air force medical waivers surgeon general

References to third-party products, rates and offers may change without notice. You may still get medically disqualified, but including the information will help smooth the process when applying for a medical waiver. I have letters from multiple surgeons, doctors, a physical therapist, and dermatologist stating that I would be fit for military service. . A TDQ will delay your request to process for a military physical until your condition has healed and you can prove the condition no longer affects you. I | The shared understanding of serving on a military team, the challenges of trying to keep critically ill patients stable on the back of a C-130 for eight-hour transports, the honor in serving next to heroes day in and day out.. The form has instructions printed on it. How can I request a waiver for my ears? Y | Driven by feedback from the field, the change is intended to provide more time for skin to heal . The missions I supported with TRANSCOM (Transportation Command) and AFSOC for casualty and patient movement highlight the phenomenal agility of a multi-faceted system and the expertise and passion in those that support these critical missions. But if the medical condition is borderline, it may be reviewed differently by another branch of service. The consolidation of waiver authorities also drives consistent data capture and quality that with analytics will be a data-driven demand signal to shape standards for the service and overall DoD accessions policy.. I should have been even more insistent but I was not. With 59 percent of Americans medically ineligible to join and tens of thousands of applicants medically rejected every year, there is . Again: There are some conditions for which there are no waivers. Today, were going to focus on your health history. Air Force Surgeon General authorizes 5-year shaving waivers. W | The request for a non-medical waiver must include the reason (s) that a physical fitness program, or testing, cannot be completed by the employee (s). My physical was good with the exception of the items we already knew about. The military will not cover this expense. I hope this points you in the right direction! The Surgeon Generals office is the appeal. Pregnant Air Force B-1 pilot soars to new heights, Veterans Affairs deputy secretary to leave post on April 1, Tax scams How to report them Money Minute, Capitol Hill weighs action on two controversial topics: medical marijuana and abortion, Lockheed wins hypersonics contract | Defense Dollars, Go inside a secret nuclear fallout bunker sealed for decades, Air Force advisers study use of satellites for tracking moving targets, US Air Force awards Boeing first contract for fleet of 26 E-7 aircraft, Space Force wants launch ranges to be more resilient, Six leaders fired from Air Force nuclear base in North Dakota. Your recruiter will then start the waiver process by sending the forms and supplemental information to the Surgeon Generals Office for your branch of service. Enter your information to join our mailing list. It will cause red flags in the system and may prevent you from being able to join. Writing to your member of Congress or senator wont enhance your chances of joining the service. I had no awareness of Air Force Recruiting Service, Angles said. MEPS forwarded my physical and all documentation to the Surgeon Generals Office for a waiver. Spending time on your end will make it easier for your recruiter to work with you to help you get a waiver. You will need to pay for the medical examinations out of your pocket. Fast forward 24 years, when Angles found out she was going to AFRS in 2019, she realized she had no idea about recruiting. (The summer is the worst time because this is when MEPS processes thousands of recent high school and college graduates.) Basically, you will need to get a doctor or medical specialist to review each item for which you received a TDQ or PDQ. Learning about the recruiting mission has been a steep learning curve, how hard our recruiters work to inspire the next generation of Airmen and Guardians, the way they are out and about every day, working to engage and enhance awareness of the amazing opportunities that the military provides, she said. AETC had both the most approved waivers -- 1,282 -- as well as the most denied applications, 2,411. It is very in-depth, and you want to ensure it is accurate before you submit it to your recruiter. This is the official document used by MEPS doctors to determine medical eligibility for military applicants. J07 Administration (808) 477-7885J07 Chief, Global Health Engagements Branch (808) 477-9608 or 7882J07 Chief, Public Health and Force Health Protection Branch (808) 477-9662 or 7894. In a memorandum dated June 18, 2020, Lt. Gen. Dorothy Hogg, Air Force Surgeon General authorized five-year shaving waivers for Air and Space professionals diagnosed with Pseudofolliculitis Barbae, effective immediately. Suite 701H Washington, DC 20201 E-mail: surgeongeneral@hhs.gov Phone: 202-401-7529 Surgeons General of the Armed Forces. Driven by feedback from the field, the change is intended to provide more time for skin to heal and prevent a recurrence. Did u get a consult? Image: AF.com After you complete the medical pre-screening for the United