AR 40-501 (10 September 2008)
Physical Standards for Enlistment, Appointment, and Induction
Medical Fitness Standards for Retention and Separation, Including Retirement
Abdominal and gastrointestinal defects and diseases 3-5
Gastrointestinal and abdominal surgery 3-6
Blood and blood-forming tissue diseases 3-7
Dental diseases and abnormalities of the jaws 3-8
Endocrine and metabolic disorders 3-11
Upper extremities 3-12
Lower extremities 3-13
Miscellaneous conditions of the extremities 3-14
Genitourinary system 3-17
Genitourinary and gynecological surgery 3-18
Vascular system 3-22
Miscellaneous cardiovascular conditions 3-23
Surgery and other invasive procedures involving the heart, pericardium, or vascular system 3-24
Trial of duty and profiling for cardiovascular conditions 3-25
Tuberculosis, pulmonary 3-26
Miscellaneous respiratory disorders 3-27
Surgery of the lungs 3-28
Mouth, esophagus, nose, pharynx, larynx, and trachea 3-29
Neurological disorders 3-30
Disorders with psychotic features 3-31
Mood disorders 3-32
Anxiety, somatoform, or dissociative disorders 3-33
Dementia and other cognitive disorders due to general medical condition 3-34
Personality, psychosexual conditions, transsexual, gender identity, exhibitionism, transvestism, voyeurism, other paraphilias, or factitious disorders; disorders of impulse control not elsewhere classified 3-35
Adjustment disorders 3-36
Eating disorders 3-37
Skin and cellular tissues 3-38
Spine, scapulae, ribs, and sacroiliac joints 3-39
Systemic diseases 3-40
General and miscellaneous conditions and defects 3-41
Malignant neoplasms 3-42
Benign neoplasms 3-43
Sexually transmitted diseases 3-44
Heat illness and injury 3-45
Cold injury 3-46
Medical Fitness Standards for Miscellaneous Purposes
5-14. Medical fitness standards for deployment and certain geographical areas
e. ... The following medical conditions must be reviewed carefully by the clinician before making a recommendation as to whether the Soldier can deploy to duty in a combat zone (or austere isolated area where medical treatment may not be readily available).
(1) Diabetes requiring insulin. ...
(2) Diabetes requiring oral medication for control. ...
(3) Cardiovascular conditions...the Soldier should not be deployed with any of the following conditions-
(a) Hypertension not controlled with medication.
(b) Recent episodes necessitating emergency room visits or closely monitored follow-up care.
(c) Permanent pacemakers, implanted antitachycardia and automatic implantable cardiac defibrillator (AICD) devices, ...
(d) Conditions requiring anticoagulants.
(e) Bare metal coronary stents. ...
(f) Drug eluting coronary stents. ...
(g) Closure device for patent foramen ovale or atrial septal defect. ...
(h) Cardiac arrhythmias. ...
(i) Smallpox vaccine associated myocarditis. ...
(4) Neurological conditions. Review paragraph 3-30 for profile guidance and MEB/PEB processing criteria.
(a) Seizure disorders. ...
(b) Demyelinating conditions.
(6) Sleep apnea.
(a) A psychiatric condition controlled by medication should not automatically lead to nondeployment. Soldiers with a controlled psychiatric illness can still deploy. ...
(b) Medications that may be used safely in theater include selective serotonin re-uptake inhibitors and sleep medications. In general, anti-manic and anti-psychotic medications should not be used in theater because of their sideeffects.
(9) History of heat injuries.
(10) Pregnancy. Pregnant Soldiers will not deploy.
(11) History of cancer. ...
(12) Chronic infectious diseases (HIV, Hepatitis B or C) ...
(13) Abnormal Cervical Cytology. ...
(14) Malignant hyperthermia. ...
(15) Contact lenses. ...
(16) Miscellaneous conditions. ...
(17) Medications. Soldiers taking medications should not automatically be disqualified for any duty assignment. Medications used for serious and/or complex medical conditions are not usually suitable for extended deployments. The medications on the list below ...
(18) Dental. ...
7-4. Temporary vs. permanent profiles
b. Temporary profiles. A temporary profile is given if the condition is considered temporary, the correction or
treatment of the condition is medically advisable, and correction usually will result in a higher physical capacity.
Soldiers on active duty and RC Soldiers not on active duty with a temporary profile will be medically evaluated at least
once every 3 months at which time the profile may be extended for a maximum of 6 months from the initial profile
start date by the profiling officer.
(1) Temporary profiles exceeding 6 months duration, for the same medical condition, will be referred to a specialist
(for that medical condition) for management and consideration for one of the following actions:
(a) Continuation of a temporary profile for a maximum of 12 months from the initial profile start date;
(b) Change the temporary profile to a permanent profile;
(c) Determination if the Soldier meets the medical retention standards of Chapter 3 and if not, referral to a MEB.
Army National Guard
10-15. Duty restrictions
a. Any recommendation for restricted activity that has been made by a private physician will be reported in writing, before performing any duty.
b. It is the individual Soldier's responsibility to report any medical problems immediately to the chain of command
and to comply with medical restrictions. Commanders will honor the private physician's recommendations until the
Soldier is evaluated by a military provider, and a recommended course of action is determined by a profiling officer
(see para 7-6).
c. Soldiers and commanders will abide by the medical restrictions and limitations documented on any profile (DA
Form 3349) issued.