coast guard medical waiver

coast guard medical waiver

Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. 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. } Can Fear of Covid-19 Become A Valid Defense To Desertion? The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. sNm{@e cSy*[OMzhe"Yf7&mi/"vpI1rCL+h]rk )'T&qM. 1. ); (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. padding: 0in 5.4pt 0in 5.4pt; Ophthalmology consultation may be required. 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 Related Article Can You Join The Military With Autism? For example, breaking a foot inhibits you from carrying out the functions for duty. However, one branch may approve a waiver while another branch may not based on the condition, your role in the military, and other factors. Several health conditions make military service difficult yet not impossible which means you could qualify for a medical waiver. border-color: #4F81BD; IV. Active orthodontic care must be completed (applicant must be de-bracketed) prior to reporting day. January 29 - Deadline for Regular Admissions forms and scores. 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. The U.S. Coast Guard follows the same guidelines as the other military branches. border-color: #4F81BD; documents in the last year, 981 Medical Waivers Medical screeners and medical evaluators will grant a medical waiver for conditions documented on the 719K when the condition has been identified as not posing a significant risk to maritime safety. border-bottom-style: solid; documents in the last year, 853 border-bottom-style: solid; Where the waivered medical condition is progressive, the waiver may require 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. Copyright 2023 www.OperationMilitaryKids.org. This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. { The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard.. Once a doctor at MEPS makes a recommendation the decision is left up to the Marine Corps to approve the waiver or not. The United States Army carries forward many of the same procedures at MEPS as the other military branches. Getting notified two days before reporting day had to have been a nailbiter! Does the Coast Guard offer medical waivers? Once again it primarily depends on the health condition. Under the proposed policy, a medical waiver will be required for the conditions of cardiomyopathy, sleep apnea, and diabetes mellitus. The intuitive drag&drop graphical user interface makes it simple to add or move fields. documents in the last year, 822 margin-left: 0in; } to the courts under 44 U.S.C. (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. As long as the condition is not pre-existing (meaning that you lied on the original enlistment papers) the ordeal is handled differently. 1503 & 1507. line-height: 115%; documents in the last year, 940 endobj the current document as it appeared on Public Inspection on Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. border-bottom-style: solid; Click on tabs below for more information. We will consider all comments and material received during the comment period. Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. 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. (j)AVL%K"h2mlF3>C^effmj:i endobj In 2004-5, the Mariner, a licensed Chief Engineer, began to experience "auras" - usually described as a brief condition of ongoing consciousness, but . 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. documents in the last year, 35 A. To avoid duplication, please use only one of these four methods. B Y?s^'-j,YDEV 4&#Qd(#&SmRQwt%!++2`L4>&^:j >/# 03/03/2023, 234 All Rights Reserved. color: #FFFFFF; Ensures that a website is free of malware attacks. Any waivers being granted? 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. 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. 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. Shane Steiner, says the new policy is designed to encourage members to seek treatment for mental or behavioral health issues. Submit a cardiology consultation, nuclear exercise stress test, echocardiogram and 24-hour Holter monitor. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. 3. Vision Questionnaire Grace Period Extension For License Renewal, Constructive Refusal to Submit Hair Sample, I Didnt Know Where To Go For My Drug Test, Coast Guard To Raise Casualty Reporting Thresholds. 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. 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, temporary disqualifications do not require a medical waiver. Two Month Jail Sentence For Falsifying License Application, Recovery Of Attorneys' Fees In ALJ Actions, Properly Preserving Claims Of Bias Against The ALJ, Vice Commandant Appeal Decisions: McCarthy & Dresser, Vice Commandant Appeal Decisions: Wain, Boudreaux & Marshall. 