Medical Condition "Bible"

[FormerRecruitingGuru]

Admins, request sticky.

Here is list of medical issues for which you DO NOT need to submit medical records. Merely list the problem on the 2807-2:

1. UNCOMPLICATED appendectomies more than six months ago;
2. Records for “Lazy eye” surgery in childhood;
3. UNCOMPLICATED breast augmentation if it was performed more than 6 months ago;
4. UNCOMPLICATED tonsillectomy if performed more than 30 days ago;
5. UNCOMPLICATED HERNIA SURGERY if performed more than 6 months ago;
6. UNCOMPLICATED wisdom teeth extraction if it occurred more than 30 days ago;
7. Pyloric stenosis surgery performed in childhood;
8. PE tubes placed in childhood because of ear infection. Note: If these were placed after age 12, records are required;
9. Fractures that occurred more than one year ago that did NOT require surgery, UNLESS, the fracture was caused by motorcycle accident or MVA.
10. Premature termination of pregnancy that occurred more than 1 year ago.
11. Pregnancy ending with normal delivery, even by C-section that occurred more than 1 year ago. Note the date the applicant’s last child was born on the 2807-2.

For the situations described below just submit the records. It is not necessary to call the Dial-A-Medic line.

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Note: This list is NOT ALL INCLUSIVE. The scenarios below are commonly recurring ones for which we always need records. MEDREADS will be required in many cases not covered by this list.

General:

1. Any MVA or motorcycle (including dirt bikes), or ATV accidents within the last 7 years if the applicant was NOT KEPT overnight in the hospital. In all such cases we need the DOCTOR’s notes from the ER or urgent care. Note: The patient information handout is not adequate. Submitting this is a waste of your time.

2. Any MVA or motorcycle (including dirt bikes) or ATV accidents EVER, if the applicant was admitted to the hospital. In these cases, we need the doctors ER notes, the Discharge Summary and all other records. Note that there is no time limit in these cases. If records are not available, submit a written letter from the hospital saying that they are not available.

Head and Neck, ear, nose and throat:

3. Submit all records on any applicant who has had a broken nose within the last 7 years. Be sure to include the ER Doctor’s note.

4. Submit records for all applicants who have had surgery on their ears for any reason, EXCEPT putting in tubes in their ears UNLESS the PE tubes were put in after age 12.

5. Submit all records on any applicant who has had surgery for a cleft lip or palate. If the records are not available, submit a written statement from the hospital confirming this.

6. Submit records on any applicant who has had sinus surgery within the past 7 years.

7. Submit records on any applicant with a known hearing loss. Note: Do not send records on applicants who wear a hearing aid. Do not send these applicants to the MEPS. Hearing aids are disqualifying and services will not waiver hearing loss requiring hearing aids.

Eyes:

8. For applicants who have had eye surgery to correct their vision (PRK or LASIK) submit two things:

a. All actual eye treatment records;

b. A completed MEPS Refractive eye surgery worksheet. Note that the applicant must take this worksheet to his or her ophthalmologist and have them complete the worksheet. Service liaisons have copies of the worksheet.

Note: This requirement does not apply to applicants who have had surgery for strabismus (“lazy eye”) in childhood. Records are not required in these cases.

9. All records on any applicant with a history of an eye injury.

Chest:

10. For applicants with any history of asthma, submit all records, all doctor visits for any reason for the past 5 years.

11. For applicants who have ever had a positive test for tuberculosis (a positive PPD), we need the records showing that they COMPLETED drug treatment. Records showing that they started but did not complete treatment are not adequate. If the applicant was NEVER treated, submit the records of the initial test and indicate on the 2807-2 that they were never treated. If the applicant has had a blood test called “Quantiferon TB Gold”, submit the result of this test.

12. Submit all records for any applicant with a history of a collapsed lung (pneumothorax).

13. Submit all records for any applicant who has been treated for pneumonia within the last 7 years.

14. Submit records on any applicant who has had chest or chest wall surgery. If the records are not available, submit a written statement from the hospital confirming this.

