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

y the member. Refusal or inability on the part of the patient to make an election will require an explanatory note in
the board proceedings.
j. Item 25. Self-explanatory.
k. Items 26 through 29. For use by the approving authority when acting on a patient’s request for reconsideration. If
the case is returned to the MEB for reconsideration, the board’s action will be attached, in narrative form, as an
enclosure to the report. Any further action by the approving authority will be referenced in item 30 and will be
specified in an attachment.
l. Item 30. For use when continuing entries or for remarks. Identify continuations by the number of the appropriate
item in DA Form 3947.
7–11. Documentation for referral to a physical evaluation board
Documentation required as attachments when MEB proceedings require referral to a PEB is as follows (refer to AR
635-40 for the list of additional documentation):
a. A complete current medical examination (examinations less than 6 months old if no major change has taken place
in the patient’s medical condition). These reports will be attached as enclosures to the MEB board proceedings and will
be recorded on DD Form 2808 and DD Form 2807–1.
b. Copies of all previous MEBs and PEBs. Medical record copies of civilian medical records, and x ray films will
be retained in the HREC by the MTF until requested by the PEB. (All medical records will accompany any disability
case referred to the PEB involving a general officer or MC officer.)
c. The HREC with a copy of entrance history and medical examination when required by the PEB. For MEBs on
psychiatric diagnoses, the HRECs will include the psychiatric treatment records.
d. A copy of the request for VA treatment facility bed designation or a copy of orders moving the patient to a VA
treatment facility for continued hospitalization, if applicable.
e. A copy of correspondence to State authorities for disposition of psychiatric members who are not eligible for
hospitalization in a VA treatment facility, if applicable.
7–12. Expeditious discharge
Soldiers who are identified within the first 6 months as not meeting the medical procurement standards under AR 40-
501, chapter 2, may be separated under AR 635-200. The Soldier is not referred to the PEB. Soldiers who have a
condition listed in AR 40-501, chapter 3, and the condition is deemed pre-existing and nonservice aggravated may be
separated under AR 635-40 without evaluation by the PEB if the Soldier requests waiver of the PEB evaluation.
a. Enlisted Soldiers that do not meet AR 40-501, chapter 2 standards but do meet AR 40-501, chapter 3 standards
are processed as follows: DA Form 4707 (Entrance Physical Standards Board (EPSBD) Proceedings) is used for
recording EPSBD proceedings. DA Form 4707 is available on the APD Web site (www.apd.army.mil/). The Soldier
must be on their initial enlistment and the EPSBD condition identified within the first 180 days of enlistment. These
proceedings apply only to those enlisted personnel who within the initial 180 days of AD or ADT are found to have a
medical condition/physical impairment which, had it been identified, would have precluded their current induction or
enlistment (AR 40-501) however, their medical condition/impairment is within retention standards (AR 40-501, chap
3). Additionally, the condition has not been permanently aggravated during any period in which the member was
entitled to base pay.
b. Officers are evaluated under AR 40-501, chapter 3 only and must be referred to an MEB/PEB if they fail to meet
retention standards.
c. EPSBD chapter 2 procedures include—
(1) A member will be referred for EPSBD action when there is clinical evidence, written documentation, or patient
admission in conjunction with a clinical history, that the medical condition, had it been identified, would have
precluded the member’s induction or enlistment. This condition must be noted within the initial 180 days and recorded
in an official military record (for example, medical/unit records).
(2) Soldiers who have entered AD with a medical waiver for a disqualifying condition will not be separated for that
condition unless the condition for which the waiver was granted changes.
(3) All medical records applicable to the member will be reviewed. The primary purpose of this board is to
document those EPTS medical conditions which would have precluded induction or enlistment but were not noted
during the entrance physical examination. Additionally, this board will note any changes in the member’s physical
condition since his/her entitlement to base pay. Once a Soldier has been enlisted, inducted, or commissioned, the fact
that the Soldier is found to have an EPTS condition does not, in itself, mean the Soldier must be separated. In each
case, it is necessary to compare the nature and degree of the medical condition and the physical disability present (if
any) with the requirements of the duties the Soldier reasonably may be expected to perform because of his or her MOS.
In addition, all efforts should be directed to retaining the Soldier in an alternate MOS if necessary, where the medical
condition would not interfere with satisfactory duty performance. Patients undergoing EPSBD action will be processed
on an outpatient basis except when active inpatient treatment is required.
(4) Proceedings will be recorded on DA Form 4707.
58 AR 40–400 27 January 2010