af form 422
DESCRIPTION
AF Form 422. PHYSICAL PROFILE Outlined in AFI 48-123, Chapter 10, & Attachments 11 & 13. Purpose of Profiling System - system of classifying individuals according to their functional abilities Applicability: Applicants for appointment, enlistment, and induction into military - PowerPoint PPT PresentationTRANSCRIPT
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AF Form 422
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PHYSICAL PROFILEPHYSICAL PROFILE
Outlined in AFI 48-123, Chapter 10, & Outlined in AFI 48-123, Chapter 10, & Attachments 11 & 13Attachments 11 & 13
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Purpose of Profiling System -Purpose of Profiling System - system of classifying system of classifying individuals according to their functional abilitiesindividuals according to their functional abilities
Applicability:Applicability:
Applicants for appointment, enlistment, and Applicants for appointment, enlistment, and induction into military induction into military
Active & ARC (throughout their military service)Active & ARC (throughout their military service)
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PurposePurpose
Communicates information in layman’s terms to Communicates information in layman’s terms to NONMEDICAL authorities NONMEDICAL authorities
Detailed instruction for completing Detailed instruction for completing
AF Fm 422, are found in AF Fm 422, are found in AFPAM 48-133AFPAM 48-133
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Initial ProfileInitial Profile
Airmen – Airmen – Force Health Management personnel review Force Health Management personnel review profile from basic training. profile from basic training.
Officers - Officers - first permanent duty station.first permanent duty station.
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Factors
-- human functions are divided into six factors designated human functions are divided into six factors designated
P U L H E S
Previous Profile
Revised Temporary
Permanent Profile
PP -Physical Status Relative to Organic Defects or -Physical Status Relative to Organic Defects or Systemic Diseases Systemic Diseases
Rate here organic defects or systemic Rate here organic defects or systemic diseases that are not normally rated diseases that are not normally rated under other profile factorsunder other profile factors
P U L H E S
Previous Profile
Revised Temporary
Permanent Profile
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PP-Physical (Cont)-Physical (Cont)
Cardiovascular Cardiovascular DiseasesDiseases
Pulmonary Pulmonary DiseasesDiseases
Gastrointestinal Gastrointestinal DiseasesDiseases
Renal DiseasesRenal Diseases
AllergiesAllergies
HerniasHernias
Endocrine Endocrine DisordersDisorders
Dental DefectsDental Defects
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U U -Upper Extremities - -Upper Extremities - rate here functional use, rate here functional use,
strength, range of motion and general efficiency of strength, range of motion and general efficiency of
hands, arms, shoulder girdle, and spine (hands, arms, shoulder girdle, and spine (cervical &cervical &
thoracicthoracic))
P U L H E S
Previous Profile
Revised Temporary
Permanent Profile
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LL-Lower Extremities - -Lower Extremities - rate here functional use, rate here functional use,
strength, range of motion and general efficiency of feet, strength, range of motion and general efficiency of feet,
legs, pelvic girdle, lower back (legs, pelvic girdle, lower back (lumbar & sacrallumbar & sacral))
P U L H E S
Previous Profile
Revised Temporary
Permanent Profile
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H-Hearing - H-Hearing - rate here rate here ONLY Auditory AcuityONLY Auditory Acuity
Organic defects of the ears are profiled under “P”Organic defects of the ears are profiled under “P”
See Attachment 11 of AFI 48-123 for instructions See Attachment 11 of AFI 48-123 for instructions for establishing “H” profilefor establishing “H” profile
P U L H E S
Previous Profile
Revised Temporary
Permanent Profile
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E-Eyes - E-Eyes - rate here ONLY rate here ONLY DISTANT DISTANT VISUAL ACUITYVISUAL ACUITY
Organic eye diseases and visual field defects are Organic eye diseases and visual field defects are profiled under “P”profiled under “P”
Near vision and color vision are not profiledNear vision and color vision are not profiled
See See Attachment 13 of AFI 48-123Attachment 13 of AFI 48-123 for for establishing “E” profiles establishing “E” profiles
P U L H E S
Previous Profile
Revised Temporary
Permanent Profile
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SS-Psychiatric - -Psychiatric - rate here emotional stability and neuro-rate here emotional stability and neuro-
