropriately, with no typos or lacking blocks. Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. [QUOTE="S_Austin, post: 643219, member: 41419". However, many conditions allow you a closer medical examination where a qualified doctor can determine if you are still fit for service. Complete all required information in the necessary fillable areas. Medical waivers allow applicants to enter military service programs even though they may not have met DoD medical standards. 10.303 Medical waivers, limitations, and restrictions. The United States Air Force is considered slightly more selective than some of the other military branches. (b) In general, medical waivers are approved when an applicant does not meet the applicable medical standards, but objective medical evidence indicates that the condition is sufficiently controlled and the effects of medication pose no significant risk to maritime and public safety. Federal Register issue. Submitting comments: If you submit a comment, please include the docket number for this document (USCG-2015-0090) and provide a reason for each suggestion or recommendation. Complete applications are accepted at Regional Examination Centers (RECs) via mail, e-mail, fax, or in person. You must log in or register to reply here. The waiver is an acknowledgement by the Coast Guard that the condition was identified and places a 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. You may submit your comments and material online or by fax, mail or hand delivery, but please use only one of these means. NVIC 04-08, Condition # 179: Obstructive Sleep Apnea, Central Sleep Apnea, Narcolepsy, Periodic Limb Movement, Restless Leg Syndrome or other sleep disorders. 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. This information is not part of the official Federal Register document. { .telerik-reTable-4 The answer is no based on the current Department of Defense regulations. The Department of Defense established the medical standards for every branch of the military. By December 23 - Early Action decisions released. Color perception deficiency, either complete or partial. If the doctor recommends you for a waiver then you still have a shot at receiving approval. If surgically treated, please submit a post-operative polysomnogram to document cure. If a medical waiver is granted, certain conditions may be placed on the mariner in order to maintain the waiver. NVIC 04-08, Condition #194: Diabetes requiring oral medication. in Accounting and is a graduate student at the University of Louisiana at Lafayette, pursuing an M.B.A. in Finance. } 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. The Coast Guard also discourages health waiver applications from students applying to the U.S. Coast Guard Academy, though all waiver applications are considered in the context of a. Recent, severe hypoglycemic episode is an episode of hypoglycemia within the prior 12 months resulting in seizure, loss of consciousness or altered consciousness, or requiring assistance from another person for treatment. This important process will resume as soon as those employees return to work. 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. } However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. 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. Department of Defense Instruction 6130.03 Volume 2. { documents in the last year, 20 So all the once who are still waiting, do not give up your hopes. 3 0 obj padding: 0in 5.4pt 0in 5.4pt; 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. documents in the last year, 1411 xY[o7~7Q1&rR}HAf~H3F&!N=;{/_W3B,20_*bR[dH^Zjqy\pi|BM% J. xCke_w'9 T5_~`F)|8ub SvDdrodpa4LZ zqC/7+Z!0hc~bLuK1'SL'e!H Hb[ 0VOo 7RvvgP)jH!%>$ b4,wH~Q_1W{AeY)}2"!