Help Understanding Waiver Process - D171.00

Hoopgirl

New Member
Joined
Dec 18, 2019
Messages
6
Good Morning,

I'm looking for guidance on how to work though the waiver process for what I would think is a typical situation for athletic females applying to a service academy. Yesterday, I received update from DoDMERB, stating I do not meet medical standards for the following reason(s) - D171.00. Any advice on how to work on the waiver process, this is now my last hurdle, as GPA and ACT are where they need to be and earlier this week I received my nomination from our Senator. Do I reach out to ALO or Admissions Counselor for guidance.
 
Good Morning,

I'm looking for guidance on how to work though the waiver process for what I would think is a typical situation for athletic females applying to a service academy. Yesterday, I received update from DoDMERB, stating I do not meet medical standards for the following reason(s) - D171.00. Any advice on how to work on the waiver process, this is now my last hurdle, as GPA and ACT are where they need to be and earlier this week I received my nomination from our Senator. Do I reach out to ALO or Admissions Counselor for guidance.

Have you gone to the DODMERB site and worked your way through every item in the hamburger menu on the left? FAQs, a diagram of the workflow process including waiver process, a detailed description of the entire process, and other items? That’s a great place to start if you haven’t reviewed that in detail.

It’s in your SA’s hands to initiate the waiver process for you, if they choose to, which will trigger formal requests for remedial information. There are medical folks working with Admissions at each SA, who determine what is needed to make a waiver determination. Some DQs are never waiverable. Some are routinely waived. Some waivers may be granted for certain conditions up to X numbers per class.

Are you a recruited athlete? Let your coach know what’s going on.

If the remedial process goes past the application deadline, that’s ok, and is not uncommon. If your application is complete and submitted, you’re fine. DQ resolutions can continue to bubble into the spring.

I copied the below off the workflow process diagram on the DODMERB website, to give a glimpse of the detailed info there.
`
“Medical Waiver consideration from Waiver Authorities (WA)
(**Medical Waivers are only necessary if the applicant does not meet the DoD medical standards outlined in DoDI 6130.3. DoDMERB must follow the guidance in DoDI 6130.3. WA reside at the military agency the applicant is applying to. The WA may exceed the DoDMERB standards and grant medical waivers, if they so choose.)
When DoDMERB determines the applicant “Does Not Meet Medical Standards”, the application is auto- placed onto the waiver website for waiver consideration by the agency the applicant applied to.
The Medical Waiver Authority (WA) will electronically make one of (3) decisions:
Waiver Granted
“Waiver Granted” decision by the WA of the agency the applicant applied to will populate DoDMERB’s software.
WA of the agency the applicant applied to will notify the applicant of this decision, along with electronically notifying DoDMERB
DoDMERB will post the outcome of the WA on the DODMERB website. This update will also notify the agency the applicant applied to.
NOTE:
The actions the Medical Waiver Authorities can take (in yellow diamonds) are applicable to all military branches and all applications (West Point, Navy ROTC, AF In-College, etc).
Waiver Denied
“Waiver Denied” decision by the WA of the agency the applicant applied to will populate DoDMERB’s software.
WA of the agency the applicant applied to will notify the applicant of this decision, along with electronically notifying DoDMERB
DoDMERB will post the outcome of the WA on the DODMERB website. This update will also notify the agency the applicant applied to.
However, in the case of the Service Academies, the Service Academy Admissions Office may not even forward the examination to the Medical Waiver Authority for waiver review if in the eyes of the Admissions Office the applicant is not considered competitive for a chair.
Request AMI
AMI request. The applicant, the contractor or the MTF will forward the AMI to DoDMERB.
Waivers 2nd version.vsd
Q: Drive
DoDMERB will notify the applicant of the need for Additional Medical Information (AMI)
The applicant completes the
DoDMERB will process the AMI and then send a letter to the applicant based on the outcome.”
 
I looked up that code in the hamburger menu on the DODMERB site. The waiver authority may ask for additional doctor’s records on original diagnosis, how long the condition has been present, any treatment prescribed, whether the condition is thought to be related to to activity level and does not occur otherwise, extent to which it does or does not hamper your ability to perform, etc.

Your task at this point is to educate yourself on what the primary source says, and stand by to respond to remedial requests (AMI, Additional Medical Information).
 
Have you gone to the DODMERB site and worked your way through every item in the hamburger menu on the left? FAQs, a diagram of the workflow process including waiver process, a detailed description of the entire process, and other items? That’s a great place to start if you haven’t reviewed that in detail.

It’s in your SA’s hands to initiate the waiver process for you, if they choose to, which will trigger formal requests for remedial information. There are medical folks working with Admissions at each SA, who determine what is needed to make a waiver determination. Some DQs are never waiverable. Some are routinely waived. Some waivers may be granted for certain conditions up to X numbers per class.