psychiatric history, psychotic and neurotic conditionspsychiatric history, psychotic and neurotic conditions
P U L H E S
Previous Profile
Revised Temporary
Permanent Profile
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GRADES (NUMBERS)
P U L H E S Suffix
Previous Profile
Revised Temporary
Permanent Profile
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A A 1, 2,1, 2, or or 3 Profile3 Profile indicates the member is medically indicates the member is medically qualified for qualified for
World Wide Duty (WWD)World Wide Duty (WWD)
A A 4 Profile4 Profile indicates the member IS NOT medically indicates the member IS NOT medically qualified for World Wide Dutyqualified for World Wide Duty
WWD)WWD)
P U L H E S Suffix
Previous Profile
Revised Temporary
Permanent Profile
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SUFFIXES
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WW - - member member ISIS considered medically qualified for considered medically qualified for
WWDWWD
This suffix is used when the profile contains only This suffix is used when the profile contains only 1s, 2s,1s, 2s, or or 3s3s
P U L H E S Suffix
Previous Profile
Revised Temporary
Permanent Profile
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TT - - the physical profile contains one or more the physical profile contains one or more 4s,4s, indicating the member indicating the member IS NOTIS NOT considered worldwide considered worldwide serviceservice
The defect is The defect is temporarytemporary & expected to resolve & expected to resolve within within 12 months or less12 months or lessThe The “T”“T” suffix is not to be used with a suffix is not to be used with a 1, 2,1, 2, or or 3 3 profileprofileDefects of a temporary nature can be reflected in the Defects of a temporary nature can be reflected in the
remarks sectionremarks section
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CC - - members awarded an Assignment Limitation Code - members awarded an Assignment Limitation Code -
C (ALC-C) will:C (ALC-C) will:
Retain the “T” suffixRetain the “T” suffix
The physical profile contains one or more 4sThe physical profile contains one or more 4s
In the remarks section enter the ALC-C and the In the remarks section enter the ALC-C and the restrictionsrestrictions
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DO NOT DO NOT
enter an ALC-C unless it hasenter an ALC-C unless it has
been authorized by HQ AFPCbeen authorized by HQ AFPC
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Periodic 422 Review
Revalidate or Revise the Profile:Revalidate or Revise the Profile:
At all standard (PHA’s) or special purpose medical At all standard (PHA’s) or special purpose medical examinationsexaminations
On return to normal duty after any illness or injury On return to normal duty after any illness or injury that significantly affected duty performance or that significantly affected duty performance or qualification for WWDqualification for WWD
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Periodic 422 Review Cont.
REVIEW/REVALIDATE PROFILEREVIEW/REVALIDATE PROFILE
On selection for overseas, geographically On selection for overseas, geographically separated unit, or combat zone assignment. separated unit, or combat zone assignment.
Pregnancy profiles reviewed by the clinic Pregnancy profiles reviewed by the clinic providing care. Any changes in restrictions must providing care. Any changes in restrictions must be referred to Force Health Managementbe referred to Force Health Management
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Periodic 422 Review Cont.
REVIEW/REVALIDATE PROFILEREVIEW/REVALIDATE PROFILE
The MPF (normally Outbound Assignment The MPF (normally Outbound Assignment section) provides Assignment Availability Code section) provides Assignment Availability Code 31, 37, and 81 roster on a monthly basis31, 37, and 81 roster on a monthly basis
( FHM Quality Control)( FHM Quality Control)
Code 31 - members on a 4TCode 31 - members on a 4T
Code 37 - Pending an MEB/PEBCode 37 - Pending an MEB/PEB
Code 81 - Pregnancy profileCode 81 - Pregnancy profile
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Duty Limitations
Worldwide Duty & Deployability Limitation:Worldwide Duty & Deployability Limitation:
4T profile precludes TDY/PCS until MEB/PEB 4T profile precludes TDY/PCS until MEB/PEB processing is completed or condition is resolvedprocessing is completed or condition is resolved
60 calendar days (MPF)60 calendar days (MPF)
When an assignment is pendingWhen an assignment is pendingConfirm by MPFConfirm by MPF
Physician provides medical facts and circumstances to HQ Physician provides medical facts and circumstances to HQ AFPCAFPC
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Duty Limitations Cont.