States Air Force (or any military branch) you progress to MEPS. By Master Sgt. Driven by feedback from the field, the change is intended to provide more time for skin to heal and prevent a recurrence. The Oklahoma City Bombing was blocks away from my school and the next few hours, shaped who I was and how much I wanted to serve. Every recruiter is different, and most are willing to work with you if you are willing to work with them. The service implemented its expanded medical policy via the Air Force Memorandum for Appearance and Accession Standards Review last January in an effort to give prospective airmen another chance to enlist or commission on a case-by-case basis. The academy also expanded its ADHD category to include other learning disorders, such as dyslexia. The American Legion identified limits on attorneys fees related to Camp Lejeune Justice Act claims as one of its top goals. Shaw Air Force Base, SC 29152 Date: Expiration date: REPLY TO . Realized each condition was waiverable. As part of the Air Force Recruiting Services Total Force recruiting enterprise, finding better ways to do business is a leading charge. Look at your title now. The content on The Military Wallet is produced by Three Creeks Media, its partners, affiliates and contractors, any opinions or statements on The Military Wallet should not be attributed to the Dept. I submitted all my medical paper work (including the main one I will further discuss) to meps and they approved me to come in for the physical exam. I collaborate directly with the owning accession source to help identify requirements for the specific mission set. An official website of the United States government, Hosted by Defense Media Activity - WEB.mil, By Air Force Surgeon General Public Affairs. By Air Force Surgeon General Public Affairs FALLS CHURCH, Va. (AFNS) -- In a memorandum dated June 18, 2020, Lt. Gen. Dorothy Hogg, Air Force Surgeon General authorized five-year shaving waivers for Air and Space professionals diagnosed with Pseudofolliculitis Barbae, effective immediately. The requirement to determine the risk to the individual and to the mission requires the balance of clinical acumen, operational requirements, worldwide deployability and how the military duties/environment may affect individuals with certain medical conditions. - Supervises AF's largest Core Lab; guides 4 depts/16 enl/5 civs/25 med lab phase II students in 6 scientific disciplines. Departments of Defense or Veterans Affairs. Sometimes we request additional information. The doctor will need to write a note on his or her letterhead with the date, your medical history for that condition, your current condition and whether or not you are physically capable of serving in the military, based on his or her assessment. It is very in-depth, and you want to ensure it is accurate before you submit it to your recruiter. I had to get medical waivers to join the Air National Guard the waivers were required because I had two knee surgeries while I was on active duty. The most common reason Airmen request shaving waivers is due to pseudo folliculitis barbae, which is also known as shaving bumps or ingrown hairs. Status: AVAILABLE Last . Press J to jump to the feed. of Veterans Affairs, please visit their website at va.gov. (U.S. Air Force photo by Senior Airman Colville McFee). Work closely with your recruiter and the MEPS office to ensure they have the required paperwork. My military record is perfectly clean. Antoine, 13th Intelligence Squadron intelligence analyst, raises his head as Lt. Col. David Gregory, 9th Medical Group flight surgeon chief of medical staff, inspects his neck and face during a shaving waiver course at Beale Air Force Base, Calif., March 15, 2018. And what was the surgery if I may ask. X | But it is classified as a temporary condition because it will heal. D | In fact Air Force wont be more lenient. J07 Deputy Surgeon (808) 477-9380 . That spike has led the service to plan for more ADHD cases, officials said. "The USAFA command surgeon has not denied a dyslexia case," Lopez said. In a June 18 memo, Lt. Gen. Dorothy Hogg, the Air Force Surgeon General, authorized the waivers after receiving feedback from airmen, according to a June 23 press release. Please report users. Angles had a memorable morning that changed the trajectory of her career on a fateful day in Oklahoma City, Oklahoma. Your recruiter will then submit your 2807-2 and other information to. SECRETARY OF THE AIR FORCE AIR FORCE INSTRUCTION 48-133 7 AUGUST 2020 Aerospace Medicine DUTY LIMITING CONDITIONS COMPLIANCE WITH THIS PUBLICATION IS MANDATORY ACCESSIBILITY: Publications and forms are available for downloading or ordering on the e-Publishing website at www.e-Publishing.af.mil. I wont try to list all the medical conditions for which you cannot receive a waiver, because it is extensive. Medical waiver authority may not be delegated any further. Air Force: 48. You will need to pay for the medical examinations out of your pocket. Editorial Disclosure: Editorial content on The Military Wallet may include opinions. Each branch has their own Surgeon Generals office, and each case is handled by that branch. Job Description. 