af form 469 profile

Just got my signed copy of my 469, and not the "working copy" and all the MEB stuff was not on there...weird I guess being my nurse typed it and gave it to me when I was sitting right next to her in her office. WING COMMANDER (OR EQUIVALENT) SIGNATURE BLOCK Tab(s) 1. AF Form 422 or AF Form 422/469 (if currently on restrictions). Refer recommended changes and questions about this publication to the Office of Primary Responsibility (OPR) using the AF Form 847, Recommendation for Change of Publication; route AF Form 847s from the field through the appropriate functional’s chain of command. AF Form 469, Duty Limiting Condition Report, 25 October 2007 AF Form 483, Certificate of Competency, 1 February 1985 AF Form 592, USAF Hot Work Permit AF Form 623, Individual Training Record Folder, 1 October 1996 AF Form 971, Supervisor’s Employee Brief, 1 October 1986 AF Form 979, Danger Tag, 1 July 1990 AF Form 980, Caution Tag, 1 July 1990 AF Form … Capt XXXX’s AF FORM 469 2. AF Form 422, Physical Profile Assessment (If applicable) Provide 1 copy and maintain 1 copy (Includes waivers) Same as above Same as above AF Form 469, Duty Limiting Condition Report (If applicable) Provide 1 copy and maintain 1 copy Same as above Same as above AF Form 4428, Tattoo/Brand/Body Marking JavaScript is disabled. Start a free trial now to save yourself time and money! -- A current Air Force Fitness Management System print out of member's physical fitness history as of 3 Jan 2020. MCCONNELL AIR FORCE BASE, Kan. -- Military physicians use a profile or Duty Limiting Condition, Form 469, to communicate duty restrictions to patient supervisors. Capt XXXX’s AF FORM 469 limits (list exemption and/or restrictions: running more than 1 mile, pushups, sit-ups, etc.) And then they have to give you con leave time and see if you get better or worse before they put in the MEB package. (Or service equivalent medical profile) 6. AF Form 469 Download Printable PDF or Fill Online Duty Limiting … 2 AFI48-123 5 NOVEMBER 2013 (AFRIMS). The AF Form 469 is used to describe physical limitations and recommend Duty Restrictions (DR) and Mobility Restrictions (MR) to the CC when there is a potential risk to an Airman’s health, safety and well-being, the safety of the mission, or the ability of the Airman to effectively accomplish the mission. Following your test, you must verify that AFFMS II is updated with your new score. This form may include work, mobility or fitness restrictions. They probably did not click the code 49 because you have not been officially diagnosed by the Neurosurgeaon and a surgical recommendation needs to be made first. 1.1.4. •AF Form 469 (profile form) Mobility Restricting Profiles: •Code 31 (DAV 41) – Temporary condition resolving within 1 year •Code 37** (DAV 42) – Condition requires Medical Board processing •Code 81 (DAV 49) – Pregnancy I tried searching around the interwebs for answers but I didn't find anything useful. UFPM ensures . I explained my situation and she said my case will be reviewed again in October. _____ (SIGNATURE/STAMP OF PROVIDER) FOR OFFICIAL USE ONLY . members due an FA are assessed on non-exempted components per the AF Form 469. I had a EMG and it said SEVERE CARPAL TUNEL with denervation likely present. Not sure how that got removed, but at least that buys me some time. I have already had surgery back on December 15th, now just horrible complications, I live everyday in extreme pain in my back. Also, we’ll get any medical records pertinent to your condition or injury. Any suggestions on where to look would be greatly appreciated. AF Form 469 is used to convey limitations related to the AF Fitness Program (FP) as well as Fitness Assessment Exemptions (FAE). FAC Front Desk: 731-1555 What to bring to an official Fitness Test: CAC Card; Fitness Screening Questionnaire; Any authorized combination of PT gear IAW AFI-36-2903; If on a profile, you must also bring an AF FORM 469 to document your Air Force Fitness Test Guidance.. I had a copy of my af form 469 that just expired but now I can't find it and can't find where to print a new one since it's not current in MyIMR. If no surgery yet, they will put it in quicker. MLO will review . Nobody informed me of it, I believe it was my nurse who has been doing all the paper work for my Dr. was the one who updated it. • If you are on a profile, your exemptions must be documented on an AF Form 469 that you bring with you. (Or service equivalent medical report) 5. is it someone in the hospital or at the legal office? 