Medical Services Standards of Medical Fitness - Calculator

1 UNCLASSIFIED army Regulation 40 501 Medical Services Standards of Medical Fitness Headquarters Department of the army Washington, DC 14 June 2017 SUMMARY of CHANGE AR 40 501 Standards of Medical Fitness This mandated revision, dated 14 June 2017 o Implements Secretary of the army Memorandum for the Commander, army Cadet Command, dated 21 April 2016, and Secretary of the army Memorandum for the Superintendent, Military Academy, dated 6 Nov 2015, allowing the Cadet Command and the Military Academy to be waiver authorities (paras 1 6c(1), 1 6c(2), and 1 6e). o Implements the national defense Authorization Act, Fiscal Year 2017, Section 524 amendment to 10 USC 1177, to include Medical examination for sexual assault victims prior to separation from the army (para 8 24a(3)). *This regulation supersedes AR 40 501, dated 22 December 2016. AR 40 501 14 June 2017 UNCLASSIFIED i Headquarters Department of the army Washington, DC * army Regulation 40 501 14 June 2017 Effective 14 June 2017 Medical Services Standards of Medical Fitness History.

2 This publication is a mandated revision. Summary. This publication implements 10 USC 1177, DODD , DODI , and AD 2016 30. It provides infor-mation on Medical Fitness Standards for in-duction, enlistment, appointment, retention, and related policies and procedures. The publication of this mandated revision does not rescind or supersede policy changes to this regulation found in army directives ex-isting at the time of this publication. Applicability. This regulation applies to the active army , the army national Guard/ army national Guard of the United States, and the army Reserve, unless otherwise stated. It also applies to candi-dates for military service. During mobiliza-tion, the proponent may modify chapters and policies contained in this regulation. The publication of this mandated revision does not rescind or supersede policy changes to this regulation found in army directives existing at the time of this publi-cation.

3 Proponent and exception authority. The proponent of this regulation is The Sur-geon General. The proponent has the au-thority to approve exceptions or waivers to this regulation that are consistent with con-trolling law and regulations. The proponent may delegate this approval authority, in writing, to a division chief within the pro-ponent agency or its direct reporting unit or field operating agency, in the grade of colo-nel or the civilian equivalent. Activities may request a waiver to this regulation by providing justification that includes a full analysis of the expected benefits and must include formal review by the activities sen-ior legal officer. All waiver requests will be endorsed by the commander or senior leader of the requesting activity and for-warded through their higher headquarters to the policy proponent. Refer to AR 25 30 for specific guidance. army internal control process.

4 This regulation contains internal control provi-sions and identifies key internal controls that must be evaluated (see appendix B). Supplementation. Supplementation of this regulation and establishment of com-mand and local forms are prohibited with-out prior approval from The Surgeon Gen-eral (DASG HS AS), 5109 Leesburg Pike, Falls Church, VA 22041 3258. Suggested improvements. Users are invited to send comments and suggested improvements on DA Form 2028 (Recom-mended Changes to Publications and Blank Forms) directly to the Office of The Sur-geon General (DASG HS AS), 5109 Leesburg Pike, Falls Church, VA 22041 3258. Distribution. This publication is availa-ble in electronic media only and is intended for command levels A, B, C, D, and E for Medical activities only of the active army , the army national Guard/ army national Guard of the United States, and the army Reserve.

5 Contents (Listed by paragraph and page number) Chapter 1 General Provisions, page 1 Purpose 1 1, page 1 References 1 2, page 1 Explanation of abbreviations and terms 1 3, page 1 Responsibilities 1 4, page 1 Medical classification 1 5, page 1 Review authorities and waivers 1 6, page 1 Chapter 2 Physical Standards for Enlistment, Appointment, and Induction, page 3 General 2 1, page 3 Application and responsibilities 2 2, page 3 Contents Continued ii AR 40 501 14 June 2017 Abdominal organs and gastrointestinal system 2 3, page 4 Blood and blood-forming tissue diseases 2 4, page 5 Dental 2 5, page 5 Ears 2 6, page 5 Hearing 2 7, page 6 Endocrine and metabolic disorders 2 8, page 6 Upper extremities 2 9, page 6 Lower extremities 2 10, page 7 Miscellaneous conditions of the extremities 2 11, page 8 Eyes 2 12, page 8 Vision 2 13, page 10 Genitalia 2 14, page 10 Urinary system 2 15, page 11 Head 2 16.

