Presentation on theme: "AF Form 422."— Presentation transcript:
1 AF Form 422
2 PHYSICAL PROFILEOutlined in AFI , Chapter 10, & Attachments 11 & 13
3 Purpose of Profiling System - system of classifying individuals according to their functional abilitiesApplicability:Applicants for appointment, enlistment, and induction into militaryActive & ARC (throughout their military service)
4 PurposeCommunicates information in layman’s terms to NONMEDICAL authoritiesDetailed instruction for completingAF Fm 422, are found in AFPAM
5 Initial ProfileAirmen – Force Health Management personnel review profile from basic training.Officers - first permanent duty station.
6 Factors - human functions are divided into six factors designated P U
LHESPrevious ProfileRevised TemporaryPermanent Profile
7 P -Physical Status Relative to Organic Defects or Systemic Diseases
Rate here organic defects or systemic diseases that are not normally rated under other profile factorsPULHESPrevious ProfileRevised TemporaryPermanent Profile
8 P-Physical (Cont) Cardiovascular Diseases Pulmonary Diseases
Gastrointestinal DiseasesRenal DiseasesAllergiesHerniasEndocrine DisordersDental Defects
9 U -Upper Extremities - rate here functional use, strength, range of motion and general efficiency of hands, arms, shoulder girdle, and spine (cervical & thoracic)PULHESPrevious ProfileRevised TemporaryPermanent Profile
10 L-Lower Extremities - rate here functional use, strength, range of motion and general efficiency of feet, legs, pelvic girdle, lower back (lumbar & sacral)PULHESPrevious ProfileRevised TemporaryPermanent Profile
11 H-Hearing - rate here ONLY Auditory Acuity
Organic defects of the ears are profiled under “P”See Attachment 11 of AFI for instructions for establishing “H” profilePULHESPrevious ProfileRevised TemporaryPermanent Profile
12 E-Eyes - rate here ONLY DISTANT VISUAL ACUITY
Organic eye diseases and visual field defects are profiled under “P”Near vision and color vision are not profiledSee Attachment 13 of AFI for establishing “E” profilesPULHESPrevious ProfileRevised TemporaryPermanent Profile
13 S-Psychiatric - rate here emotional stability and neuro-psychiatric history, psychotic and neurotic conditionsPULHESPrevious ProfileRevised TemporaryPermanent Profile
14 GRADES (NUMBERS) P U L H E S Suffix Previous Profile Revised Temporary
15 A 1, 2, or 3 Profile indicates the member is medically qualified for
World Wide Duty (WWD)A 4 Profile indicates the member IS NOT medically qualified for World Wide DutyWWD)PULHESSuffixPrevious ProfileRevised TemporaryPermanent Profile
17 W - member IS considered medically qualified for WWD
This suffix is used when the profile contains only 1s, 2s, or 3sPULHESSuffixPrevious ProfileRevised TemporaryPermanent Profile
18 T - the physical profile contains one or more 4s, indicating the member IS NOT considered worldwide serviceThe defect is temporary & expected to resolve within 12 months or lessThe “T” suffix is not to be used with a 1, 2, or 3 profileDefects of a temporary nature can be reflected in the remarks section
19 C - members awarded an Assignment Limitation Code - C (ALC-C) will:
Retain the “T” suffixThe physical profile contains one or more 4sIn the remarks section enter the ALC-C and the restrictions
20 DO NOTenter an ALC-C unless it hasbeen authorized by HQ AFPC
21 Periodic 422 Review Revalidate or Revise the Profile:
At all standard (PHA’s) or special purpose medical examinationsOn return to normal duty after any illness or injury that significantly affected duty performance or qualification for WWD
22 Periodic 422 Review Cont. REVIEW/REVALIDATE PROFILE
On selection for overseas, geographically separated unit, or combat zone assignment.Pregnancy profiles reviewed by the clinic providing care. Any changes in restrictions must be referred to Force Health Management
23 Periodic 422 Review Cont. REVIEW/REVALIDATE PROFILE
The MPF (normally Outbound Assignment section) provides Assignment Availability Code 31, 37, and 81 roster on a monthly basis( FHM Quality Control)Code 31 - members on a 4TCode 37 - Pending an MEB/PEBCode 81 - Pregnancy profile
24 Duty Limitations Worldwide Duty & Deployability Limitation:
4T profile precludes TDY/PCS until MEB/PEB processing is completed or condition is resolved60 calendar days (MPF)When an assignment is pendingConfirm by MPFPhysician provides medical facts and circumstances to HQ AFPC
25 Duty Limitations Cont. Temporary Occupational Restriction
Use AF Fm 422 and 1042 to inform the member’s unit commander or supervisor of member’s injury or illness which limits job performance, or deployability, for a specified duration
26 Duty Limitations Cont. (Cont)
4T profiles issued for less than 60 days are not forwarded to the MPF and can be handwrittenPIMR Driven!
27 Medical Evaluation Board (MEB) Process
I.D. / 4T ProfileMEB/PEBLO clerk brief patientMTF conducts MEBAFPC action (PEB if necessary)Returned to MTFNew profile completed (Assignment Limitation Code C)
28 MTF Profile Officers - a position delegated down from the MTF Commander usually to the senior flight surgeon (Flight Medicine and Primary Care PCMs). Profile officer ensures profiles are accurate and completed in a timely manner.