Are you a recruited athlete? Let your coach know what’s going on.

If the remedial process goes past the application deadline, that’s ok, and is not uncommon. If your application is complete and submitted, you’re fine. DQ resolutions can continue to bubble into the spring.

I copied the below off the workflow process diagram on the DODMERB website, to give a glimpse of the detailed info there.
`
“Medical Waiver consideration from Waiver Authorities (WA)
(**Medical Waivers are only necessary if the applicant does not meet the DoD medical standards outlined in DoDI 6130.3. DoDMERB must follow the guidance in DoDI 6130.3. WA reside at the military agency the applicant is applying to. The WA may exceed the DoDMERB standards and grant medical waivers, if they so choose.)
When DoDMERB determines the applicant “Does Not Meet Medical Standards”, the application is auto- placed onto the waiver website for waiver consideration by the agency the applicant applied to.
The Medical Waiver Authority (WA) will electronically make one of (3) decisions:
Waiver Granted
“Waiver Granted” decision by the WA of the agency the applicant applied to will populate DoDMERB’s software.
WA of the agency the applicant applied to will notify the applicant of this decision, along with electronically notifying DoDMERB
DoDMERB will post the outcome of the WA on the DODMERB website. This update will also notify the agency the applicant applied to.
NOTE:
The actions the Medical Waiver Authorities can take (in yellow diamonds) are applicable to all military branches and all applications (West Point, Navy ROTC, AF In-College, etc).
Waiver Denied
“Waiver Denied” decision by the WA of the agency the applicant applied to will populate DoDMERB’s software.
WA of the agency the applicant applied to will notify the applicant of this decision, along with electronically notifying DoDMERB
DoDMERB will post the outcome of the WA on the DODMERB website. This update will also notify the agency the applicant applied to.
However, in the case of the Service Academies, the Service Academy Admissions Office may not even forward the examination to the Medical Waiver Authority for waiver review if in the eyes of the Admissions Office the applicant is not considered competitive for a chair.
Request AMI
AMI request. The applicant, the contractor or the MTF will forward the AMI to DoDMERB.
Waivers 2nd version.vsd
Q: Drive
DoDMERB will notify the applicant of the need for Additional Medical Information (AMI)
The applicant completes the
DoDMERB will process the AMI and then send a letter to the applicant based on the outcome.”
Thank you so much for all the information, I'll review the site again and will stay positive that I can continue in the process.
 
Good Morning,

I'm looking for guidance on how to work though the waiver process for what I would think is a typical situation for athletic females applying to a service academy. Yesterday, I received update from DoDMERB, stating I do not meet medical standards for the following reason(s) - D171.00. Any advice on how to work on the waiver process, this is now my last hurdle, as GPA and ACT are where they need to be and earlier this week I received my nomination from our Senator. Do I reach out to ALO or Admissions Counselor for guidance.

D171.00 is Abnormal Uterine Bleeding (AUB) which is a standard in the DODI that is in question because it seems to DQ too many normal, healthy females who's periods just happen to be a normal variant.

The concern with AUB is more of the cause- is there a structural or functional reason for the AUB?

Consider going to your family doctor or gynecologist for a work-up. First of all, the doctor will make sure you really meet the definition of AUB. If you don't, then you should be good.

Any waiver packet is going to include the results of the work-up to ensure no functional or structural issues. At your age, I wouldn't worry about it too much if I were your doctor. I'd worry in older women. The doctor will take a history, do a physical exam, and get studies to see if you maybe you have issues with hormones (thyroid function, prolactin, etc...), ability to clot properly (von Willebrand disease), or maybe fibroids.

If all are good and the AUB is a normal variant, then I don't see why a waiver wouldn't be recommended by the medical reviewers.

What I wish would happen to the DODI is a sentence that says AUB is NOT DQ IF work-up is normal and found to be a normal variant. This way, it wouldn't have to go to the waiver authorities only to have them give a waiver to a female who has normal periods (for her).
 
Have you gone to the DODMERB site and worked your way through every item in the hamburger menu on the left? FAQs, a diagram of the workflow process including waiver process, a detailed description of the entire process, and other items? That’s a great place to start if you haven’t reviewed that in detail.

It’s in your SA’s hands to initiate the waiver process for you, if they choose to, which will trigger formal requests for remedial information. There are medical folks working with Admissions at each SA, who determine what is needed to make a waiver determination. Some DQs are never waiverable. Some are routinely waived. Some waivers may be granted for certain conditions up to X numbers per class.

Are you a recruited athlete? Let your coach know what’s going on.

If the remedial process goes past the application deadline, that’s ok, and is not uncommon. If your application is complete and submitted, you’re fine. DQ resolutions can continue to bubble into the spring.

