coast guard medical waiver

% Relevant information about this document from Regulations.gov provides additional context. 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. margin-left: 0in; background-color: #FFFFFF; on the current document as it appeared on Public Inspection on It may not display this or other websites correctly. edition of the Federal Register. Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. border-color: #4F81BD; 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. The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. Below are common forms used by medical. At this time, the Coast Guard does not offer any waivers for ADHD as a condition. Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. 3. 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. developer tools pages. Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). Only official editions of the 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. font-size: 11.0pt; documents in the last year, 467 New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. Individuals with these conditions may be denied medical certification unless they meet the criteria for a medical waiver. The United States Army will analyze infections and other conditions of the head, eyes, ears, nose, mouth, and neck. This document is issued under the authority of 5 U.S.C. This new approach, which mirrors the Department of Defense, ensures that members being treated for mental or behavioral health conditions are treated the same way as members being treated for below the neck conditions. October 15 - Early Action deadline. Learn more about the medical waiver process for the Army, Navy, Air Force, Marines, and Coast Guard. My DS have been waiting 100+ days. The list is not inclusive, but rather reflects the conditions that most commonly arise. For example, someone with Schizophrenia is likely to get denied by every military branch, while another recruit with a small curvature of scoliosis might have better luck the second time around. { Title. and services, go to Can Fear of Covid-19 Become A Valid Defense To Desertion? 3. corresponding official PDF file on govinfo.gov. sNm{@e cSy*[OMzhe"Yf7&mi/"vpI1rCL+h]rk )'T&qM. In general, expect at least two weeks to a month to hear back on a military medical waiver. This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. padding: 0in 5.4pt 0in 5.4pt; on NARA's archives.gov. Speak to a local military recruiter for more questions about disqualifying health conditions. This document has been published in the Federal Register. Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. For OSA treated by other means, submit a polysomnogram demonstrating the effectiveness of the alternative therapy. padding: 0in 5.4pt 0in 5.4pt; { I know of one that came through this past Wednesday. The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. (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. endobj 5. Criteria for consideration for a waiver include: a left ventricular ejection fraction of 35%, no symptomatic or clinically significant heart failure in the past 2 years (must be New York Heart Association Class I), absence of significant ischemia on stress testing, exercise capacity of 8 METs, no history of syncope or ventricular arrhythmia in the past three years; and the written opinion of the treating cardiologist or electrophysiologist supports low risk for sudden death, ventricular arrhythmia, adverse cardiac event and sudden incapacitation based upon objective testing and standard evaluation tools. Feeling Very Strongly About It Both Ways: Just What Makes A Dangerous Drug Dangerous, Anyway? 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. Its possible to try and enlist in another branch after another denied your military medical waiver. 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. A medical exam takes place at the Military Entrance Processing Station (MEPS). Arborry Hill Road Company, LLC Copyright 2006-2023, Service Academy Forums is a registered trademark of Arborry Hill Road Company, LLC. Us, Delete January 15 - Regular Admission online application deadline. This prototype edition of the Unfortunately, the Commandant has held that regulation changes are not to be applied retroactively unless expressly so stated in the regulation itself, APP. { Some argue that the Army is less selective because it has the highest enrollment of the military branches. Does the Coast Guard give medical waivers? publication in the future. Questions related to the policy can be directed to Capt. For example, breaking a foot inhibits you from carrying out the functions for duty. The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. 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. Submit an evaluation from the treating physician documenting interval history and two current glycated hemoglobin (HbA1c) levels separated by at least 90 days, the most recent of which is no more than 90 days old. documents in the last year, 20 New updates to Coast Guard policy loosen restrictions and impacts on service members undergoing mental and behavioral health treatment for conditions including (but not limited to) anxiety and depressive disorders. documents in the last year, by the Coast Guard Submit a cardiology consultation, nuclear exercise stress test, echocardiogram and 24-hour Holter monitor. documents in the last year, 26 endobj documents in the last year, by the Nuclear Regulatory Commission Violation of them with potential risks associated with uscga policy, or questioning does getting cleared me for coast guard medical waiver process for. . Every waiver requires varying levels of review for approval so its hard to give an estimate in terms of time. Notice of proposed policy clarification and request for comments. 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. If you have questions about this document, call or email Lieutenant Ashley Holm, Mariner Credentialing Program Policy Division (CG-CVC-4), U.S. Coast Guard, telephone 202-372-2357, email MMCPolicy@uscg.mil. border-collapse: collapse; } } border-color: #4F81BD; (Courtesy photo) The U.S. Air Force has admitted nearly 2,000 recruits on medical waivers for eczema, asthma . Medical waivers for OSA require submission of an annual sleep specialist evaluation that documents treatment efficacy, the patient's treatment compliance and an assessment for symptoms of daytime sleepiness. font-size: 10pt; 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. 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. Hello Objee . 552(a) and 46 U.S.C. require further Start Printed Page 8587review. HSWL will work with the Personnel Services Center in the coming weeks to determine which Coast Guard-specific standards are needed. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 11 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> { Your medical provider can help you understand these exigent circumstances; all applicable policies are listed below. better and aid in comparing the online edition to the print edition. 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. 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. Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. January 29 - Deadline for Regular Admissions forms and scores. 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 you have any questions on forms, contact the Forms Management Officer at: uscg.forms@uscg.mil. My Account, Forms in 2. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. { border-width: 1pt; Other conditions, like mental health, makes it more challenging to receive clearance to serve the military: NOTE: The U.S. Navy recently adapted its medical waiver process. Regardless, you need a military medical waiver to receive permission to enlist. Current or history of use of hearing aids. pilot). 1099R Form. Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. 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. Therefore, what is disqualifying in the Army is also disqualifying in the Navy. Theft, Personal documents in the last year, 513 documents in the last year, by the Executive Office of the President 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 color: #666666; #1 Internet-trusted security seal. Related Article Army Height and Weight Standards. USLegal fulfills industry-leading security and compliance standards. There, its possible to request a medical waiver with the Air Force. on [QUOTE="S_Austin, post: 643219, member: 41419". padding: 0in 5.4pt 0in 5.4pt; <> } (e) The Coast Guard may place a restriction on a medical certificate based upon medical and physical conditions of an applicant. 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. padding: 0in 5.4pt 0in 5.4pt; 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. It seemed to take forever. Please contact our office for specific information. The Public Inspection page documents in the last year, 122 I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. documents in the last year, by the Energy Department stream The Service Academies automatically consider applicants for a medical waiver if they are competitive for admission. Consequently, its difficult to get discharged from the military unless a Medical Evaluation Board believes differently. 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. } QUESTION: What about Medical Waivers? 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. line-height: 115%; 4. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Nick Anderson has been serving on Active Duty in the U.S. Navy for the last 10 years. Spanish, Localized See 46 CFR 10.303. NVIC 04-08, Condition #194: Diabetes requiring oral medication. 2. .telerik-reTable-4 td.telerik-reTableLastCol-4 background: #4F81BD; Service, Contact 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. It helps answer some of the basics about medical waivers. Get access to thousands of forms. The MMC application package must be submitted to your local REC. You can learn more details about the revised policy, including the opportunity to request a second medical waiver review, here! Herniated disc or history of surgical correction of this condition, History of chronic or recurrent low back pain, Surgical or congenital fusion of any part of the spine. 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. If the military deems you unfit for service, you may have a chance of receiving a military medical waiver. New recruits spend their first few days of basic training at MEPS making sure they pass all the medical requirements. services, For Small This information is not part of the official Federal Register document. 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. As a result, you may face more obstacles to overcoming disqualifying health conditions yet a medical waiver is still possible. However, permanent disqualifications require you to receive a medical waiver since the condition is not going to change with time. A. 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. 46 CFR 10.302 contains the medical standards that merchant mariners must meet prior to being issued a merchant mariner credential (MMC). Each document posted on the site includes a link to the Any restriction will be reflected on the medical certificate and may include restriction of route or trade. However, one branch may approve a waiver while another branch may not based on the condition, your role in the military, and other factors. Anyone else out there? B Y?s^'-j,YDEV 4&#Qd(#&SmRQwt%!++2`L4>&^:j >/# Authority: A military medical waiver is an opportunity to receive special permission to join the military for a disqualifying health condition. You cannot enlist with a permanent medical disqualification without an approved waiver. 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. border: solid 0px; .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 All the military branches follow the same guidelines set forth by the Department of Defense for 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. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators (ICDs) 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. Individuals with this condition may be denied medical certification unless they meet the criteria for a medical waiver: 1. border-width: 1pt; ( 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. border-bottom-style: solid; More information and documentation can be found in our Those with a temporary disqualification do not need to apply for a waiver. The same recommendation is plausible in any of the military branches as MEPS falls under the command of the DOD. The Coast Guard PSC is our service's waiver granting authority and their final decision cannot be appealed further. It made his day doubly special. 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. 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 . 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. Just What Does It Take To Get Equal Access To Justice? Contact your local Health Safety & Work Life Regional Practiceor CG SUPRT 24/7/365. He currently resides in Meridian, Mississippi. 2. Abnormalities which interfere with wearing military equipment or are disfiguring. Here are some frequently asked questions about military medical waivers. The same guidance publishes the recommended evaluation data that should be submitted for each condition; however it does not specify the medical criteria that the Coast Guard will consider in evaluating whether the risks associated with these conditions are low enough to warrant a medical waiver. The intuitive drag&drop graphical user interface makes it simple to add or move fields. My DS was also granted his waiver. border-bottom-style: solid; .telerik-reTable-4 td.telerik-reTableFooterFirstCol-4 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. { Guarantees that a business meets BBB accreditation standards in the US and Canada. Does the Coast Guard offer medical waivers? for better understanding how a document is structured but border-width: 1pt; { Captain, U.S. Coast Guard, Director of Inspections & Compliance. DD still waiting. This also may have already happened. The assessment of fitness for duty will be based on ones ability to perform all functions associated with ones present assignment and ability to remain worldwide deployable. We got a confirmation that it was requested because he received an LOA but no other news since late Sep'18. padding: 0in 5.4pt 0in 5.4pt; You may submit your comments and material online or by fax, mail or hand delivery, but please use only one of these means. } color: #355C8C; [FR Doc. In determining whether a mariner having one of the aforementioned conditions warrants a medical waiver under 46 CFR 10.303, the Coast Guard seeks public input on whether the Coast Guard should consider the following specific medical documentation and medical criteria: I. NVIC 04-08, Condition #77: Cardiac decompensation or cardiomyopathy. Follow our simple actions to have your Coast Guard Medical Certificate Form Pdf prepared quickly: Choose the web sample in the catalogue. (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).