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 The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. This information is not part of the official Federal Register document. The Public Inspection page may also border-width: 1pt; You may submit your comments and material online or by fax, mail or hand delivery, but please use only one of these means. ALWAYS download the form to a location of your choice. Attention deficit, hyperactivity disorder or learning disability such as dyslexia, which interferes with perceptual or academic skills past the 14th birthday. .telerik-reTable-4 tr.telerik-reTableFooterRow-4 developer tools pages. The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. Therefore, the possibility of receiving a medical waiver might improve with the odds but at the end of the day it still comes down to the medical condition. Guide, Incorporation padding: 0in 5.4pt 0in 5.4pt; that agencies use to create their documents. Keep in mind that MEPS does not belong to any particular branch, but rather the Department of Defense. What Constitutes Timely Reporting To The Coast Guard? documents in the last year, by the National Oceanic and Atmospheric Administration 4 0 obj (4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. In general, medical conditions qualify for a waiver when the conditions are sufficiently controlled to mitigate risk to maritime and public . There, its possible to request a medical waiver with the Air Force. DD still waiting. Any restriction will be reflected on the medical certificate and may include restriction of route or trade. Notice of proposed policy clarification and request for comments. Speak to a recruiter if you have any of the following: Its very hard to receive a medical waiver for the following mental health disorders: Related Article: Can You Join The Military With Asthma? #1 Internet-trusted security seal. border-bottom-style: solid; QUESTION: What about Medical Waivers? 03/03/2023, 266 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. A doctor can make a recommendation for a suggested medical waiver to a recruiting commander in the Coast Guard. { border-left-style: solid; Federal Register. 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. The recruiting commander will factor the recommendation of the doctor assigned to you at MEPS as well as the objectives of the specific branch. After you complete the medical pre-screening for the United States Air Force (or any military branch) you progress to MEPS. 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. LLC, Internet border-right-style: solid; The United States Air Force is considered slightly more selective than some of the other military branches. Here are some frequently asked questions about military medical waivers. 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. History of Temporomandibular Joint (TMJ) disorder that is symptomatic or had required treatment in the last 12 months. 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. documents in the last year, by the Energy Department We have an agreement with the Department of Transportation to use the Docket Management Facility. Anyone else out there? Can You Join The Military With Scoliosis? Us, Delete Your medical provider can help you understand these exigent circumstances; all applicable policies are listed below. These markup elements allow the user to see how the document follows the The Coast Guard may grant a waiver if an applicant for an MMC does not possess the vision, hearing or general physical condition necessary and extenuating circumstances warrant special My DS have been waiting 100+ days. { Relevant information about this document from Regulations.gov provides additional context. The waiver is an acknowledgement by the Coast Guard that the condition was identified and places a documents in the last year, by the Nuclear Regulatory Commission Coast Guard Medical Manual and Medically Related Instructions/Manuals (CG-112) Contact your local Health Safety & Work Life Regional Practice or CG SUPRT 24/7/365. vertical-align: top; 3 0 obj A recruiting commander has the power to accept or deny a military medical waiver. 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. Graded exercise testing may be required. on Service, Contact If surgically treated, please submit a post-operative polysomnogram to document cure. headings within the legal text of Federal Register documents. Notwithstanding its still possible to receive clearance: Medical problems like scoliosis dont always automatically disqualify you from service. B. Medical Waivers For Coast Guard Judgment .telerik-reTable-4 td.telerik-reTableFooterLastCol-4 on on All forms can be found on the CG-612 web site. (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). II. documents in the last year, 122 informational resource until the Administrative Committee of the Federal Required fields are marked *. Please contact our office for specific information. 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. 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 <> padding: 0in 5.4pt 0in 5.4pt; NVIC 04-08, Condition # 179: Obstructive Sleep Apnea, Central Sleep Apnea, Narcolepsy, Periodic Limb Movement, Restless Leg Syndrome or other sleep disorders. on 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. margin-right: 0in; I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. 1. for better understanding how a document is structured but Below are common forms used by medical. To initiate treatment, talk with your primary care provider. daily Federal Register on FederalRegister.gov will remain an unofficial Medical Standards for Appointment, Enlistment, or Induction Into The Military Services, Military Dental Requirements and Disqualifications, Military Disqualifications For Mental Health: 9 Common Conditions, 20 Health Conditions That May Disqualify You From Military, How To Lose Weight For The Military: Your 30-Day Plan, List Of 9 Army Patches And Their Meanings, Army Sharpshooter Badge: 6 Things To Know, Army Service Ribbon (ASR): 5 Things To Know, Army Commendation Medal (ARCOM): 8 Things To Know. Theft, Personal Planning, Wills border-width: 1.0pt 1.0pt 3.0pt 1.0pt; [QUOTE="S_Austin, post: 643219, member: 41419". A. documents in the last year, by the Coast Guard border-collapse: collapse; Born and raised in Huntsville, Alabama, Nick enlisted in the Navy at the age of 17. In general, expect at least two weeks to a month to hear back on a military medical waiver. 