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United States Army
Basic Training Operating Instructions

Preexisting Medical Conditions Discharge

1.  MED 200 is for a preexisting medical condition which disqualifies a private from further military service.

2.  The commander must obtain the battalion commander’s approval prior to pulling any private from training.  A private pending a MED 200 will continue to train within the limits of his profile until pulled from training.

                a.  As soon as a private is identified as a possible MED 200, the drill sergeant must immediately tell the Training NCO who will note the identification date on the Command & Staff slides.  If the private is a National Guard or Army Reservist, the Training NCO will notify the Reserve Component Liaison (4-8118).

                b.  For NON-WAIVERABLE MEDICAL CONDITIONS see the timeline flowchart on Appendix 1.

                c.  A private that has been pulled from training may still be used to within the limits of his profiles (i.e.  answering phones, KP etc.) until assigned to the Holding Detachment.  Permission to keep the private at the company more than three days after he is identified as a MED 200 comes from the battalion commander.

3.  Commander will review private's packet and interview him.  Explain that the process takes (much) time.

4.  Identify whether a private is a MED 200 A, a condition identified by MEPPS but waived, or a MED 200 B, a condition discovered while at BCT, to the BN S3.  This information is tracked by brigade.

5.  Immediately upon receipt of the private’s medical packet, the Training NCO will make an appointment for the private to see JAG.

                a.  If the private is already at the Holding Detachment, the Holding Detachment will make all necessary JAG appointments.  The 1SG will visit privates assigned to the Holding Detachment weekly.

                b.  The Training NCO must still keep track of the dates of the MED 200 process for reporting on the Command and Staff and EOC Briefing slides, even if the private has been moved to the Holding Company.

6.  After the private sees JAG, the commander will interview the private and annotate the private’s desire to receive or waive a complete medical examination and continue the MED 200 process - see Appendix 2.

                a.  If it is a clear cut case, the commander will indicate this to the battalion commander for a rapid processing.

                b.  If the private wants to waive the physical, an interview with the battalion commander is required.

7.  The brigade commander is the separation authority and must approve any MED 200s or waivers.

8.  The Training NCO must update AIMS to indicate the private’s status change to CASUAL and update the EOC Briefing Slides.  Be sure to note the number of days from identification to separation and explain any delays.  If the company graduates, continue to track the private.  He will have to return to the company and outprocess before he is discharged.

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Note: These Operating Instructions were derived from a set of SOPs (Standard Operating Procedures) for a United States Army Infantry Basic Training Battalion. While SOPs might differ somewhat from batallion to batallion, it should give a basic idea of the instructions that Drill Sergeants and basic training staff members operate under.

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