Get the free Aeromedical Reference and Waiver Guide - Navy Medicine
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INSTRUCTIONS: 1. HIPAA. You must include a copy of your HIPAA certificate that has not expired.
HIPAA is completed through MRS Learn (https://mhslearn.csd.disa.mil). 2.
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How to fill out aeromedical reference and waiver
How to fill out aeromedical reference and waiver:
01
Obtain the aeromedical reference and waiver form from the appropriate authority or organization.
02
Read the instructions carefully to understand the requirements and necessary information.
03
Fill out personal details such as name, date of birth, contact information, and social security number, if applicable.
04
Provide details regarding any past medical conditions or illnesses that may be relevant to the aeromedical evaluation.
05
Indicate any current medications being taken and provide the dosage and frequency.
06
Fill in information about any previous surgeries or medical procedures.
07
Include information about any mental health conditions or psychoactive substances being used.
08
Provide details about any visual or auditory impairments.
09
Sign and date the form as required.
10
Submit the completed aeromedical reference and waiver form to the designated authority or organization.
Who needs aeromedical reference and waiver?
01
Pilots: Commercial pilots, private pilots, and other aviation professionals may be required to fill out an aeromedical reference and waiver form.
02
Air Traffic Controllers: Individuals involved in air traffic control may need to complete this form.
03
Military Personnel: Depending on the branch of the military and specific job roles, military personnel may need to have an aeromedical reference and waiver.
Note: The specific requirements for who needs an aeromedical reference and waiver may vary depending on the jurisdiction and organization.
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