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New Asthma and ADD/ADHD Policy

Military Softens Enlistment Standards

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Updated April 11, 2014
The Department of Defense has softened their medical qualification standards for cases of childhood asthma, and history of Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD).

Asthma

Previously, any history of asthma was disqualifying, regardless of age. While medical waivers were sometimes possible, waiver approval usually required scheduling and passing a pulmonary function test. Under the new policy, Asthma is only disqualifying if it occurs after the applicant’s 13th birthday.

Medical record screening may still be required, depending on the applicant’s medical history. However, in many cases, a signed statement, attached to the medical pre-screening form, stating that the applicant did not have any type of asthma (including exercise induced, or allergic asthma) or treatment for asthma after their 13th birthday will be sufficient.

Applicants who’ve experienced asthma or reactive airway disease after age 13 will require all medical documentation. Waivers may still be considered, depending on the applicant’s medical history and – possibly results from a pulmonary function test.

ADD/ADHD

Under the old standards, any history of ADD or ADHD was disqualifying. While waivers were sometimes possible, they were among the hardest categories of waivers to get approved. Under the new standards, ADD/ADHD is disqualifying only if the applicant has been treated with ADD/ADHD medication within the previous year and/or they display signs of ADD/ADHD. For applicants with a previous history of ADD/ADHD who have been off medication for more than one year, and they do no demonstrate significant impulsivity or inattention during MEPS processing, the MEPS examining official may find them qualified for military service without submission of a waiver.

Records review is still required. Any history of being evaluated or treated for ADD/ADHD must be documented. As a minimum, all treatment (if any) within the previous three years must be submitted to MEPS, in advance, as part of the medical pre-screening. Full medical records are required if the applicant was ever treated for ADD or ADHD with any medication other than Ritalin, Adderal, or Dexedrine, or if there were any additional psychiatric symptoms, such as, but not limited to, depression.

MEPS may require school transcripts to demonstrate acceptable academic performance for the year without medication. If treatment for ADD/ADHD occurred throughout the school environment, but wasn’t stopped until after the applicant left school, there is still the possibility of waiver consideration.

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