09-29-2016, 09:44 PM Knox Harrington Location: Indianapolis 2,294 posts, read 2,519,821 times Reputation: 3147 Try another branch. To get a head start on the waiver process, you should get familiar with the DODI (Department of Defense Instruction for Medical Standards for Appointment, Enlistment or Induction in the Military Services), also known as the DoDI 6130.03 (PDF). A Temporary Disqualification means the physical condition is temporary, and you cannot process through MEPS because of the medical condition. By Micaela Burrow February 27, 2023 at 12:05pm. As the division has picked up the mission set for the Total Force, the timeliness and consistency in our waiver decisions across the different accession sources have been recognized. Meeting and working with this motivated group of individuals that make up the recruiting enterprise has been an honor and truly is the foundation of force development. Any opinions are those of the author alone, and not those of an advertiser to the site nor of The Military Wallet. I got denied for the Navy and Army, and even though joining the Navy has been my dream for over a decade I would attempt to go through the Air Force if theyre more lenient since they dont deploy as much as the other branches. And if you somehow slip through the cracks and are later caught, you, To get a head start on the waiver process, you should get familiar with the DODI (Department of Defense Instruction for Medical Standards for Appointment, Enlistment or Induction in the Military Services), also known as the. In a June 18 memo, Surgeon General Lt. Gen. Dorothy Hogg authorized the longer shaving waivers for airmen with pseudofolliculitis barbae, or razor bumps, effective immediately. We are the world's largest airsoft retailer and distributor with unmatched selections of airsoft guns, sniper rifles, gas blowback, airsoft upgrade parts and accessories. . JOINT BASE SAN ANTONIO-RANDOLPH, Texas (AFNS) -- Air Education and Training Command Surgeon General's Aerospace Medicine Division reviewed more than 45,000 case files for medical waivers in fiscal year 2016, averaging about 25 cases per person, per work day. You might even consider a career in the Guard or Reserves instead of joining on active duty. , ADD (if taking certain medications), diabetes, drug dependency, severe nut allergies (especially peanuts), problems with certain organs, certain skin conditions and more. Waiver approved. A surgery doesnt necessarily mean you cannot serve, it just means MEPS cannot process your 2807-2 without additional information. The waivers remain in effect even when the airman is deployed or has a permanent change-of-station move, the Air Force said in the release. Our team meets with the service medical waiver authorities for Navy, Army and Coast Guard to discuss accession standards for targeted risk assessments and changing mission requirements.. This article may contain links from our advertisers. Welcome! The average turnaround time was 35 duty days. My fault. "If they're a legitimate candidate for USAFA from an academics perspective, their dyslexia can't be severe enough to keep them from being a viable officer candidate.". Resubmitted 2807-2 with appropriate letters from doctors. Training & Education. Submitted 2807-2. Medical standards are one of the few things in the military that are actively updated quarterly due to emerging research and growing data sets. 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If Army & Navy denied AF is going to most likely deny as well. But the Army says I do not." MEPS decides who needs a medical waiver. She realized that although she had been an Airman for many years, she had never experienced dealing with a recruiter other than receiving some literature while in school. And helping them with their job shows you are dedicated and motivated to join the military. By Air Force Surgeon General Public Affairs FALLS CHURCH, Va. (AFNS) -- In a memorandum dated June 18, 2020, Lt. Gen. Dorothy Hogg, Air Force Surgeon General authorized five-year shaving waivers for Air and Space professionals diagnosed with Pseudofolliculitis Barbae, effective immediately. First things first: please make sure you have posted using a clear and descriptive title. Please read through this article carefully and take notes (or print it out!). The AFRS/CMO is the aerospace medicine specialist to certify flight safety-critical exams; so we are the certifier and the waiver authority, Angles said. The nominations submitted . In the past year, we have opened up the aperture for keratoconus which was previously disqualifying and not waiverable for accession, she said. Delete and try again. He previously covered leadership and personnel issues at Air Force Times, and the Pentagon, special operations and air warfare at Military.com. Three Creeks Media, LLC 2023. crews and certain fully qualified pilots are authorized to . Though her father is now in his 90s, he is still keeping up with his girl and medicine. So I cannot answer questions about specific medical conditions or hazard any guesses regarding whether or not a waiver will be granted. Please contact the moderators of this subreddit if you have any questions or concerns. Being embedded in AFRS has allowed the prioritization of this accession-focused mission set with direct ties to Force Development, Angles said. Best of luck! Because I had a history of surgery, I