Heart:

15. Submit records on any applicant who has ever had heart surgery. There is no time limit on this requirement. If the records are not available, submit a written statement from the hospital confirming this. All applicants with a history of cardiac surgery must have a current evaluation by a Cardiologist at their expense and these records must be submitted as well.

16. Submit all records of any applicant who has seen a cardiologist for palpitations, extra beats, irregular heart beat, high blood pressure or any other reason. There is no time limit on this requirement. If the records are not available, submit a written statement from the hospital confirming this. When records are not available in these cases, all such applicants must have a current evaluation by a Cardiologist at their expense and these records must be submitted.

17. Submit records for any applicant who has seen a doctor because of a fainting spell (syncope).

Abdomen:

18. Submit all records on any applicant who has been seen by a physician (in an ER or office) for abdominal or pelvic pain within the last 5 years.

19. Submit all records on any applicant who has had gallbladder surgery, spleen removal, or bowel surgery.

20. Submit records on any applicant with a history of GERD (Gastroesophageal Reflux Disease) or who has been given antacid medication by a physician.

21. Submit records on any applicant who has been treated for irritable bowel syndrome.

22. Submit all records on any applicant who has ever had gastrointestinal or rectal bleeding for any reason, including bleeding from hemorrhoids. If the records are not available, submit a written statement from the hospital confirming this.

23. Submit all records on any applicant who has been treated by a physician for lactose intolerance.

24. Submit records on any applicant with a history of hepatitis.

Urinary System:

25. Submit records for any applicant with a history of kidney stones.

26. Submit records for any applicant who has had any surgery on the urinary system (kidneys, bladder, and ureters). Even if done in childhood, attempt to get the records because most of these applicants require a waiver. If the records are not available, submit a written statement from the hospital confirming this. Also, if the records are not available, the applicant should see an Urologist at their expense and have a current evaluation of the urinary system that includes some type of imaging of the kidneys, bladder, and ureters.

27. Submit records for any applicant who has seen a doctor for blood in their urine (hematuria).

28. Submit records for any applicant who has seen a doctor for protein in their urine (proteinuria).

29. Submit records on any FEMALE applicant who has had more than two bladder infections (cystitis) or any MALE applicant who has had EVEN ONE bladder infection, ever.

30. Submit records on any applicant who has ever had a catheter placed in their bladder.

Female genitalia:

31. Submit all PAP smear records on female applicants who have ever had an abnormal PAP smear or any surgical procedure for an abnormal PAP smear. We need all the PAP smear reports (the actual reports, not a letter sent to the applicant) for all normal and all abnormal PAP smears in these applicants.

32. Submit all records, including the pathology report, for any female with a history of an ovarian cyst.

33. Submit all records on any applicant treated for genital warts or genital herpes.

34. Submit records for any applicant who has had a premature termination of pregnancy within the last year. It is not necessary to obtain medical records on applicants who have had a normal delivery more than one year ago, even if it was by Cesarean section (C-section). Merely note the date of the delivery on the 2807-2.

Reminder: Do not send female applicants to the MEPS if their delivery was within the last 6 months. Do not send female applicants to the MEPS if they are breast feeding. These applicants cannot be qualified.

 

[FormerRecruitingGuru]

Male genitalia:

35. For male applicants who have had a surgery procedure on a testicle, including removal of a testicle, exploration for an undescended testicle, torsion of a testicle, or surgery to bring down a testicle, or for any other reason, submit medical records, including the operative report and any pathology reports.

36. Submit all records on any applicant treated for genital warts or genital herpes.

Skin:

37. Submit the PATHOLOGY report for any mole, cyst, or anything else removed from the applicant’s body within the last 7 years.

38. If the applicant has ever had a lympth node biopsied or removed, or if there was any suspicion of cancer (melanoma, squamous cell or any other type) from a mole removed, submit the pathology report. There is no time limit on this requirement. If the records are not available, submit a written statement from the hospital or physician confirming this.