29 Temporary Disability Retirement List (TDRL)
Members who qualify for disability retirement but whose degree of permanent impairment has not yet stabilized are temporarily retired
30 Additional UsageNotification to MPF of member’s qualification for retirement/separationDrug Abuse ReportingAFSC Medical Retraining - Medical defect permanently precludes further employment within a AFSC (Strength Aptitude Test (SAT). Recommendation for retraining is sent to MPF. Confirmed by member’s CommanderCommanders notification of member’s refusal to submit DNA samplePhysical restrictions / Fitness exemptions(Cycle Ergo testing excusal)
31 Use of the Department of the Army (DA) Fm 3349:
Is acceptable in lieu of AF Fm 422Review entries which recommends temporary or permanent geographic or climate assignment or restrictionsArmy’s 3 profile IS NOT compatible with WWD assignability in the AF & must be converted to a 4 profile
32 DistributionDistribute the AF Form 422 to the agencies listed in the bottom right hand corner of each copyTemporary ProfilesMEB Profiles (include MPF)
NELLIS AIR FORCE BASE, Nev. — It can be hard to foresee what the future may hold, especially for military members.
Unfortunately, life can throw a wicked curveball. An Airman who may have wanted to make the Air Force a career might not get that opportunity due to unforeseen injuries or medical conditions.
“The medical evaluation board is for people that have varying injuries or conditions,” said Staff Sgt. Shawna Yoder, 99th Medical Support Squadron NCO in charge of the medical evaluation board office. “There are all different kinds of factors that can activate a Code 37 or make you eligible for an MEB.”
For example, Airmen who consistently do not test on certain components of a physical training test are brought up at the deployment availability working group (DAWG), a first step toward an MEB.
“Doctors, nurses, and administrative personnel will discuss your medical condition(s) and make the determination to turn on a Code 37, which means we’re going to formally consider you for an initial review in lieu of (IRILO) an MEB,” said Yoder.
Additionally, there are certain medical conditions, that when diagnosed, could automatically trigger an IRILO.
“If they’ve had consecutive fitness failures or if they miss certain components for a certain amount of time, the profile officers catch it and they’ll put them up for review,” said Ruben Sison, 99th Medical Support Squadron physical evaluation board liaison officer. “Not necessarily for a MEB, but to figure out why a member could be on a no push-up profile off-and-on for the past two years.”
If the profile officers can’t narrow a cause down, then the individual might not be ready for an MEB.
“It’ll flag and appear on our radar, but we’ll figure out if it warrants an MEB or if the commander or first sergeant needs to pursue administrative action,” said Yoder.
Yoder emphasized that at this point in the process, individuals aren’t undergoing a full MEB yet.
“This doesn’t mean you’re going to get kicked out or retired,” she said. “You’re still in the beginning stages. Some people think ‘that’s it, I’m getting out’ — however, that’s not the case yet.”
At this point, all of the individual’s relevant information will be brought up at the DAWG.
“If the DAWG members feel like you’ve met the maximum medical improvement, they’ll turn your Code 37 on and do the IRILO,” said Yoder. “So for the IRILO we’ll get a narrative summary from the provider, get a current copy of your (Air Force Form) 469, and a commander’s impact letter. Also, we’ll get any medical records pertinent to your condition or injury. Then we’ll send it to the Air Force Personnel Center.”
AFPC makes the determination if the member should be returned to duty (sometimes with an assignment limitation code) or if they should go through a full MEB. While going through an MEB, individuals can’t deploy, PCS, or go TDY.
If it is determined that the case should undergo a full MEB, then you will begin the stages of the full MEB process. Once that is complete, your information is sent to the informal board at AFPC and the informal board will make a determination on an individual’s case.
“If you don’t agree with AFPC’s informal board determination, you can dispute it and proceed to the formal board. That’s when you’ll actually meet before a board of doctors,” said Yoder. “That doesn’t happen with every case. That’s only if you disagree with the results you get. If you don’t like (the formal board’s) determination, then you still have the option to dispute your case to the Secretary of the Air Force. There is no board (for the SECAF), our office will send all your information up and they review it.”
“The purpose of the MEB isn’t necessarily to get someone medically retired or medically separated, it’s to make sure that we do what is best for the individual,” said Sison. “A majority of the time when they do have injuries or illnesses, they’ll do an assignment limitation code which states they have a condition that can be controlled and they can remain in the Air Force.
If an individual gets put on an assignment limitation code because of their condition, then they must get a waiver to deploy.
“That makes sure that before you deploy or do a permanent change of station, we’ve sent your waiver to the (chief of medical staff) and they’ve approved for you to go,” said Yoder.
“If the member isn’t 100 percent ready, we’re making sure the gaining base knows that and can determine if they can handle the medical condition at that base.
“If a member can’t deploy, PCS, or go TDY, that places a strain on the rest of their unit because now those people have to pick up the slack,” said Yoder. “By processing these waivers we’re helping the unit stay mission ready and alleviating some of that strain.”
Airmen can also get brought before the board if they have a canceled PCS or deployment because of a medical condition, said Senior Airman Rebecca Brown, 99th Medical Support Squadron PEBLO.
For more information about the medical evaluation board or its process, contact the MEB office at 702-653-2180.