I copied the below off the workflow process diagram on the DODMERB website, to give a glimpse of the detailed info there.
`
“Medical Waiver consideration from Waiver Authorities (WA)
(**Medical Waivers are only necessary if the applicant does not meet the DoD medical standards outlined in DoDI 6130.3. DoDMERB must follow the guidance in DoDI 6130.3. WA reside at the military agency the applicant is applying to. The WA may exceed the DoDMERB standards and grant medical waivers, if they so choose.)
When DoDMERB determines the applicant “Does Not Meet Medical Standards”, the application is auto- placed onto the waiver website for waiver consideration by the agency the applicant applied to.
The Medical Waiver Authority (WA) will electronically make one of (3) decisions:
Waiver Granted
“Waiver Granted” decision by the WA of the agency the applicant applied to will populate DoDMERB’s software.
WA of the agency the applicant applied to will notify the applicant of this decision, along with electronically notifying DoDMERB
DoDMERB will post the outcome of the WA on the DODMERB website. This update will also notify the agency the applicant applied to.
NOTE:
The actions the Medical Waiver Authorities can take (in yellow diamonds) are applicable to all military branches and all applications (West Point, Navy ROTC, AF In-College, etc).
Waiver Denied
“Waiver Denied” decision by the WA of the agency the applicant applied to will populate DoDMERB’s software.
WA of the agency the applicant applied to will notify the applicant of this decision, along with electronically notifying DoDMERB
DoDMERB will post the outcome of the WA on the DODMERB website. This update will also notify the agency the applicant applied to.
However, in the case of the Service Academies, the Service Academy Admissions Office may not even forward the examination to the Medical Waiver Authority for waiver review if in the eyes of the Admissions Office the applicant is not considered competitive for a chair.
Request AMI
AMI request. The applicant, the contractor or the MTF will forward the AMI to DoDMERB.
Waivers 2nd version.vsd
Q: Drive
DoDMERB will notify the applicant of the need for Additional Medical Information (AMI)
The applicant completes the
DoDMERB will process the AMI and then send a letter to the applicant based on the outcome.”
D171.00 is Abnormal Uterine Bleeding (AUB) which is a standard in the DODI that is in question because it seems to DQ too many normal, healthy females who's periods just happen to be a normal variant.

The concern with AUB is more of the cause- is there a structural or functional reason for the AUB?

Consider going to your family doctor or gynecologist for a work-up. First of all, the doctor will make sure you really meet the definition of AUB. If you don't, then you should be good.

Any waiver packet is going to include the results of the work-up to ensure no functional or structural issues. At your age, I wouldn't worry about it too much if I were your doctor. I'd worry in older women. The doctor will take a history, do a physical exam, and get studies to see if you maybe you have issues with hormones (thyroid function, prolactin, etc...), ability to clot properly (von Willebrand disease), or maybe fibroids.

If all are good and the AUB is a normal variant, then I don't see why a waiver wouldn't be recommended by the medical reviewers.

What I wish would happen to the DODI is a sentence that says AUB is NOT DQ IF work-up is normal and found to be a normal variant. This way, it wouldn't have to go to the waiver authorities only to have them give a waiver to a female who has normal periods (for her).
Thank you so much, I've reached out to my family doctor about this and will work to provide additional medical information to DODMERB. or whomever may need/request it so I can quickly work towards completing the waiver process. Thanks for all the information, I do feel a bit better about still having an opportunity.
 
You are doing all the right things. You aren’t the first active young woman whose parts have their own way of doing things.

@GoCubbies gave you excellent advice, and some proactive tips. Let us know how it goes.
 
You are doing all the right things. You aren’t the first active young woman whose parts have their own way of doing things.

@GoCubbies gave you excellent advice, and some proactive tips. Let us know how it goes.
Thank you so much for all the guidance on this, I really appreciate it and I'm seeing my Doctor tomorrow to get a head start on gathering additional medical information. Not giving up yet!! Thanks again and I'll post an update.
 
My DD received the same DQ for AUB just because she skipped a month of her menstrual cycle. She's very athletic; plays high school basketball. She is very healthy 17-year old and never had any medical issues. We are looking into getting her examine by a GYN doc to provide supporting documentation to get it ready when and if DoDMERB requests for AMI. I'm hopeful that this is not the end of the road for her. We are hoping for a waiver (fingers crossed).
 
1. The posts from above are from 2019
2. MOM/DAD: Google "DoDMERB;" Hit "Questions on the process;" Read paragraph #4.
3. DD: Send me an email: lawrence.e.mullen.civ@mail.mil; provide complete name and last 4 SSN; provide the text of your Parent's posting above to YOUR email. The subject line of the email should be “bzggy-SAF = Help Understanding Waiver Process - D171.00.“ Do NOT embed links in your email as I will not be able to view those.------In the interim, read paragraphs 11-21 of the referenced document in #2 above:wiggle:
 
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