39. Submit all records on any applicant who has a history of eczema, atopic dermatitis, psoriasis, other dermatologic disease.

40. Submit records for any applicant that has had acne requiring treatment with accutane, antibiotics, or any other pills in the past year.

Note: It is not necessary to submit records on ringworm.

41. Submit all records on any applicant who has had skin grafts or been hospitalized for burns.

42. Submit all records on any applicant who has been treated with medicines or surgery for excessive sweating (hyperhydrosis).

Orthopedics:

43. For applicants who have had a fracture (broken bone) that required any form of surgery, including pinning, even if the pins or hardware was later removed, submit the orthopedist’s operative report and the doctor’s notes from all follow-up visits after surgery. If the broken bone was not due to a sports injury but happened due to an MVA or motorcycle accident, also submit records according to item number 1 or 2 above as appropriate.

44. For applicants who have had a fracture (broken bone) within the last 1 year, submit the records along with a recent x-ray report that shows COMPLETE HEALING of the fracture on x-ray.

45. For applicants who have had surgery on a joint (shoulder, elbow, wrist, hip, knee, ankle) submit all records including the pre-operative record of the injury (ER or Urgent Care report), the operative report, and all doctor follow-up records. There is no time limit on this requirement. If the records are not available, submit a written statement from the hospital confirming this.

46. For any applicant who has had a shoulder, elbow, wrist, hip, or knee injury WITHOUT surgery in the last 7 years submit all records.

47. Submit all records of any applicant who has had surgery on one or both feet.

48. Submit records on any applicant who has had plantar fasciitis.

Spine:

49. Submit all records on any applicant who has been evaluated for, diagnosed with, or treated for scoliosis.

50. Submit all records for any applicant who has been treated by a physician or chiropractor for back pain within the last 7 years.

Neurological:

51. Submit records on any applicant who has ever had brain or spinal cord surgery. There is no time limit on this requirement. If the records are not available, submit a written statement from the hospital confirming this. If records are not available, these applicants must see a Neurologist as their expense, have a current evaluation, and these records must be submitted.

52. Submit records on any applicant who has had meningitis, encephalitis, or any infection of the central nervous system. There is no time limit on this requirement. If the records are not available, submit a written statement from the hospital confirming this.

53. Submit all records on all applicants who have had a concussion or loss of consciousness within the last 7 years if they were NOT KEPT OVERNIGHT in a hospital. Be sure to include the ER or Urgent Care Doctor’s notes and any copies of imaging (e.g. CAT scan) reports. Do not submit the patient information handout given to the applicant by the ER or Urgent Care staff.

54. Submit all records on all applicants who have had a concussion or loss of consciousness, EVER, if they were kept overnight in a hospital. There is no time limit on this requirement. If the records are not available, submit a written statement from the hospital confirming this.

55. Submit all records on any applicant who has ever been diagnosed or treated for epilepsy or seizures.

56. Submit records on any applicant who has been treated for back pain or a slipped disc in the spine (herniated nucleus pulposus) with either medicines or surgery.

57. Submit all records on any applicant who has been treated by a physician for headaches. If the records are not available, submit a written statement from the hospital confirming this.

Psych:

58. For applicants with a history of ADD or ADHD submit the following records:

a. All medical records of the treatment of ADD/ADHD. If medical records are not available, a statement from the hospital or physician indicating that they have been destroyed is required. NOTE. A summary letter from a physician is not a substitute for medical records;

b. All Individualized Education Plans from high school or a statement from the applicant or the applicant’s parent if the applicant is younger than 18, that the applicant has never required an Individualized Education Program or work accommodation;

c. A statement from a parent giving the date of the last use of medication for ADD/ADHD;

d. High school transcripts (and college transcripts if the applicant has attended college). These transcripts MUST show the GPA;

e. A CURRENT letter from the applicant’s physician stating CLEARLY, that continued medication is not required for acceptable occupational or work performance.