03/03/2023, 159 (P&D) 1095 Form. If you have questions on viewing material in the docket, call Docket Operations at 202-366-9826. 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. 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. 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. documents in the last year, by the Executive Office of the President For complete information about, and access to, our official publications Additionally, new recruits must pass a medical and dental exam, as well as an observation of your mental health. 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. Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). border-left-style: solid; & Estates, Corporate - The Department of Defense established the medical standards for every branch of the military. border-bottom-style: solid; The list is not inclusive, but rather reflects the conditions that most commonly arise. 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. padding: 0in 5.4pt 0in 5.4pt; 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. So all the once who are still waiting, do not give up your hopes. 1. My DS was also granted his waiver. Unfortunately, the Commandant has held that regulation changes are not to be applied retroactively unless expressly so stated in the regulation itself, APP. 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. border-width: 1pt; There are some conditions the Army is willing to accommodate and support because of others. stream Contact your local Health Safety & Work Life Regional Practiceor CG SUPRT 24/7/365. The Service Academies automatically consider applicants for a medical waiver if they are competitive for admission. 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. The Coast Guard always encourages members to seek care for any health concern that impacts their readiness, said Steiner. background: #4F81BD; "The Coast Guard always encourages members to seek care for any health concern that impacts their readiness," said Steiner. border-bottom-style: solid; padding: 0in 5.4pt 0in 5.4pt; If the doctor recommends you for a waiver then you still have a shot at receiving approval. All the military branches follow the same guidelines set forth by the Department of Defense for disqualifying health conditions. 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. { } Speak to a local military recruiter for more questions about disqualifying health conditions. I am curious to know if any USCGA 2023 candidates with DQ's been granted a medical waiver from USCGA's waiver authority. 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 . 1099R Form. 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. documents in the last year, 26 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. 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. Published guidance on the criteria that will be used in determining whether an applicant's medical condition warrants a medical waiver will support Coast Guard efforts to consistently evaluate merchant mariners with these conditions and assess whether the risk associated with an applicant's medical condition is sufficiently mitigated to warrant a medical waiver under 46 CFR 10.303. 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. Does the condition create an undue hazard to the recruit or other service members in combat situations. Related Article: 41 Questions To Ask A Military Recruiter. We got a confirmation that it was requested because he received an LOA but no other news since late Sep'18. 552(a) and 46 U.S.C. If you are struggling with depression or anxiety, please seek help and speak with your primary care provider. services, For Small However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. 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. The same recommendation is plausible in any of the military branches as MEPS falls under the command of the DOD. The recent unhappy but prophetic experiences of two mariners with ICDs, one of whom had received previous waivers for over 20 years prior to issuance of the 2008 NVIC, have been the frequent topic of discussions at several recent MOPS annual luncheons, including in remarks made most recently by Randy ONeill at this years luncheon on May 3. Assault On The Citadel: Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers Requests. 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 conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. He graduated from Saint Leo University with his B.A. I know of one that came through this past Wednesday. { Learn more about the medical waiver process for the Army, Navy, Air Force, Marines, and Coast Guard. Applicants who fail the American Optical Company PIP test shall be considered qualified if they pass a Computerized Color Vision Test (CCVT). 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. border-width: 1pt; 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. border-bottom-style: solid; The telephone number is 202-366-9329. AERO is the program/method utilized for aeromedical submissions to NAMI(53HN) Physical Qualifications. 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.

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