Col Robert Desko
Not following guidelines in the Aircrew Waiver
Guide(ACWG).
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ACWG states what needs to be addressed in the AMS
summary.
States what documentation is required with
submission.
Gives information on various cases and the potential
impacts of that condition and fly duties.
Located on the Flight Medicine KX page and under
Resources in AIMWTS. ACWG is updated periodically.
Aeromedical Summaries (AMS)
 All sections in the AMS need to be addressed.
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The words “see attached” is not acceptable- this
includes both initial and renewal fly waivers.
Everything from the ACWG needs to be addressed in
the AMS. There is a reason that it is listed.
All documentation listed in the ACWG must be scanned
and attached in AIMWTS.
Ensure all diagnoses are listed in the diagnosis section,
including all medication(s).
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Narrative Summaries (NARSUM) in AMS
• Template for NARSUM is required. Must address all areas
from the NARSUM in the AMS.
 One suggestion is to write the NARUSM in Word and
then copy and paste into the AMS. This will ensure all
the required information is addressed.
 ***Renewal of ALC-if condition has remained stable,
then use the Annual ALC worksheet. Attach in
AIMWTS. This is the only time you can write “see
attached” in the AMS. If member also requires a fly
waiver renewal, then the AMS must be written out.
 Ensure all diagnoses are listed in the diagnosis section,
including all medication(s).
 CC letters are not required for Annual ALCs, as long as
the condition as remained stable. It is NGB/SG’s
discretion to request CC letters.
Physicals do not have the correct test for the
type of physicals.
• I.E. IFCIII needs a cycloplegic exam.
 Need to utilize the Physical Exam Template
located on the Flight Medicine KX page. This will
ensure all the correct tests are being
accomplished for the various flight physicals.
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This will help eliminate physicals being returned for
corrections.
Template is updated periodically.
 Members
who are applying for a fly position with a
potential disqualifying condition IAW AFI 48-123
ch.5, 6, and 13:
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PEPP and AIMWTS must be accomplished and submitted
to NGB at the same time.
Do not utilize the AIMWTS tab in PEPP to create the
waiver request.
*Go to AIMWTS to input the AMS*
Must include the diagnosis in PEPP. The waiver must be
written in AIMWTS.
NGB/SG will not receive the PEPP or AIMWTS exams
unless they are forwarded to our location.
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Communication piece from MDG to Commanders.
It is important that AF 469s are updated with appropriate duty and
mobility restrictions.
AF 469s will not dictate military status. It is the Commander’s
responsibility to determine if their member can attend UTAs, etc.
IAW AFI 10-203.
There is no need to wait for 365 days to enter a member in the DES
process. DES processing can begin as soon as the DAWG has
determined the member will not meet retention and mobility
standards IAW AFI 10-203.
Some cases require DES processing to began within 90 days IAW AFI
48-123.
***AF 422s will only be used for initial qualifications, PCS, PME or
after DES (for permanent changes in PULHES). AF 422s will NOT be
used for fitness, duty, or mobility restrictions. AFI 10-203
Annual Requirement – validate the AF 422. This doesn’t mean
create a new one (only if changes). Review, date, and sign.
 Great
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places for information:
Flight Medicine KX page: AFMS Knowledge
Exchange - Flight Medicine
SG SharePoint: SG - Air Surgeon - Home Page