5.2.8. Individual Medical Readiness (IMR) Report (AF Portal). (Or service equivalent medical profile) 6. Up until that point the only restrictions on my AF Form 469 were to PT at my own pace and that i could only test on the AB Circumference and push ups. AF Form 469 and issue an AF Form 422 to the member’s UFPM. If member is on a profile include a copy of the members AF Form 469, Duty Limiting Condition Report in the package. If MIL to MIL, you must fill out the AF Form 1048 (Join-Spouse Application) ____5. KEESLER AIR FORCE BASE, Miss. Purpose of AF Form 469, Duty Limiting Condition Repor t. The AF Form 469 is used to convey to the commander when a member’s health, safety and well being, mission safety or abilities to effec-tively accomplish the mission are at risk. If servicemembers have mobility restrictions (what used to be referred to as a 4T profile), their squadron commander will have to sign the Air Force Form 469 and personally issue it to the servicemember. MEMBERS ARE NONDEPLOYABLE/ASSIGNMENT LIMITED TO SPECIFIC INSTALLATIONS BASED ON MEDICAL NEED AND AVAILABILITY OF CARE. O Yes: Stop. Section 1C—Physical Profile System 13 1.3. AF FORM 469 duty limiting condition report PURPOSE, USED TO CONVEY PHYSICAL LIMITATIONS TO THE COMMANDER WHEN A MEMBERS HEALTH, SAFETY AND WELL BEING, MISSION SAFETY OR ABILITIES TO EFFECTIVELY ACCOMPLISH THE MISSION ARE AT RISK, APPROPRIATE MEDICAL RECOMMENDATIONS ARE COMMUNICATED TO COMMANDERS SO THEY ARE ABLE TO DETERMINE THE OPTIMUM UTILIZATION OF MEMBERS IN THEIR UNIT WITHIN THE GUIDLEINES OF THE MEDICALLY IMPOSED RESTRICTIONS, IF ADMIN CHANGES ARE REQUIRED WHO IS THE FORM FORWARDED BACK TO, PCM TEAM FOR CORRECTIONS---IF NO CORRECTIONS NEEDED MSME WILL SIGN THE FORM, AF FORM 469 DUTY RESTRICTION ONLY WILL BE SENT TO WHAT THREE PEOPLE, MEMBERS SQUADRON COMMANDER, UNIT DEPLOYMENT MONITOR, AND THE FIRST SERGEANT, IF AF FORM 469 HAS NO MOBILITY RESTRICTIONS THE LAST SIGNATURE REQUIRE IS, IF MOBILITY RESTRICTION IS FOUND WHO WILL START THE AF FORM 469 PROCESS, HEALTHCARE PROVIDER OR DESIGNEE , ELECTRONICALLY SIGNS ON ASIMS AND SENDS TO MSME FOR QUALITY REVIEW, FORM 469 WITH MOBILITY RESTRICTION SENT TO, PROFILE OFFICER FOR FINAL REVIEW AND SIGNATURE IF NO FURTHER CHANGES NEEDED IT IS THEN FORWARDED TO MEMBERS SQUADRON COMMANDER, UDM AND FIRST SERGEANT, WHO IS RESPONSIBLE FOR ISSUING THE AF FORM 469 AND DETERMINING HOW MEMBER IS BEST UTILIZED IN THE WORK CENTER, 31-365 DAYS ---PROFILE NOT HAVE PENDING MEB/PEB ACTIONS/PREGNANCY ----CATCH ALL CODE (BROKEN LEG), CONDITION REQUIRES MEB/PEB , PHYSICAL LIMITATION 365 DAYS PLUS (DISLOCATED HIP), WHO IS RESPONSIBLE FOR MILITARY PERSONNEL DATA SYSTEM, DEDICATES AN ASSIGNMENT CODE TO ALL AIRMEN SO THEY MAY BE ABLE TO TRANSFER TO A PARTICULAR DUTY STATION, CONDITIONS TEMPORARY OR MILD REQUIRING FOLLOW UP BUT CLINICALLY CONTROLLED, AIRMEN MAY BE ASSIGNABLE TO GLOBAL DOD INSTALLATIONS, CONDITIONS BEING TEMPORARY OR MILD REQUIRING FOLLOW UP BUT CLINICALLY CONTROLLED AND MANAGED WITHOUT FREQUENT VISITS OR UNIQUE MEDICATION REGIMEN. Physical Profile System. The official website for Air Force e-Publishing. 