Patient Administration - Army Publishing Directorate - U.S. Army

c. Decide if the disability has become stable enough to permit removal from the TDRL.
d. Identify any new disabilities incurred while the member has been on the TDRL. AR 635-40 contains guidance on
the physical evaluation, reporting requirements, and disposition of TDRL patients.
5–9. Members of the RC and ROTC members
RC members on ADT orders that specify a period of 30 days or less or are on IDT, or full-time NG duty-to include
ROTC members attending field training-will be evaluated for an MEB upon completion of hospitalization before
release from the MTF.
a. Procedure following approved MEB action.
(1) RC patients who have a condition listed in AR 40-501 as the result of injury incurred or aggravated during a
period of AD or IDT will be referred to an MEB.
(2) RC patients who are medically fit for limited duty or training will be released from the MTF.
(3) AR 145-1 contains special procedures affecting ROTC members. Disposition normally will be released from the
MTF except as provided in (4) below.
(4) When a patient has attained maximum hospital benefit in an Army MTF and does not qualify for physical
disability processing by the physical disability system, he or she will be released from the MTF or transferred to a
nonmilitary medical facility. The MTF commander will arrange for the transfer of U.S. Army Reserve (USAR) and
ROTC personnel. For NG personnel, the proper State Adjutant General will be contacted for assistance. When
satisfactory arrangements cannot be made after reasonable effort, the case will be reported to the Commander,
ARPERCEN, ATTN: ARPC-ZSG, 9700 Page Avenue, St. Louis, MO 63132-5200; the U.S. Army area commander; or
the Army National Guard Readiness Center, ATTN: NGB-ARP-PC, 111 South George Mason Drive, Arlington, VA
22204, as appropriate, for disposition instructions. Reports will include a summary of all actions taken, two copies of
the MEB proceedings (if appropriate), and a summary of all Federal service claimed by the member, if any, including
the dates of such service. The patient’s home of record, LD status, recommendations of the MTF commander, and
copies of any pertinent correspondence will also be included. The Commander, USAMEDCOM, ATTN: MCHO-CL-P,
2050 Worth Road, Fort Sam Houston, TX 78234-6010 or the major overseas MEDCOM commander will be furnished
a copy of the report.
b. Notification of disposition and separation.
(1) When a USAR member or an ROTC member is released from the MTF, the Commander, ARPERCEN, ATTN:
ARPC-ZSG, 9700 Page Avenue, St. Louis, MO 63132-5200 or the U.S. Army area commander, as appropriate, will be
notified of the date and type of disposition.
(2) When a member of the NG is released from the MTF, the Adjutant General of the State concerned will be
furnished the information in (1) above.
(3) RC members will be separated from their status by action of the MTF commander, when appropriate. ROTC
members will not be separated from their status by the MTF commander without approval of higher authority as
provided in AR 145-1 and AR 145-2.
5–10. U.S. Navy/Marines and U.S. Air Force military patients
a. When administrative units of the U.S. Navy or U.S. Air Force are stationed at Army MTFs, the parent Service
unit is responsible for the disposition of these patients.
b. When no administrative detachments of the other Services are stationed at an Army MTF, disposition of these
patients will be as follows.
(1) When fit for duty, the patient will be returned to his or her assigned organization and station. If the patient’s
organization or station is not known, assignment instructions will be requested from the parent Service. In addition, for
Naval personnel, assignment instructions will be requested if the patient has been hospitalized more than 30 days.
(2) Requests will be addressed to—
(a) The commandant of the Naval district in which the MTF is located, for Navy and Marine Corps personnel.
(b) Chief of Staff, U.S. Air Force, Washington DC 20330-5000, for Air Force personnel.
(3) If not fit for duty, the patient will be reported through normal medical regulating channels for transfer to an
MTF having final disposition authority.
c. MTF commanders will coordinate with local senior Service representatives who will prescribe disposition
procedures for Navy and Air Force patients hospitalized in overseas MTFs unless otherwise directed by major overseas
commanders.
d. Special problems not provided for above will be reported through command channels to USAMEDCOM, ATTN:
MCHO-CL-P, Fort Sam Houston, TX 78234-6010.
5–11. Domiciliary care
a. Domiciliary care will not be provided in Army MTFs except when required for AD Soldiers of the Uniformed
Services who are awaiting completion of disposition procedures.
b. For other than AD patients, the actions in (1) or (2) below will be taken, if required, to expedite their transfer.
40 AR 40–400 27 January 2010