59. With regard to counseling:

a. For applicants who have had counseling (parent directed or court ordered) ONLY FOR THE PURPOSE OF ADJUSTMENT TO PARENTAL DIVORCE, and who had TEN OR FEWER TOTAL SESSIONS, counseling records are not needed. If there were more than ten total counseling sessions, submit the actual counselor’s notes for each session;

b. For applicants who have had counseling ONLY FOR MARRIAGE COUNSELING, and who had TEN OR FEWER TOTAL COUNSELING SESSIONS, counseling records are not needed. If there were more than ten total counseling sessions, submit the actual counselor’s notes for each session;

c. For all other counseling, submit the actual counselor’s notes for each session.

60. For any applicant who has ever been given a medication for any psychiatric problem or had any psychiatric treatment, inpatient or outpatient, submit all of the actual treatment records. Note that a summary letter from the psychiatrist will not be accepted as a substitute for the actual treatment records.

61. Submit all records on any applicant who has ever been treated for a sleep problem of any kind including sleep apnea and insomnia. If the records are not available, submit a written statement from the hospital confirming this.

62. Submit records on any applicant who has ever been evaluated for drug or alcohol abuse or dependency.

63. Submit all records on any applicant who has a history of an eating disorder.

Endocrine:

64. Submit all records on any applicant who has ever been treated for a thyroid problem, diabetes, or any other endocrine problem.

65. If the applicant is taking thyroid medication, submit the results of TWO measurements of TSH (thyroid stimulating hormone) done within the last 6 months. The measurements of TSH must be at least 6 weeks apart from one another.

Allergy:

66. Submit all records on any applicant who has had skin testing for allergy, has a history of latex allergy or contact dermatitis to metal (such as a belt buckle), or who has been treated by a doctor for an allergic reaction.

67. Submit all records for any applicant who has been treated by a doctor for bee sting allergy or any other allergy.

Other:

68. Submit records on any applicant treated for anemia.

69. Submit all records for any hospitalization for any reason within the last 7 years.

70. Submit the operative report and all records for any surgeries within the last 7 years except as noted on page 1 of this list.

71. Submit all records on any applicant who has ever been treated for any form of cancer. In addition to old medical records, the applicant must go to a cancer specialist (oncologist) and have a current evaluation for cancer. These records must be submitted as well.

For prior service applicants

72. If they are receiving disability from the VA submit all ACTUAL DOCTOR’S records from the VA. DO NOT submit the summary letter sent to the service person explaining the VA’s decision re disability. These will be returned without action. ALSO submit a copy of the service member’s military health record.

73. For any applicant who has an RE Code other than 1, submit a written explanation of why they received the code. Also submit a statement from the applicant as to whether they have or have not ever had Non-judicial Punishment (NJP).

74. For prior service applicants who received an Entry Level Separation (ELS) submit all medical and psychiatric records from the training base where they were separated.

Final Notes:

1. Final note: A scribbled note by a physician written on a prescription pad is never adequate. Obtain the relevant actual doctors records for all visits that the applicant made to the doctor.

2. All records must be submitted as a MEDREAD. Applicants who attempt to walk-on unread medical records will be turned away and allowed to return to the MEPS after their records have been reviewed as a MEDREAD.

 

[Renegade One]

Admins, request sticky...

all quite good..as far as it goes.

For you somewhat older gentleman/ladies…"come clean" on the annual physical as to "what ails you/hurts". Get it documented WELL before your "out processing physical". Some specifics:

1. For (mostly) guys…have you been a famous "snorer" for all of your adult life? You probably have "Sleep Apnea". Get it documented/tested/diagnosed before you leave AD. Trust me on this.

2. High blood sugar/cholesterol or BP? Get it DOCUMENTED.

3. Bad ankles/knees/hips from too many years of running on steel flight decks? Get it documented.

4. Hearing loss? Ah, I repeat myself...

5. Been deployed/domiciled in an area with health issues? You and your family…like NAF Atsugi in the 80s-90s? Get it ON PAPER.