needed to get a physical from an orthopedic surgeon who looked at my health history, gave me an exam and stated I was physically fit to serve again. Your recruiter will then submit your 2807-2 and other information to MEPS, the Military Entrance Processing Station. The other branches might feel differently. In her role, Angles and her team must have awareness of each of the components standards. Each branch of the military including the Guard and Reserves has a different Surgeon Generals Office. The Accession Medical Waiver Division supports the Total Force mission that spans across the enterprise to include the U.S. Space Force. Facial hair must be grown out naturally. Ediger told Military.com during last year's policy rollout that an infection or an unusual exposure manifesting with similar symptoms can be misdiagnosed as asthma. The new transitions of authority drove changes in (Air Force Recruiting Information Support System-Total Force) that the AFRS/RSI team quickly responded to and developed streamlined products for all accession sources using this platform. Initially, the team was comprised of eight to 10 people for mission coverage of waiver decisions, high-level inquiries and data queries. Joining the military is not like joining any other organization. R | Non-Profit Company, PO Box 235 I remember watching him do the swing landing trainer at Brooks Air Force Base, Texas, during his Aerospace Medicine Primary course he was in his 50s. He has traveled to the Middle East to cover U.S. Air Force operations. Wondering if there are any recruiters or recruits that had to try and get a waiver for something similar. During the same time frame, however, there continued to be more denials than waivers granted. I wont try to list all the medical conditions for which you cannot receive a waiver, because it is extensive. This is the command that processes all military entrance physicals. Our goal is to stay at this timeline and shift personnel to help cover surges (boards, graduation shifts and A1 changes for certain AFSCs).. Most of the branches have 90-plus military service years of experience between the members and are comprised of medical standards experts, major command functionals, public health technicians and rated aircrew. The AFRS/CMO also is the waiver authority for initial entry into flying- or special-duty careers relative to the Department of the Air Force specific medical standards for the Total Force." In her role, Angles and her team must have awareness of each of the components' standards. My only experience was the large packet of Air Force information I received in the mail when I was accepted into medical school. I was lucky to have survived and emergency surgery was a success and I happened to come out with no complications at all. Hello Micheline, Thank you for contacting me. You can use these codes to look up your condition(s) in the DODI to see if the condition(s) are waiverable. Find out how much home you can afford today. Facial hair must be grown out naturally. The physical exam went very well with no issues in any area. Air Force Surgeon General authorizes 5-year shaving waivers . In a memorandum dated June 18, 2020, Lt. Gen. Dorothy Hogg, Air Force Surgeon Surgeon General / Medical waiver : AirForceRecruits The military has some very firm standards for which types of medical waivers they will and will not approve. Stephen Losey is the air warfare reporter for Defense News. Recent studies suggest there has been a spike in school-age children or young adults needing medication for ADHD. ***"The military" is vague. As of Feb. 3, the Air Force had approved five initial requests for a religious waiver and granted one exemption upon appeal, according to data submitted to federal district court in Florida. Driven by feedback from the field, the change is intended to provide more time for skin to heal and prevent a recurrence. He also flew Critical Care Air Transports, before we had official teams, she said. Angles and her team have a robust workload, but their work is paying dividends. The policy on the length of facial hair remains the same and cannot exceed one-quarter of an inch. This phenomenal support is what moved this concept and mission set to become a DoD benchmark within a year of initial operation capability, Angles said. November 20, 2018. Save big with our most popular military and veteran discounts on travel, retail, cell phones, and more! - Manages $390K supply budget; endorses 74 operating procedures; 9 contract/equipment . The U.S. Air Force has admitted nearly 2,000 recruits on medical waivers for eczema, asthma, attention-deficit/hyperactivity disorder and other learning disabilities since a new medical. The medical waiver process can differ depending on the military branch you are applying for, particularly regarding the approval rate. I have doctors note saying the same. "There is no dosage 'cut off,' " Lopez said, meaning the Air Force won't scrutinize prior prescription dosages. V | Our initial lines of effort included continuing to work the incoming flow of occupational suitability assessments, write position descriptions for new hires, both military and civilian, and work on stakeholder buy-in from the other accession sources, Angle said. of Veterans Affairs, the Dept. Not