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

. After approval by the Service reviewing authority and a disposition is recommended, the member will be advised
of the proposed disposition. The member will be afforded the opportunity to appeal the decision of the reviewing
authority. The member will ordinarily have 3 working days in which to submit an appeal.
7–19. Transmittal of medical evaluation board proceedings by Service reviewing authority to Service
physical evaluation boards
The reviewing authority will attach the completed board proceedings to a letter of transmittal. This letter will state the
proposed service disposition and state that the member has been advised and agrees or disagrees with the proposed
disposition.
7–20. Processing actions related to physical evaluation boards
a. The PEB results will be forwarded directly to the MTF where the patient is located. An informational copy will
be provided to the appropriate Service reviewing authority.
b. Counseling on PEB findings will be the primary responsibility of the member’s parent Service. However, PEBLO
counseling arrangements may be established by mutual agreement between the appropriate Service reviewing authority
and the MTF where the member is hospitalized when it is beneficial to do so.
c. TDY funding for appearances at formal PEB hearings will be the responsibility of the member’s parent Service.
For Army patients, this is the Soldier’s unit of assignment.
7–21. VA Physician’s Guide for Disability Evaluation Examination Worksheet and the VASRD
Medical officers who prepare MEBs for presentation will be familiar with the VA Physician’s Guide for Disability
Evaluation Examination Worksheet and the VASRD. Material contained in these documents is essential in the
disability evaluation process.
7–22. Referrals
a. Soldiers in the following categories will be referred to a PEB:
(1) Regular and RC members with LD disabilities who fail to meet retention standards as outlined in AR 40-501,
chapter 3. This includes those who apply for continuance on AD under AR 635-40. AR 635-40 contains instructions
for commanders on the referral of persons to the PEB. RC members who do not meet medical retention standards for a
condition incurred or aggravated while performing duty of 30 days or less or those pending separation for medical
disqualification for nonduty related conditions that request a fitness determination by a PEB. (Also see National Guard
regulation (NGR) 40-400 and AR 135-381.)
(2) All members on the TDRL following their periodic medical examination.
b. The Deputy Chief of Staff for Personnel (DCSPER), on advice of TSG, DA, may direct referral of a case to a
PEB for adjudication.
7–23. Referral to the physical evaluation board liaison officer
Members will be referred to the PEBLO as soon as it has been determined that referral to a PEB may be recommended.
Referral to the PEBLO is also proper when the member is undergoing a TDRL periodic examination and
related evaluation according to AR 635-40. No members will be told that they will be discharged or retired from the
Service or told the percentage of their disability until PEB results are finalized.
7–24. Records sent to a physical evaluation board
When a case is referred to a PEB, all pertinent records will be sent to the board by the fastest means available. AR
635-40 addresses records and other administrative requirements for PEB adjudication.
Chapter 8
Warrior Transit Unit
8–1. General
a. Each Defense-Health-Program-funded MTF will maintain a warrior transition unit (WTU). MTFs with 35 or more
warriors in transition meet the criteria for establishing a WTU. Units will vary in size from small detachments to
brigades, if necessary, depending on patient population. Exceptions will be at the direction of Commanding General,
USAMEDCOM.
b. A warrior in transition is any Soldier who requires significant medical intervention as delineated in paragraph 8-2,
below, in order to heal and return to duty or in order to make a successful transition to veteran status.
c. Assignment or attachment to a WTU will not be performed solely to facilitate the early requisitioning of
replacement personnel or for purely compassionate reasons.
d. Service members that do not meet the criteria of this chapter will not be attached or assigned to a WTU.
AR 40–400 27 January 2010
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