6 Page 12 Neck 2 17, page 12 Heart 2 18, page 12 Vascular system 2 19, page 12 Height 2 20, page 13 Weight 2 21, page 13 Body build 2 22, page 13 Lungs, chest wall, pleura, and mediastinum 2 23, page 13 Mouth 2 24, page 13 Nose, sinuses, and larynx 2 25, page 14 Neurological disorders 2 26, page 14 Learning, psychiatric and behavioral disorders 2 27, page 15 Skin and cellular tissues 2 28, page 16 Spine and sacroiliac joints 2 29, page 17 Systemic diseases 2 30, page 17 Tumors and malignant diseases 2 31, page 18 General and miscellaneous conditions and defects 2 32, page 18 Chapter 3 Medical Fitness Standards for Retention and Separation, Including Retirement, page 20 General 3 1, page 20 Application 3 2, page 20 Disposition 3 3, page 21 General policy 3 4, page 21 Abdominal and gastrointestinal defects and diseases 3 5, page 21 Gastrointestinal and abdominal surgery 3 6, page 22 Blood and blood-forming tissue diseases 3 7, page 22 Dental diseases and abnormalities of the jaws 3 8, page 23 Ears 3 9, page 23 Hearing 3 10, page 23 Endocrine and metabolic disorders 3 11, page 23 Upper extremities 3 12, page 24 Lower extremities 3 13, page 24 Miscellaneous conditions of the extremities 3 14, page 25 Eyes 3 15, page 26 Vision 3 16, page 26 Genitourinary system 3 17, page 26 Genitourinary and gynecological surgery 3 18, page 27 Head 3 19, page 27 Neck 3 20, page 27 Heart 3 21, page 27 Vascular system 3 22, page 28 Miscellaneous cardiovascular conditions 3 23, page 29 Contents Continued AR 40 501 14 June 2017 iii Surgery and other invasive procedures involving the heart, pericardium, or vascular system 3 24, page 29 Trial of duty and profiling for cardiovascular conditions 3 25.

7 Page 29 Tuberculosis, pulmonary 3 26, page 30 Miscellaneous respiratory disorders 3 27, page 30 Surgery of the lungs 3 28, page 31 Mouth, esophagus, nose, pharynx, larynx, and trachea 3 29, page 31 Neurological disorders 3 30, page 32 Disorders with psychotic features 3 31, page 33 Mood disorders 3 32, page 33 Anxiety, somatoform, or dissociative disorders 3 33, page 33 Dementia and other cognitive disorders due to general Medical condition 3 34, page 33 Personality, exhibitionism, transvestism, voyeurism, other paraphilias, or factitious disorders; disorders of impulse con-trol not elsewhere classified 3 35, page 33 Adjustment disorders 3 36, page 33 Eating disorders 3 37, page 33 Skin and cellular tissues 3 38, page 33 Spine, scapulae, ribs, and sacroiliac joints 3 39, page 34 Systemic diseases 3 40, page 35 General and miscellaneous conditions and defects 3 41, page 36 Malignant neoplasms 3 42, page 36 Benign neoplasms 3 43, page 37 Sexually transmitted diseases 3 44, page 37 Exertional heat illness 3 45, page 37 Cold injury 3 46, page 38 Chapter 4 Medical Fitness Standards for Flying Duty, page 40 General 4 1, page 40 Classes of Medical Standards for flying and applicability 4 2, page 41 Aeromedical consultation 4 3, page 41 Abdomen and gastrointestinal system 4 4, page 41 Blood and blood forming tissue diseases 4 5, page 42 Dental 4 6, page 42 Ears 4 7, page 42 Hearing 4 8.

