USMA has a two step process for medical waivers. if the condition is potentially waiverable, then the first step is a recommendation to either “Grant” or “Not Grant” from the military physicians at Keller Hospital (located at West Point.) If the doctors recommendation is “Grant” then, unlike other SAs, the waiver is referred back to an admissions waiver committee (made up of staff and faculty from West Point) that reviews the candidate file, medical recommendations and then makes the final decision. If the doctors at Keller do not recommend the waiver be granted the process stops there.
The medical process of all the SAs are similar. The waiver criteria and “needs of the service” will vary. The main difference with USMA is that for most of the SAs, once the medical authorities at the SA recommended the waiver - it is granted. At USMA even after the doctors recommended that admissions grant the waiver, it will still come back to the waiver committee for a final decision. USNA and Naval Reserve granted my DS waivers in a couple weeks last year, USMA took three months!