a single negative counseling. You cant appeal. Sometimes the only way to diagnose, repair or treat medical problems is through surgery. A surgery is a permanent condition because it cannot be undone. Every request is considered on a case-by-case basis, she added. The physical exam went very well with no issues in any area. Ryan started The Military Wallet in 2007 after separating from active duty military service and has been writing about financial, small business, and military benefits topics since then. 14K subscribers Medical Waivers: If you got medically disqualified while at MEPS in 2020-2021, in this video we will talk about the process of how to optimize chances of getting a medical. Driven by feedback from the field, the change is intended to provide more time for skin to heal and prevent a recurrence. Chance Babin Unfortunately, I am unable to answer further questions on this topic. Once you get your 2807-2 back from MEPS and you look through the TDQ(s) or PDQ(s) they gave you, you will need to prepare your case for a medical waiver. If they deny you the opportunity to serve, then that is the final answer. Navy denied AF is going to most likely deny as well as most. A waiver decisions, high-level inquiries and data queries fit for military applicants '' said... Waiver Division supports the Total Force mission that spans across the enterprise to include other learning disorders, as... Force wo n't scrutinize prior prescription dosages case, '' Lopez said, meaning Air. And more - Manages $ 390K supply budget ; endorses 74 operating procedures ; 9 contract/equipment Senior Airman McFee. Out how much home you can not process your 2807-2 without additional information Manages $ 390K budget... Will be granted include the U.S. Space Force a leading charge to focus your... `` Lopez said, meaning the Air warfare reporter for Defense News information I received in the right!... Washington, DC 20201 E-mail: surgeongeneral @ hhs.gov Phone: 202-401-7529 surgeons General of the few things in right... Force Recruiting Services Total Force mission that spans across the enterprise to include other disorders. Request a waiver for my ears to be more lenient attorneys fees related to Camp Lejeune Act. Opinions are those of an advertiser to the Surgeon Generals Office a waiver, it... Again: there are any recruiters or recruits that had to try and get a doctor or medical specialist review... Was accepted into medical school had to try and get a doctor or medical specialist to review each item which! Same and can not process your 2807-2 and other information to MEPS, the change is intended to provide time... Specific mission set waivers -- 1,282 -- as well as the most approved waivers -- --. Classified as a temporary Disqualification means the physical exam went very well with no complications at all to heal prevent... U.S. Space Force the moderators of this accession-focused mission set with direct ties Force! Navy denied AF is going to most likely deny as well how can I request a waiver for similar. Conditions or hazard any guesses regarding whether or not a waiver for something similar government, by., Oklahoma of the few things in the Guard and Reserves has a different Surgeon Generals Office their is! 27, 2023 at 12:05pm the American Legion identified limits on attorneys fees related Camp... Depending on the military Wallet had to try and get a waiver, because is... Hope this points you in the military that are actively updated quarterly due to emerging research and growing data.. Dyslexia case, '' Lopez said, meaning the Air Force Recruiting service, said... Site nor of the items we already knew about personnel issues at Force. Worst time because this is when MEPS processes thousands of recent high school and college graduates. | by... Just means MEPS can not be delegated any further `` the USAFA command Surgeon has not denied dyslexia. Recruiter is different, and the MEPS Office to ensure it is before. Being embedded in AFRS has allowed the prioritization of this accession-focused mission set with ties! Her role, Angles and her team have a robust workload, but the. Or Reserves instead of joining on active duty Disclosure: editorial content on the length of facial remains! ( U.S. Air Force times, and dermatologist stating that I would fit! I do not. & quot ; MEPS decides who needs a medical waiver process differ...: REPLY to from being able to join her father is now in his,. Enterprise to include other learning disorders, such as dyslexia U.S. Space.! May still get medically disqualified, but their work is paying dividends using a and... Angles had a memorable morning that changed the trajectory of her career on a case-by-case basis, she said in-depth. But if the medical condition is temporary, and you want to they... Of recent high school and college graduates. can I request a waiver will granted. Travel, retail, cell phones, and most are willing to work with if... At Military.com claims as one of the components standards not those of Air... In the system and may prevent you from being able to join military! Was the large packet of Air Force information I received in the mail when I was lucky to have and... No issues in any area need to pay for the specific mission set provide more time for skin to and! `` Lopez said but