I hope you get the idea here. But nothing counts unless it's on paper...

 

[exNavyOffRec]

I would put a caveat on the list, if the doc wants to see the records he/she will say get them, I have had to have records found and submitted for the following listed under "Do Not Need" 1,3,4,5,8, and 9.

and on #3 it was a damn fine job!

 

[FormerRecruitingGuru]

The 2 biggest headaches at MEPS are the following:

1. Asthma. If you think you don't/do have asthma, go to your doctor and get a pulmonary function test (PFT). You breathe into a tube and it determines your breathing system. Get the form with all the readings/measurements and bring it to your recruiter.

2. ADD/ADHD. Our MEPS is known for messing around with applicants with this.

Doctor: "Do you have ADD or ADHD?"
Applicant: "No."
Doctor: "Well how do you know that?"
Applicant: "Well a Doctor told me I didn't"

The MEPS Doctor will then ask for all documents from that visitation with your doctor. Best answer you can give is "I was never diagnosed."

When in doubt for any symptom, bring the paperwork. It should be the recruiter, not the MEPS doctor finding out about your medical history.

 

[picklesuit]

Can you describe an Abnormal Breast Augmentation surgery? I'm imagining the Martian gal from Total Recall...

 

[TnSig]

Thank you all for your responses. The issue has been resolved.

 

[FormerRecruitingGuru]

Can you describe an Abnormal Breast Augmentation surgery? I'm imagining the Martian gal from Total Recall...

Google "bad breast augmentation" and your question will be answered. NSFW btw.

 

[DCPerilli]

Hi Everyone,

I had a consult at the opthometrist on Saturday and he said my eyes (with contacts) are 20/15. I told my recruiter and he said the eyes have to be corrected to 20/20 if not they will not meet the requirement.

I don't know about you all, but this makes no sense. BTW, the doctor wrote 20/20 on the DD form.

 

[FormerRecruitingGuru]

Write a handwritten statement explaining the reason for the psych visit(s) and that NO MEDICATION was ever given. If possible, have the psychiatrist write a similar note explaining the same thing. If there was ever papers/documentation from the visits bring them to your recruiter. If not, same thing explain that no medical records were generated from the psych visit.

By all means tell this to your recruiter before you go to MEPS. You don't want the MEPS Doctor to know about this first...

 

[Picaroon]

Hi Everyone,

I had a consult at the opthometrist on Saturday and he said my eyes (with contacts) are 20/15. I told my recruiter and he said the eyes have to be corrected to 20/20 if not they will not meet the requirement.

I don't know about you all, but this makes no sense. BTW, the doctor wrote 20/20 on the DD form.

Correct. Since 20/15 is better than 20/20 the Navy will issue you some blurry glasses to reduce you down to 20/20.

 

[umich44]

I just heard back from my recruiter that because of two right shoulder surgeries to repair my labrum 4 years ago, I am disqualified from the Navy. My recruiter said I could see a civilian doctor to get it re-evaluated, \ and perhaps get the decision reversed. I am certainly willing to jump through any hoop or exam because I feel confident that I am physically fit and can pass anything they throw my way. My question is how often does this happen and what are my chances of getting the decision reversed?

For background, the surgeries occured 4 years ago, fully cleared, and have had ZERO problems since. I work out on a daily basis without any sort of problem. Also, the decision came down from the top not just from MEPS.

 

[BusyBee604]

...what are my chances of getting the decision reversed?

Your chances of getting a good answer, will be much better by posting your question in the Doc's Corner Forum, ln the Ask the Flight Surgeon thread.
BzB

 

[umich44]

Okay great. I appreciate your help.

 

[exNavyOffRec]

Sometimes there are injuries or surgeries that flat out disqualify you, doesn't matter if every doc says no issues or if you haven't had issues, for instance if a person has a retina that has a minor detach permanent DQ.

you should check to see if a torn labrum is one of those circumstances.