Medical Services Standards of Medical Fitness

Army Regulation 40?501

Medical Services

Standards of Medical Fitness

Headquarters Department of the Army Washington, DC 14 June 2017

UNCLASSIFIED

SUMMARY of CHANGE

AR 40?501 Standards of Medical Fitness

This mandated revision, dated 14 June 2017--

o Implements Secretary of the Army Memorandum for the Commander, U.S. Army Cadet Command, dated 21 April 2016, and Secretary of the Army Memorandum for the Superintendent, U.S. Military Academy, dated 6 Nov 2015, allowing the Cadet Command and the Military Academy to be waiver authorities (paras 1?6c(1), 1?6c(2), and 1?6e).

o Implements the National Defense Authorization Act, Fiscal Year 2017, Section 524 amendment to 10 USC 1177, to include medical examination for sexual assault victims prior to separation from the Army (para 8?24a(3)).

Headquarters Department of the Army Washington, DC 14 June 2017

*Army Regulation 40?501

Effective 14 June 2017 Medical Services

Standards of Medical Fitness

History. This publication is a mandated

revision.

Summary. This publication implements

10 USC 1177, DODD 6130.3, DODI 6130.4, and AD 2016?30. It provides information on medical fitness standards for induction, enlistment, appointment, retention, and related policies and procedures. The publication of this mandated revision does not rescind or supersede policy changes to this regulation found in Army directives existing at the time of this publication.

Applicability. This regulation applies to

the active Army, the Army National

Guard/Army National Guard of the United States, and the U.S. Army Reserve, unless otherwise stated. It also applies to candidates for military service. During mobilization, the proponent may modify chapters and policies contained in this regulation. The publication of this mandated revision does not rescind or supersede policy changes to this regulation found in Army directives existing at the time of this publication.

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 proponent may delegate this approval authority, in writing, to a division chief within the proponent agency or its direct reporting 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 requesting activity and forwarded through their higher headquarters to

the policy proponent. Refer to AR 25?30 for specific guidance.

Army internal control process. This

regulation contains internal control provisions and identifies key internal controls that must be evaluated (see appendix B).

Supplementation. Supplementation of

this regulation and establishment of command and local forms are prohibited without prior approval from The Surgeon 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 (Recommended Changes to Publications and Blank Forms) directly to the Office of The Surgeon General (DASG?HS?AS), 5109 Leesburg Pike, Falls Church, VA 22041 ? 3258.

Distribution. This publication is availa-

ble in electronic media only and is intended for command levels A, B, C, D, and E for medical activities only of the active Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve.

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 3 General ? 2?1, page 3 Application and responsibilities ? 2?2, page 3

*This regulation supersedes AR 40?501, dated 22 December 2016.

AR 40?501 ? 14 June 2017

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UNCLASSIFIED

Contents--Continued

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 6 Endocrine and metabolic disorders ? 2?8, page 6 Upper extremities ? 2?9, page 6 Lower extremities ? 2?10, page 7 Miscellaneous conditions of the extremities ? 2?11, page 8 Eyes ? 2?12, page 8 Vision ? 2?13, page 10 Genitalia ? 2?14, page 10 Urinary system ? 2?15, page 11 Head ? 2?16, page 12 Neck ? 2?17, page 12 Heart ? 2?18, page 12 Vascular system ? 2?19, page 12 Height ? 2?20, page 13 Weight ? 2?21, page 13 Body build ? 2?22, page 13 Lungs, chest wall, pleura, and mediastinum ? 2?23, page 13 Mouth ? 2?24, page 13 Nose, sinuses, and larynx ? 2?25, page 14 Neurological disorders ? 2?26, page 14 Learning, psychiatric and behavioral disorders ? 2?27, page 15 Skin and cellular tissues ? 2?28, page 16 Spine and sacroiliac joints ? 2?29, page 17 Systemic diseases ? 2?30, page 17 Tumors and malignant diseases ? 2?31, page 18 General and miscellaneous conditions and defects ? 2?32, page 18

Chapter 3 Medical Fitness Standards for Retention and Separation, Including Retirement, page 20 General ? 3?1, page 20 Application ? 3?2, page 20 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 24 Lower extremities ? 3?13, page 24 Miscellaneous conditions of the extremities ? 3?14, page 25 Eyes ? 3?15, page 26 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 Vascular system ? 3?22, page 28 Miscellaneous cardiovascular conditions ? 3?23, page 29

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AR 40?501 ? 14 June 2017

Contents--Continued

Surgery and other invasive procedures involving the heart, pericardium, or vascular system ? 3?24, page 29 Trial of duty and profiling for cardiovascular conditions ? 3?25, page 29 Tuberculosis, pulmonary ? 3?26, page 30 Miscellaneous respiratory disorders ? 3?27, page 30 Surgery of the lungs ? 3?28, page 31 Mouth, esophagus, nose, pharynx, larynx, and trachea ? 3?29, page 31 Neurological disorders ? 3?30, page 32 Disorders with psychotic features ? 3?31, page 33 Mood disorders ? 3?32, page 33 Anxiety, somatoform, or dissociative disorders ? 3?33, page 33 Dementia and other cognitive disorders due to general medical condition ? 3?34, page 33 Personality, exhibitionism, transvestism, voyeurism, other paraphilias, or factitious disorders; disorders of impulse con-

trol not elsewhere classified ? 3?35, page 33 Adjustment disorders ? 3?36, page 33 Eating disorders ? 3?37, page 33 Skin and cellular tissues ? 3?38, page 33 Spine, scapulae, ribs, and sacroiliac joints ? 3?39, page 34 Systemic diseases ? 3?40, page 35 General and miscellaneous conditions and defects ? 3?41, page 36 Malignant neoplasms ? 3?42, page 36 Benign neoplasms ? 3?43, page 37 Sexually transmitted diseases ? 3?44, page 37 Exertional heat illness ? 3?45, page 37 Cold injury ? 3?46, page 38

Chapter 4 Medical Fitness Standards for Flying Duty, page 40 General ? 4?1, page 40 Classes of medical standards for flying and applicability ? 4?2, page 41 Aeromedical consultation ? 4?3, page 41 Abdomen and gastrointestinal system ? 4?4, page 41 Blood and blood?forming tissue diseases ? 4?5, page 42 Dental ? 4?6, page 42 Ears ? 4?7, page 42 Hearing ? 4?8, page 43 Endocrine and metabolic diseases ? 4?9, page 43 Extremities ? 4?10, page 43 Eyes ? 4?11, page 43 Vision ? 4?12, page 43 Genitourinary ? 4?13, page 44 Head and neck ? 4?14, page 44 Heart and vascular system ? 4?15, page 45 Linear anthropometric dimensions ? 4?16, page 45 Weight and body build ? 4?17, page 46 Lung and chest wall ? 4?18, page 46 Mouth ? 4?19, page 46 Nose ? 4?20, page 46 Pharynx, larynx, trachea, and esophagus ? 4?21, page 46 Neurological disorders ? 4?22, page 46 Mental disorders ? 4?23, page 48 Skin and cellular tissues ? 4?24, page 48 Spine, scapula, ribs, and sacroiliac joints ? 4?25, page 48 Systemic diseases ? 4?26, page 49 Malignant diseases and tumors ? 4?27, page 49 Sexually transmitted diseases ? 4?28, page 49 Aeromedical adaptability ? 4?29, page 49

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