Temporary Occupational RestrictionTemporary Occupational Restriction
Use AF Fm 422 and 1042 to inform the Use AF Fm 422 and 1042 to inform the member’s unit commander or supervisor of member’s unit commander or supervisor of member’s injury or illness which limits job member’s injury or illness which limits job performance, or deployability, for a specified performance, or deployability, for a specified durationduration
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Duty Limitations Cont.
(Cont)(Cont)
4T profiles issued for 4T profiles issued for less than 60 daysless than 60 days are are not forwarded to the MPF and can be not forwarded to the MPF and can be handwrittenhandwritten
PIMR Driven!PIMR Driven!
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Medical Evaluation Board (MEB) Process
I.D. / 4T ProfileI.D. / 4T Profile
MEB/PEBLO clerk brief patientMEB/PEBLO clerk brief patient
MTF conducts MEBMTF conducts MEB
AFPC action (PEB if necessary)AFPC action (PEB if necessary)
Returned to MTFReturned to MTF
New profile completed (Assignment Limitation Code C)New profile completed (Assignment Limitation Code C)
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MTF Profile OfficersMTF Profile Officers - - a position delegated down a position delegated down from the MTF Commander usually to the senior flight from the MTF Commander usually to the senior flight surgeon (Flight Medicine and Primary Care PCMs). surgeon (Flight Medicine and Primary Care PCMs). Profile officer ensures profiles are accurate and Profile officer ensures profiles are accurate and completed in a timely manner.completed in a timely manner.
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Temporary Disability Retirement List (TDRL)
Members who qualify for disability retirement but Members who qualify for disability retirement but whose degree of permanent impairment has not whose degree of permanent impairment has not yet stabilized are temporarily retiredyet stabilized are temporarily retired
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Additional Usage
Notification to MPF of member’s qualification for Notification to MPF of member’s qualification for retirement/separationretirement/separation
Drug Abuse ReportingDrug Abuse Reporting
AFSC Medical Retraining - AFSC Medical Retraining - Medical defect permanently Medical defect permanently precludes further employment within a AFSC (Strength Aptitude precludes further employment within a AFSC (Strength Aptitude Test (SAT). Recommendation for retraining is sent to MPF. Test (SAT). Recommendation for retraining is sent to MPF. Confirmed by member’s CommanderConfirmed by member’s Commander
Commanders notification of member’s refusal to submit DNA Commanders notification of member’s refusal to submit DNA samplesample
Physical restrictions / Fitness exemptionsPhysical restrictions / Fitness exemptions
(Cycle Ergo testing excusal)(Cycle Ergo testing excusal)
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Use of the Department of the Army (DA) Fm 3349:Use of the Department of the Army (DA) Fm 3349:Is acceptable in lieu of AF Fm 422Is acceptable in lieu of AF Fm 422
Review entries which recommends temporary or Review entries which recommends temporary or permanent geographic or climate assignment or permanent geographic or climate assignment or restrictionsrestrictions
Army’s Army’s 33 profile profile IS NOTIS NOT compatible with WWD compatible with WWD
assignability in the AF & must be converted to a assignability in the AF & must be converted to a 44 profile profile
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Distribution
Distribute the AF Form 422 to the agencies listed in the Distribute the AF Form 422 to the agencies listed in the bottom right hand corner of each copybottom right hand corner of each copy
Temporary ProfilesTemporary Profiles
MEB Profiles (include MPF)MEB Profiles (include MPF)
QUESTIONS?