Patient Administration - Army Publishing Directorate - U.S. Army
Patient Administration - Army Publishing Directorate - U.S. Army
Patient Administration - Army Publishing Directorate - U.S. Army
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Disability Program are exercised through the U.S. <strong>Army</strong> Physical Disability Agency. Procedures are addressed in AR<br />
635-40.<br />
5–3. Types of disposition for <strong>Army</strong> members<br />
a. Full duty. <strong>Patient</strong>s who are medically fit to perform duty without restrictions or assignment limitation will be<br />
returned to full duty. This disposition may be made by the attending medical officer or upon the approved recommendation<br />
of an MEB.<br />
b. Temporarily restricted duty (temporary profile). This disposition will apply to patients who are recovering from<br />
sickness or injury and are likely to become fit to perform duty. Such patients will be evaluated at least once every 3<br />
months with the goal of upgrading their duty status. No person may remain in this status for more than 12 months.<br />
Such disposition involving 3 months or less should be made by the attending medical officer (AR 40-501).<br />
c. Trial duty (temporary profile). <strong>Patient</strong>s whose fitness for duty is questionable may be recommended for trial duty.<br />
A person on such duty will be evaluated at least once every 3 months with the goal of upgrading duty status or<br />
separate from the Service, if appropriate. Persons will not be retained on trial duty for more than 12 months.<br />
d. Duty with permanent assignment limitations (permanent profile). <strong>Patient</strong>s who meet retention standards and who<br />
can perform duty with specific permanent assignment limitations will be permanently profiled. Those who do not meet<br />
retention standards and who are recommended for continuance on AD as outlined in AR 635-40 will have their<br />
permanent assignment limitations identified by the MEB processing the case.<br />
e. Duty for separation or separation recommended.<br />
(1) <strong>Patient</strong>s who do not have a condition listed in AR 40-501 and who are scheduled for any administrative<br />
separation or retirement, will be returned to duty for separation. This disposition may be made by either the attending<br />
medical officer or the MTF commander.<br />
(2) <strong>Patient</strong>s who have a condition listed in AR 40-501 and do not require active hospitalization, will be processed<br />
according to AR 635-40. This applies when the person is eligible for and elects separation for an EPTS condition<br />
which has not been aggravated by service. This disposition can be made by the MEB on an outpatient basis.<br />
(3) An enlisted patient who does not have a condition listed in AR 40-501 and did not meet the procurement<br />
medical fitness standards (AR 40-501) at the time of induction or initial enlistment will be processed for separation<br />
according to AR 635-200. To be processed under AR 635-200, the condition must have been identified within the first<br />
6 months and an EPTS board initiated.<br />
(4) <strong>Patient</strong>s who do not have a condition listed in AR 40-501 but are considered unsuitable for further military<br />
service by either MEB authority or unit commander, will be returned to duty with separation recommended under the<br />
appropriate administrative regulation.<br />
f. Transfer to a VA treatment facility or other MTF. (See para 5-18a.)<br />
g. Referral to a PEB. (See para 7-21.)<br />
h. Absent without leave (AWOL). When patients are AWOL for 10 consecutive days, their clinical records will be<br />
closed. This disposition is made by the attending medical officer.<br />
i. Death.<br />
5–4. Recommendation for change of duty or station<br />
An MEB will process U.S. military patients with physical defects or medical conditions that warrant a change of duty<br />
or station. The medical responsibility is either to evacuate the patients or to advise their unit commander of the medical<br />
reasons for the change. Under no circumstances will the patient be given a written statement and instructed to apply for<br />
a transfer or change of assignment because of medical reasons.<br />
5–5. Return of <strong>Army</strong> military patients from overseas to CONUS for medical reasons<br />
Overseas MTF commanders may return <strong>Army</strong> military patients from overseas to CONUS for medical reasons when,<br />
after coordination with the member’s commander, they determine that such action is in the best interests of the <strong>Army</strong><br />
and the patient.<br />
a. MTF commanders will determine whether a patient being returned to CONUS under this paragraph will appear<br />
before an MEB before evacuation.<br />
b. If hospitalization or active medical supervision is required while in a travel status, the patient will be evacuated<br />
through medical channels.<br />
c. If hospitalization or active medical supervision is not required while in a travel status, the patient will be returned<br />
to CONUS through regular administrative channels by the fastest means. Normally, Government transportation will be<br />
used.<br />
d. When it is determined that a patient is to be returned to CONUS in an inpatient status, a request for MTF<br />
designation will be sent through normal medical regulating channels to the Global <strong>Patient</strong> Movement Requirements<br />
Center (GPMRC), Scott AFB, IL 66225-5300.<br />
e. Inpatients will be transferred as soon as possible after receipt of an MTF designation from GPMRC. The patient<br />
will be assigned or attached to the WTU of the designated MTF as provided in paragraphs 8-5 and 8-6.<br />
38 AR 40–400 27 January 2010
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