4. USED TO CONVEY PHYSICAL LIMITATIONS TO THE COMMANDER WHEN A MEMBERS HEALTH, SAFETY AND WELL BEING, MISSION SAFETY OR ABILITIES TO … I do have a PEBLO, but communication has been slow and unhelpful. AF Form 469 as appropriate addressing each component of the FA. 5.1.4. I didn't notice it until I was back at my office. Airmen with fitness limitations greater than 30 days should be given an exercise prescription in accordance with AFI 36-2905. Af Form 1048 Join Spouse Application. Fill out, securely sign, print or email your af imt 1048 form instantly with SignNow. Current Point Credit Accounting Report System (PCARS); if Active Duty submit the equivalent form of an AF 1613 or Statement of Service. AIRMEN MAY BE DEPLOYED TO CONUS INSTALALTIONS WITH INTRINSIC FIXED MTFS AND/OR DEPLOYABLE TO OCONUS INSTALLATIONS WITH APPROVAL OF GAINING COCOM/SG OR MAJCOM. WING COMMANDER (OR EQUIVALENT) SIGNATURE BLOCK Capt XXXX has an AF Form 469 with an expiration date of XXXX. AF Form 469, Duty Limiting Condition Report is a related form used to describe physical limitations and recommend duty restrictions to the commander when there is a potential risk to an airman's health, safety, and well-being, the safety of the mission, or the ability of the airman to effectively accomplish the mission. Capt XXXX commissioned in XXXX, has a DOR to Captain in 20XX, and will meet the O4 promotion board in 20XX. Available for PC, iOS and Android. On another note, I go see the orthopedic surgeon tomorrow for a carpal tunnel consult. AF Form 469 Mobility Restricting Profiles: • Code 31 (DAV 41) – Temporary condition resolving within 1 year • Code 37 (DAV 42) – Condition requires Board processing • Code 81 (DAV 49) – Pregnancy • Dental Class 3 – Dental condition being treated & expected to be resolved within 1 year. How do I find out who the PEBLO is on my base? Interagency Air Force Information Collections. This will automatically be set up and deducted from your military pay, however, if you do not want this coverage, you must fill out the declination form with Customer Support. I didn't notice it until I was back at my office. (Or service equivalent medical report) 5. 4. An AF Form 469 has been initiated if appropriate. PRIVACY SENSITIVE . Damn. Members must provide current AF Forms 469 (Medical Profile) and 422 (Fitness Prescription), if applicable, during in-processing. My profile was updated today and on my af form 469, it now states that I am being meb'd vs the box being checked saying I will be tree in 31-365 days. heart disease, sickle cell trait, asthma, etc.) Do not use spaces when performing a product number/title search (e.g. as well my neurosurgeon ordered a MRI of my shoulder to see if that has anything to do with my nerve pain at and near my neck. AFFMS II Update . My profile was updated today and on my af form 469, it now states that I am being meb'd vs the box being checked saying I will be tree in 31-365 days. AF Form 422 or AF Form 422/469 (if currently on restrictions). Other medical problems that have not been evaluated, optimally treated, or not already addressed in an AF For 469, that may prevent your form safely participating in this test (e.g. Refer recommended changes and questions about this publication to the Office of Primary Responsibility (OPR) using the AF Form 847, Recommendation for Change of Publication; route AF Forms 847s from the field through the appropriate functional chain of command. Notify your UFPM and contact your PCP/NLO for evaluation/recommendations “So for the IRILO we’ll get a narrative summary from the provider, get a current copy of your (Air Force Form) 469, and a commander’s impact letter. If the member has a current fitness score, but was exempt during any portion of the award period, an AF Form 469 Individual Medical Readiness (IMR) Report (AF Portal). pubs: AFMAN33-361; forms: AFTO53, AF673, AFSPC1648) To minimize results, use the navigation buttons below to find the level/organization you are looking for, then use the "Filter" to search at that level It has only been one day since then, so I am guessing if it is in fact started someone will contact me. -- The purpose of Air Force Form 469 duty limiting condition report is to convey physical limitations to the commander when a member's health, safety and well-being, mission safety or abilities to effectively accomplish the mission are at risk (Air Force Instruction 10-203 paragragh 1.1). 