Glad to hear he has not only a viable but an excellent option. Give yourself a break on the reporting thing, and avoid woulda coulda shoulda, if you can. The PTR, in the Health Status section, requires reporting any changes since the DODMERB exam. OCS is worth considering, and is also a highly competitive program, as OCS seats vary with the needs of the Navy. Fewer seats will be available if the Navy meets its intake goals from USNA, NROTC and other commissioning paths. The DODMERB officer accession standards are the same, though I think I saw you mention a two-year period post-incident for a waiver consideration. Strong STEM performance, stellar GPA, continued fitness and no misconduct will be the foundation for a shot at OCS. I realize the wound is still raw, but with a bit of reflection and distance, he may want to consider re-applying to USNA. DODMERB is good for 2 years, for all the other aspects. The waiver process/waiting period might not be set in stone. He might be able to gather additional medical documentation that ameliorates the initial findings. Candidates can and do apply multiple times, slogging through the nom process, updating other materials, etc., and their determination does not go unnoticed.