NATIONAL GUARD BUREAU 111 SOUTH GEORGE MASON DRIVE ARLINGTON VA Refer to GC Conference Slides at bottom. ARNG-HRR 18 December 2015

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NATIONAL GUARD BUREAU 111 SOUTH GEORGE MASON DRIVE ARLINGTON VA 22204-1382 Refer to GC Conference Slides at bottom ARNG-HRR 18 December 2015 MEMORANDUM FOR NG J1 RRF (All-Entire RRF) SUBJECT: SMOM 16-008, Use of the Periodic Health Assessment and Separation History and Physical Examination for Enlistment 1. References: a. DTM 14-006 (Separation History and Physical Examination), 7 July 2014 with change dated 21 July 2015. b. AR 601-210 c. AR 40-501 d. SMOM 14-004 (Rescinded) e. SMOM 15-038 2. Effective 1 Jan 2016, this message will update medical procedures when processing prior service (PS) Soldiers and PS members from other services for enlistment. The following provides the required medical documentation and procedures to follow when using a Separation History and Physical Examination (SPHE)/Separation physical or the Periodic Health Assessment (PHA). 3. Directive-Type Memorandum (DTM) 14-006 requires all service members serving on active duty for a period greater than 180 days or greater than a 30 day contingency operation receive a comprehensive physical examination before the scheduled date of separation. All separation physicals must have a physical profile (PUHLES) to be valid for enlistment processing. Physicals without a profile must be sent to the state surgeon to obtain one. Members separated from the regular component of the USAF, USN, USMC, or USCG who declined to take a separation physical must obtain a Chapter 3 physical from MEPS, a Military Treatment Facility (MTF), or an ARNG medical command facility and meet the requirements of paragraph 7. 4. Soldiers that are current drilling members of the USAR (excluding IRR), processing on a conditional release, or PS Soldiers who are still within 6 months of their separation date will be processed as follows:

ARNG-HRR SUBJECT: Use of the Periodic Health Assessment and Separation History and Physical Examination for Enlistment (SMOM #16-008) a. If MEPS examination is 24 months old or less, present copy of: (1) DD Form 2808 (Report of Medical Examination) (2) DD Form 2807-1 (Report of Medical History) b. If MEPS examination is older than 24 months, present copy of: (1) SPHE or current PHA dated within 12mon (MEDPROS IMR is acceptable) (2) DA Form 7349 (Part I only. DA 3081 has been rescinded) c. If Soldier's PHA is red in dental or HIV it must be updated prior to enlistment. Applicants exceeding the screening table weight standards must submit a 5500 or 5501 signed by an E8 or higher from the gaining unit. 5. Current drilling members of the USAFR, USNR, USMCR and USCGR, processing on a conditional release must obtain a Chapter 3 physical from MEPS, MTF or an ARNG medical command facility. 6. All applicants that are beyond 6 months of their separation date from a regular or reserve component (excluding IRR) must obtain a Chapter 2 physical from MEPS. 7. Applicants with a MEPS physical that is 24 months old or less may continue to process after the required documents have been scanned into ERM. All applicants with a separation physical, PHA, or a chapter 3 physical from a MTF or ARNG medical command facility must have all required documents scanned into ERM and submit an exception to the Accessions Suitability Office (ASO). DD forms 2807-1 and 2808 must be scanned into their respective folders in the "medical" section of ERM. Scan the PHA/ MEDPROS IMR and DA 7349 into the "other medical document" folder in the "medical section of ERM. If additional medical records are required scan these into the "medical supporting documents" folder in the "medical" section in ERM. 8. Advise applicants who have had or currently have a "3" in their profile, required a medical waiver for prior enlistment, or have VA disability benefits approved or pending, that they will be required to have their records reviewed by the Office of the Chief Surgeon (ARNG-CSG). The ASO will make this determination. Medical waivers for prior enlistment must be approved by ARNG-CSG. 9. 09R applicants being processed as a field enlistment must obtain a Chapter 2 physical IAW SMOM 15-038. 10. The point of contact for this operational message is SFC Nsilo Samuels, Waivers NCOIC, (703) 607-0944 or nsilo.k.samuels.mil@mail.mil. 2

ARNG-HRR SUBJECT: Use of the Periodic Health Assessment and Separation History and Physical Examination for Enlistment (SMOM #16-008) 1 Encls 1. DA7349.pdf MONIE R. ULIS COL, IN Chief, Army National Guard, Strength Maintenance Division 3

3-7 Physical Service members separated from the AF, Marine Corps, and Navy can use separation physical for 6 months from date of separation The state surgeon can profile exit physicals from sister services If separation physical was declined, applicants must obtain a chapter 3 physical 54

3-7 Physical Current drilling members of the reserve components of the USAF, MC and NAVY must obtain a Chapter 3 physical Current drilling members of the USAR must have a current PHA or obtain a Chapter 3 physical 55

3-7 Physical PS members from any component or service separated more than 6 months must obtain a chapter 2 physical from MEPS. IRR time is excluded. Only AD or drilling reserve time counts. All Non MEPS physicals must be submitted to the ASO for review. 56

MEDPROS Screen 57