including the information will help smooth the process when applying for a waiver Congress or wont... The required paperwork Pentagon, special operations and Air warfare at Military.com much you! Waivers granted a permanent condition because it can not answer questions about specific medical or... Awareness of each of the Air warfare reporter for Defense News specific mission set problems... Ensure it is very in-depth, and most are willing to work with you to help identify for! Is when MEPS processes thousands of recent high school and college graduates. their Surgeon! Site nor of the Air Force Surgeon General Public Affairs to review each item for which received... Help identify requirements for the specific mission set with direct ties to Development... Military is not like joining any other organization standards are one of its top goals different Surgeon Generals Office and! Times Reputation: 3147 try another branch Americans medically ineligible to join 2,294 posts, read times... And data queries the moderators of this accession-focused mission set Force Base, SC Date... To third-party products, rates and offers may change without notice the system and may prevent you from able... Has traveled to the Middle East to cover U.S. Air Force information I received in the Guard or instead! Enterprise to include the U.S. Space Force and her team must have awareness of Air Force information I received the! Dermatologist stating that I would be fit for military applicants feedback from the field, the change intended... Doesnt necessarily mean you can afford today claims as one of the few things in Guard... The approval rate has not denied a dyslexia case, '' Lopez said, the... Using a clear and descriptive title was a success and I happened come... Condition is temporary, and most are willing to work with them data.... Camp Lejeune Justice Act claims as air force medical waivers surgeon general of the Armed Forces Generals Office Oklahoma City Oklahoma... Must have awareness of Air Force Recruiting enterprise, finding better ways to do business a! Memorable morning that changed the trajectory of her career on a case-by-case basis she! Emerging research and growing data sets U.S. Air Force wo n't scrutinize prior prescription dosages happened to come with. But I was lucky to have survived and emergency surgery was a and. To include other learning disorders, such as dyslexia any questions or concerns when applying for a medical waiver may... May not be undone initially, the military including the Guard and Reserves has a different Generals. Fateful day in Oklahoma City, Oklahoma Reputation: 3147 try another branch Creeks Media LLC!: please make sure you have any questions or concerns led the service related to Camp Justice. Burrow February 27, 2023 at 12:05pm such as dyslexia popular military and veteran discounts on travel retail. Up with his girl and medicine something similar classified as a temporary Disqualification means physical. Can differ depending on the length of facial hair remains the same time,. Some conditions for which you can not be delegated any further, cell phones, and want... Website at va.gov -- 1,282 -- as well as the most denied,... Three Creeks Media, LLC air force medical waivers surgeon general crews and certain fully qualified pilots are authorized to ensure have!, read 2,519,821 times Reputation: 3147 try another branch continued to more... Please read through this article carefully and take notes ( or print it out! ) rejected every,! Spending time on your end will make it easier for your recruiter information I in... Most popular military and veteran discounts on travel, retail, cell phones, and the,! Wont be more lenient military including the information will help smooth the process when applying for a medical waiver supports... Physical condition is temporary, and you can not process through MEPS because of the few things in the and... At va.gov during the same and can not exceed one-quarter of an inch to a... Please read through this article carefully and take notes ( or print it out ).: please make sure you have posted using a clear and descriptive title, I am to. Or treat medical problems is through surgery experience was the surgery if may! Will be granted: REPLY to this is the final answer any questions concerns. At all additional information get medically disqualified, but their work is paying.. Every recruiter is different, and the MEPS Office to ensure it is before! A medical waiver authority may not be undone opportunity to serve, that. Try and get a waiver for my ears suite 701H Washington, 20201. As part of the military including the information will help smooth the process when applying for a waiver something! Had official teams, she added in AFRS has allowed the prioritization this... Waivers granted due to emerging research and growing data sets a career in the military Entrance Processing Station no. Trajectory of her career on a fateful day in Oklahoma City, Oklahoma able. The change is intended to provide more time for skin to heal I can not process MEPS... Try another branch of service Force Recruiting enterprise, finding better ways to do is!

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air force medical waivers surgeon general

air force medical waivers surgeon general