Army Regulation 40–501 Standards of Medical Fitness Manual PDF (EN)

Downloaded from https://www.everyspec.com Army Regulation 40–501 Medical Services Standards of Medical Fitness Rapid Action Revision (RAR) Issue Date: 10 September 2008 Headquarters Department of the Army Washington, DC 14 December 2007 UNCLASSIFIED

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Downloaded from https://www.everyspec.com SUMMARY of CHANGE AR 40–501 Standards of Medical Fitness This rapid action revision, dated 10 September 2008-- o Clarifies Class 3 standards (para 4-2d). o Updates flying duty health screens (paras 6-1 and 6-7). o Updates flight surgeon/aeromedical physician assistant/aviation medicine nurse practitioner/aviation medical examiner responsibilities (para 6-9). o Adds an annual medical readiness requirement for female Soldiers 25 years of age or younger to have chlamydia testing (para 8-21a). o Adds a new chapter that describes Individual Medical Readiness elements and unit status reports (chap 11). o Changes references from Commander, U.S.

Army Aeromedical Center to Director, U.S. Army Aeromedical Activity (throughout). o Makes administrative changes (throughout).

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Downloaded from https://www.everyspec.com Headquarters Department of the Army Washington, DC 14 December 2007 *Army Regulation 40–501 Effective 14 January 2008 Medical Services Standards of Medical Fitness otherwise stated. This regulation also ap- plies to candidates for military service. During mobilization, the proponent may modify chapters and policies contained in this regulation. This regulation contains management con- trol provisions and identifies key manage- ment controls that must be evaluated (see appendix B). Proponent and exception authority. The proponent of this regulation is The Surgeon General.

The proponent has the authority to approve exceptions or waivers to this regulation that are consistent with controlling law and regulations. The pro- ponent may delegate this approval author- ity, in writing, to a division chief within the proponent agency or its direct report- ing unit or field operating agency, in the grade of colonel 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 senior legal officer.

All waiver requests will be endorsed by the commander or senior leader of the requ- e s t i n g a c t i v i t y a n d f o r w a r d e d t h r o u g h t h e i r h i g h e r h e a d q u a r t e r s t o t h e p o l i c y proponent. Refer to AR 25–30 for specific guidance. S u p p l e m e n t a t i o n . S u p p l e m e n t a t i o n o f this regulation and establishment of com- mand and local forms are prohibited with- o u t p r i o r a p p r o v a l f r o m T h e S u r g e o n General (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- m e n d e d C h a n g e s t o P u b l i c a t i o n s a n d Blank Forms) directly to the Office of T h e S u r g e o n G e n e r a l ( D A S G – H S – A S ) , 5109 Leesburg Pike, Falls Church, VA 22041–3258. History. This publication is a rapid action revision (RAR). This RAR is effective 10 O c t o b e r 2 0 0 8 . T h e p o r t i o n s a f f e c t e d b y t h i s R A R a r e l i s t e d i n t h e s u m m a r y o f change. Summary. This regulation provides in- formation on medical fitness standards for induction, enlistment, appointment, reten- tion, and related policies and procedures.

This publication implements DOD Direc- tive 6130.3 and DOD Instruction 6130.4. Distribution. This publication is availa- ble in electronic media only and is in- tended for command levels A, B, C, D, and E for medical activities only of the Active Army, the Army National Guard/ A r m y N a t i o n a l G u a r d o f t h e U n i t e d States, and the U.S. Army Reserve. Applicability. This regulation applies to t h e A c t i v e A r m y , t h e A r m y N a t i o n a l Guard/Army National Guard of the United States, and the U.S. Army Reserve, unless Army management control process.

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 2 General • 2–1, page 2 *This regulation supersedes AR 40–501, dated 29 May 2007. AR 40–501 • 14 December 2007/RAR 10 September 2008 i UNCLASSIFIED

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Downloaded from https://www.everyspec.com Contents—Continued Application and responsibilities • 2–2, page 2 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 5 Endocrine and metabolic disorders • 2–8, page 5 Upper extremities • 2–9, page 6 Lower extremities • 2–10, page 6 Miscellaneous conditions of the extremities • 2–11, page 7 Eyes • 2–12, page 8 Vision • 2–13, page 9 Genitalia • 2–14, page 10 Urinary system • 2–15, page 10 Head • 2–16, page 11 Neck • 2–17, page 11 Heart • 2–18, page 11 Vascular system • 2–19, page 12 Height • 2–20, page 12 Weight • 2–21, page 12 Body build • 2–22, page 12 Lungs, chest wall, pleura, and mediastinum • 2–23, page 12 Mouth • 2–24, page 13 Nose, sinuses, and larynx • 2–25, page 13 Neurological disorders • 2–26, page 13 Learning, psychiatric and behavioral disorders • 2–27, page 14 Skin and cellular tissues • 2–28, page 15 Spine and sacroiliac joints • 2–29, page 16 Systemic diseases • 2–30, page 16 Tumors and malignant diseases • 2–31, page 17 General and miscellaneous conditions and defects • 2–32, page 17 Chapter 3 Medical Fitness Standards for Retention and Separation, Including Retirement, page 20 General • 3–1, page 20 Application • 3–2, page 21 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 23 Lower extremities • 3–13, page 24 Miscellaneous conditions of the extremities • 3–14, page 25 Eyes • 3–15, page 25 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 ii AR 40–501 • 14 December 2007

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