5.1.2. 1.1.3. ARC medical unit providers will advise members to consult their PCP to recommend Does this officially mean they have started the MEB process, and if so will my PCM be contacting me for further evaluations, or do I need to do something on my part? The physical profile system classifies individuals according to physical You are using an out of date browser. Then we’ll send it to the Air Force Personnel Center.” I found out about this 10 days ago so I find it hard to believe that AFPC has already seen my MEB and sent it back. Family Servicemen’s Group Life Insurance (FSGLI). Physical Profile System. Participation restricted to IDT and Annual You can see previous threads I have posted about my condition here in the spine and back forum. LESS THAN 30 DAYS 469, MORE THAN 30 DAYS AF FORM 422, THE DEPLOYMENT AVAILABILITY WORKING GROUP WILL BEGIN TO REVIEW FOR POSSIBLE MEB AFTER HOW MANY MONTHS. It may not display this or other websites correctly. Does this officially mean they … I have a code 37 and I have a AF form 469, it was written July 31st. Capt XXXX’s AF FORM 469 limits (list exemption and/or restrictions: running more than 1 mile, pushups, sit-ups, etc.) 1.2. PROTECT MEMBERS FROM BEING PLACED IN AN ENVIRONMENT WHERE THEY MAY NOT RECEIVE ADEQUATE MEDICAL CARE FOR A POSSIBLE LIFE THREATENING MEDICAL CONDITION AND TO PREVENT THE ASSIGNMENT OF NONQUALIFIED PERSONNEL TO OVERSEAS LOCATION, WHERE IS THE DEMOGRAPHIC INFO IN ASIMS IS AUTOMATICALLY GENERATED FROM, ORGANIZATIONAL EMAIL ACCOUNT MAY ONLY BE ACCESSIBLE TO, COMMANDER AND THEIR DESIGNEE, USUALLY UNIT HEALTH MONITOR AND FIRST SERGEANT. Just curious as to what happens next, thanks again for everyones help, and yes I have read the regs but clarification would be great! Applicants who were on a profile and exempt from any part of the test must submit the AF Form 469, Duty Limiting Conditioning Report, reflecting reason(s) for waiver Most recent DD Form 214 (Member-4 copy), Certificate of Release or Discharge from Active Duty or NGB Form 22, Report of Separation and Record of Service Reserve and Guard members must bring a DD Form 2813 (Annual Dental Exam) in order to be seen at the Dover Dental Clinic, if required during their tour. Current Point Credit Accounting Report System (PCARS); if Active Duty submit the equivalent form of an AF 1613 or Statement of Service. For a better experience, please enable JavaScript in your browser before proceeding. PARTICIPATING IN FITNESS LESS THAN 30 DAYS, FITNESS MORE THAN 3O DAYS FORMS USED? Capt XXXX commissioned in XXXX, has a DOR to Captain in 20XX, and will meet the O4 promotion board in 20XX. If the score is not updated within 48 hours, contact either SSgt Jenkins . PEB and Disability Evaluation System Overview. You must log in or register to reply here. The DD Form 689 is not accepted. (For example, an AF Form 469 or a “profile” or other medical restriction that keeps you from performing all duties of your rank and duty position?) Purpose of AF Form 422, Notification of Air Force Member’s Qualification Status. In general, the AF Form 469 will describe an Airman’s limitations and Fitness Assessment Clearance/Exemptions. Fitness Screening Questionnaire (pdf 127 kb) » The AF Form 1042 may be valid for NO MORE THAN fourteen (14) days from the date of … 5.1.3. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Purpose of AF Form 422, Duty Limiting Condition Repor t. The AF Form 469 is used to describe physical limitations and recommend duty restrictions (DR) to the Commander when there is a potential risk to an Airman’s health, safety and well-being, the safety of the mission, or the ability of the Airman to effectively accomplish the mission. So would they give me con-leave again to see if I get better or just the con-leave from after the surgrey. If I don't hear anything, i will assume it was not meant to be i guess.

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