Medical Issues

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Medical Issues
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Topics

• Medical Records
• Physical Examinations
• Line of Duty Determinations
• Immunizations

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Medical Dental Records

• IMAs records are maintained at Medical Facility
  supporting the unit of attachment
• Participating IRR (PIRR) are maintained at the
  AFRC/RMG
• If you have a change in your medical condition
• Send information to AFRC/SG

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Movement of Your Medical Record

• Provide the MTF with your orders transferring you
  to another base
• Ask them to send your record to the new location

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Preventive Health Assessment/Individual Medical
Readiness (PIMR)

• Electronically entered in PIMR/DDSW/AFCITA
• Physical exams (PIMR)
• Dental exams (DDSW)
• Medical readiness labs (PIMR)
• Immunizations (AFCITA)
• Improves the reporting of medical readiness rates
  to AD wing commanders
• Enhances the visibility of IMAs for deployment
  and mobilization screening

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• Physical and Dental Requirements

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Annual Requirements

• Reserve Component Periodic Health Assessment
• Mirrors AD PHA Program
• Both Reserve Component Health Risk Assessment
  (RCHRA) and Dental Exam required
• Requirements for all Participating Reservists
• Military dental exam every 3 years
• Civilian dental exam acceptable (using DD Form
  2813) on off years
• Rated and Mobilization Assistants (MAs)
• Specialized exams every year

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Health Assessment

• Reserve Component Health Risk Assessment
• Four page risk assessment form (AF Form 4321)
• Signed by you and physician, nurse, or technician
• Standard Form 600 based on flying status
• Dental exam (DD Form 2813)
• Immunization record review
• Bring these civilian test results, if available
• Pap Smear
• Mammogram
• Optometry
• Other test results

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Physical ExamsYour Responsibility

• Call DoD Medical Treatment Facility (MTF) to
  schedule exam
• Schedule during Annual Tour, if possible
• Follow preparatory instructions provided by MTF
• 236 DoD MTFs available
• http//www.tricare.mil/MTF
• If youre told youre not eligible because you
  are not in DEERS
• Youre still eligible for exams

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Things to Remember

• Ask for a copy of your completed exam
• RCHRA Form (AF Form 4321)
• Overprinted (RC)PHA SF 600
• DD Form 2813 (Civilian Dental) or SF 603
• Any extra exams or lab reports
• Forms on RMG homepage https//wwwmil.rmg.afrc.af.
  mil/
• Recommend you keep a personal copy

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If You Fail to Comply

• Your orders may be denied in AROWS by your
  Program Manager
• Includes AT, IDTs, RPA and MPA tours
• You could get unsatisfactory year for retirement
• You could be recommended for reassignment to the
  Non-Participating IRR

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• Line of Duty Determinations (LOD)

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Line of Duty Determinations

• Verifies and determines your coverage, traveling
  directly to and from DUTY and during DUTY
• IDTs
• Annual tours
• Special tours
• School tours
• MPA tours

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Line of Duty Determination

• If you become ill or injured
• Inform your supervisor as soon as possible
• Inform Program Manager
• Report to the Military Treatment Facility
  immediately
• Let the MTF know that you are a reservist
• Get Line of Duty Determination (AF Form 348)
• Also needed during a deployment
• Once medical portion is complete forward AF 348
  to AFRC/RMG for further processing

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Line of Duty Determinations

• The findings determine your medical benefits
• LOD outcomes
• In the line of duty
• Pre-existing condition aggravated
• Not in the line of duty
• Pre-existing condition

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LOD Point of Contact

• RMG/DOM
• 233 N Houston Rd Suite 131a
• Warner Robins GA 31093
• afrc.rmgdom_at_afrc.af.mil
• DSN 497-2315
• Comm [phone]
• 1-800-223-1784 ext. 72315

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Immunizations
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Immunizations

• Paper shot record has been phased out
• Ensure your yellow shot record information gets
  entered into Air Force Complete Immunization
  Tracking Application (AFCITA)
• Keep a copy of your computer print out DD Form
  2766C

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Immunizations

• Required Shots
• Shot Frequency
• Flu Annual
• Tetanus-diphtheria 10 years
• Hepatitis A Initial series of 2 (no
  booster)
• Oral Polio Once for life
• MMR Once for Life (2 if born after
  1957)
• Hepatitis B Series Initial series of 3

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Immunizations

• Mobility Shots
• Shot Frequency
• TB Skin Test 2 years
• Meningitis 5 years (3 yrs AMC ACC)
• Typhoid
• -Injection 3 years
• -Oral 5 years
• Yellow Fever 10 years

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Immunizations

• Mobility Shots
• Anthrax Mandatory
  IAW AF Anthrax
• Implementation Plan
• Small Pox Only for deployment
  to
  high threat areas

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Questions