Physician's Letter and Medical Waivers

Discussion in 'DoDMERB' started by Markwellfam, Jun 4, 2017.

  1. Markwellfam

    Markwellfam New Member

    Joined:
    Jun 4, 2017
    Messages:
    8
    Likes Received:
    0
    My son is in the process of applying for a medical waiver for the AFROTC pertaining to ADD. The TSgt has requested a letter from his physician that she can send up. His Doctor is requesting guidance on the format of how this letter should written. Does anyone have an example of one that they would share?
     
  2. 5Day

    5Day Member

    Joined:
    Nov 18, 2015
    Messages:
    1,724
    Likes Received:
    964
    I do not have a specific example, but hopfully someone can provide one.
    However review the medical standard
    Since a waiver is requested, I assume that DS does not meet the medical standard. The letter, at a minimum, should address what is identified in standard and describe how/why what he does not meet will not have an impact on his military career. Below are the points from the medical standard for ADHD:
    Attention Deficit Hyperactivity Disorder (ADHD) (314) UNLESS the following criteria are met:
    (1) The applicant has not required an Individualized Education Program or work accommodations since the age of 14.
    (2) There is no history of comorbid mental disorders.
    (3) The applicant has never taken more than a single daily dosage of medication or has not been prescribed medication for this condition for more than 24 cumulative months after the age of 14.
    (4) During periods off of medication after the age of 14, the applicant has been able to maintain at least a 2.0 grade point average without accommodations.
    (5) Documentation from the applicant’s prescribing provider that continued medication is not required for acceptable occupational or work performance.
    (6) Applicant is required to enter service and pass Service-specific training periods with no prescribed medication for ADHD.
     
  3. 5Day

    5Day Member

    Joined:
    Nov 18, 2015
    Messages:
    1,724
    Likes Received:
    964
    Just read this in the sticky "waiver timeline" and thought it was appropriate to repost here. Some additional points for your DS physician to address.

    8. Waiver criteria – The main focus of all waiver decisions is centered on the ability to train, be commissioned, and be world-wide deployable upon graduation. In applying this objective, some of the questions that are considered are: a) Is the condition progressive? b) Is the condition subject to aggravation by military service? c) Will the condition preclude satisfactory completion of prescribed training and subsequent military duty? d) Will the condition constitute an undue hazard to the applicant or to others the applicant will be charged in leading, particularly under combat conditions?
     
    lpk5 likes this.
  4. Markwellfam

    Markwellfam New Member

    Joined:
    Jun 4, 2017
    Messages:
    8
    Likes Received:
    0
    Thank you for your response. He currently meets all these requirements with a 3.7 cum gpa at ASU and excelled in all of his first year ROTC classes and physical fitness test. He was also initiated into Arnold Air Society. Your last post is very helpful as an outline to what needs to be addressed in the letter. If anyone has a sample letter, that would also be helpful. It doesn't need to address ADD, any condition will provide the format. Please black out any sensitive information.
     
  5. 5Day

    5Day Member

    Joined:
    Nov 18, 2015
    Messages:
    1,724
    Likes Received:
    964
    DoDMERB, at times, seems to be disqualifying applicants that have had a DQ condition like asthma, ADHD, etc. even though they meet the exception criteria. It has been reported that their rationale is that they want to give the waiver authority the opportunity to review the medical file and make the final decision.
    Since you DS meets the criteria, I would have documentation that clearly identifies each exception requirement to make it crystal clear to the waiver authority that your DS meets the criteria. Then in addition address the points in my second post.

    I to would like to see a well crafted Dr. letter that was used to successfully obtain a medical waiver.
     
    lpk5 likes this.
  6. AROTC-dad

    AROTC-dad Moderator 5-Year Member

    Joined:
    Mar 14, 2014
    Messages:
    5,046
    Likes Received:
    5,010
  7. Markwellfam

    Markwellfam New Member

    Joined:
    Jun 4, 2017
    Messages:
    8
    Likes Received:
    0
    Yes, it is useful information. Thank you.
     
  8. reservesparent3300

    reservesparent3300 New Member

    Joined:
    Jun 19, 2018
    Messages:
    1
    Likes Received:
    0
    Can you tell me if you ever found an acceptable template or format for the doctors letter? My sons dr has offered to write but is requesting specific guide . Thanks