8 Page 43 Endocrine and metabolic diseases 4 9, page 43 Extremities 4 10, page 43 Eyes 4 11, page 43 Vision 4 12, page 43 Genitourinary 4 13, page 44 Head and neck 4 14, page 44 Heart and vascular system 4 15, page 45 Linear anthropometric dimensions 4 16, page 45 Weight and body build 4 17, page 46 Lung and chest wall 4 18, page 46 Mouth 4 19, page 46 Nose 4 20, page 46 Pharynx, larynx, trachea, and esophagus 4 21, page 46 Neurological disorders 4 22, page 46 Mental disorders 4 23, page 48 Skin and cellular tissues 4 24, page 48 Spine, scapula, ribs, and sacroiliac joints 4 25, page 48 Systemic diseases 4 26, page 49 Malignant diseases and tumors 4 27, page 49 Sexually transmitted diseases 4 28, page 49 Aeromedical adaptability 4 29, page 49 Contents Continued iv AR 40 501 14 June 2017 Reading Aloud Test 4 30, page 50 Department of the army civilian and contract civilian aircrew members 4 31, page 50 Medical Standards for Class 3 personnel 4 32, page 50 Medical Standards for ATC personnel 4 33, page 51 Chapter 5 Medical Fitness Standards for Miscellaneous Purposes, page 52 General 5 1, page 52 Application 5 2, page 52 Medical Fitness Standards for initial selection for Airborne training, Ranger training, and Special Forces training, and Reconnaissance and Surveillance Leaders Course training 5 3, page 52 Medical Fitness Standards for selection for survival, evasion, resistance, escape training 5 4, page 54 Medical Fitness Standards for retention for Airborne duty, Ranger duty, and Special Forces duty 5 5, page 55 Medical Fitness Standards for initial selection for free fall parachute training 5 6, page 55 Medical Fitness Standards for retention for free fall parachute duty 5 7.

9 Page 56 Medical Fitness Standards for army service schools 5 8, page 56 Medical Fitness Standards for initial selection for marine diving training (Special Forces and Ranger combat div-ing) 5 9, page 56 Medical Fitness Standards for retention for marine diving duty (Special Forces and Ranger combat div-ing) 5 10, page 58 Medical Fitness Standards for initial selection for other marine diving training (MOS 00B) 5 11, page 58 Medical Fitness Standards for retention for other marine diving duty (MOS 00B) 5 12, page 60 Asplenic Soldiers 5 13, page 60 Medical Fitness Standards for deployment and certain geographical areas 5 14, page 60 Height Military Academy, Reserve Officers Training Corps, and Uniformed Services University of Health Sci-ences 5 15, page 65 Chapter 6 Aeromedical Administration, page 65 General 6 1, page 65 Definition of terms 6 2, page 65 Application 6 3, page 66 army Aviation Medicine Program responsibilities 6 4, page 66 Authorizations 6 5, page 67 Classification of flying duty Medical exams 6 6, page 67 Purpose of flying duty Medical exams 6 7, page 67 Frequency and period of validity of FDMEs 6 8, page 68 Facilities and examiners 6 9, page 69 Disposition and review of flying duty Medical examinations 6 10, page 69 Issuing DD Form 2992 6 11, page 70 General principles 6 12.

10 Page 71 Responsibilities and review following a change in health of aircrew members 6 13, page 72 Review and disposition of disqualifications for Class 3 6 14, page 73 Review and disposition of disqualifications for Classes 2/2F/4 6 15, page 73 Temporary Medical suspension 6 16, page 73 Medical termination from aviation service 6 17, page 74 Aeromedical waiver 6 18, page 74 Aeromedical requalification 6 19, page 75 Waiver and suspension authorities 6 20, page 75 Chapter 7 Physical Profiling, page 76 General 7 1, page 76 Application 7 2, page 76 Physical profile serial system 7 3, page 76 Temporary vs. permanent profiles 7 4, page 77 Contents Continued AR 40 501 14 June 2017 v Representative profile serial and codes 7 5, page 78 Profiling officer and approving authority 7 6, page 79 Recording and reporting of initial physical profile 7 7, page 79 Profiling reviews and approvals 7 8, page 79 Profiling pregnant Soldiers 7 9, page 80 Postpartum profiles 7 10, page 82 Preparation, approval, and disposition of DA Form 3349 7 11, page 82 Responsibility for personnel actions 7 12, page 84 Physical profile and the army Weight Control Program 7 13, page 84 Chapter 8 Medical Examinations Administrative Procedures, page 86 General 8 1, page 86 Applications 8 2, page 87 Physical Fitness 8 3, page 87 Consultations 8 4, page 87 Distribution of Medical reports 8 5, page 87 Documentary Medical evidence 8 6, page 88 Facilities and examiners 8 7, page 88 Hospitalization 8 8.