An official website of the United States government
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.










 
 

Welcome to the Aeromedical Reference and Waiver Guide


The focus of the Aeromedical Reference and Waiver Guide (ARWG) is to provide guidance to Naval Aeromedical clinicians regarding common disqualifying conditions. As with previous editions, this reference is published as a supplement to the Manual of the Medical Department (MANMED) and as a service to the Aeromedical community. This publication serves as a guide that reflects MANMED, NATOPS, and NASA instructions and requirements for flight duty. It is designed to help flight surgeons and aviation medical technicians manage the challenging cases and routine administrative tasks of aviation medicine. Every effort has been made to ensure the information presented is in accordance with current aviation medicine guidelines and MANMED. Some of the standards and guidance published in the ARWG reflect forthcoming changes approved by the Bureau of Medicine and Surgery (BUMED) or future changes to MANMED. If any information in the waiver guide appears to conflict with MANMED, please contact NAMI Code NA05 for guidance and clarification on that subject. Progress, research, and changes in aviation medicine concepts will result in periodic changes to this guide. Updates to this guide will be posted on the NAMI web page as soon as possible and when approved by BUMED. Suggestions for revisions, improvements, or changes should be sent to NAMI Code NA05 for review and consideration. 

*Attention: For NAMI Code NA05 faxes, please use 850-452-2708.


POC:
Physical Qualifications
340 Hulse Road
Attn : Code NA05
Pensacola, FL 32508
850-452-2187 or 850-452-4272
 

The following are key points of contact:
  1. For AERO account/access issues and general help desk: usn.pensacola.navmedotcnamifl.list.nmotc-aeroaccess@health.mil
  2. For AERO process/functionality questions/errors: usn.pensacola.navmedotcnamifl.list.nami-physqualtech@health.mil
  3. For AERO requests for encounter modifications after submission:  usn.pensacola.navmedotcnamifl.list.nami-physqualtech@health.mil
  4. For AERO requests to expedite a package: usn.pensacola.navmedotcnamifl.list.nami-physqualtech@health.mil
 AERO: Aeromedical Electronic Resource Office
 

The Aeromedical Electronic Resource Office (AERO) is a web-based DOD system used jointly by the U.S. Army, Coast Guard, and Navy. AERO is the program/method utilized for aeromedical submissions to NAMI (NA05) Human Performance. Access to AERO requires a functional CAC Card. If you have not yet established your AERO account, then please do so by following the instructions below:

  1. In order to request access to AERO, please click here.
     
  2. Fill out all information. After the User information screen, you'll be prompted three times to upload documents: HIPAAOPNAV 5239/14 and AERO Request Form. Please upload them at this time. They have to be in 3 separate pdf files. An e-mail will be sent once your account has been approved.
  3. You may access the AERO TutorialAMS TutorialNavy Physical Classes, and How to Check Facility Submissions here.
  4. You may access the AERO login screen by clicking here.

Per the Manual of the Medical Department (MMD) Chapter 15-71 and 15-78, all flight physicals (designated or candidate) which require BUMED endorsement through NAMI, shall be submitted via AERO.

AN AERO ACCOUNT IS FOR MEDICAL USE ONLY. IF YOU HAVE A QUESTION ABOUT YOUR WAIVER, PLEASE CONTACT YOUR CORPSMAN OR FLIGHT SURGEON AT THE CLINIC THAT YOU USE.

Additional information, an AERO tutorial, and a link to the AERO Log In screen is available here and on the Aeromedical Electronic Resource Office page.

AERO includes a HIPAA-complaint secure internal messaging system that is recommended as the preferred way to communicate with NAMI. It can be accessed from the Messaging option in your Tools menu on the Patient Search screen. Alternatively, from a Patient Home or Data Entry/Encounter Home screen, look for the menu option Msg Re: Patient or Msg Re: Encounter. Clicking these will open a new message with the patient or encounter information automatically referenced. Simply address, add your message text, and send.

 


References

 


Forms

If you have any problems opening these files please right-click on them with your mouse and choose "Save Target As" to save them to your computer. Then open the file after it is downloaded.

NMOTC Forms
Aero Request Form
NMOTC 6410/13 (03-2025) Naval Aerospace Medical Institute Aeromedical Summary 
Allergic Rhinitis Worksheet
NMOTC 6410/3 (09-2015) Asthma Worksheet 
NMOTC 6410/4 (08-2015) Benign Prostatic Hyperplasia Worksheet
Completion of Pregnancy Summary
NMOTC 6410/12 (05-2026) Corneal Refractive Surgery Worksheet 
NMOTC 6410/2 (08-2026) ENT Hearing Questionnaire 
GBS
NMOTC 6410/5 (02-2025) GERD Worksheet 
NMOTC 6410/6 (02-2025) Hypertension Worksheet 
Local Board of Flight Surgeons Template
NMOTC 6410/10 (02-2016)  Motion Sickness Worksheet 
Ocular Motility Worksheet
NMOTC 6410/14 (11-2017) Obstructive Sleep Apnea Initial Waiver 
NMOTC 6410/15 (11-2017) OSA Continuation Worksheet 
Pregnancy Summary
NMOTC 6410/12 (05-2026) Corneal Refractive Surgery Aeromedical Summary 
NMOTC 6410/8 (02-2016) Renal Stone Worksheet 
Request to Continue Flying While Pregnant
 
Other Forms
NAVMED 6410/10 Abbreviated Aviation Medicine Examination 
OPNAV 3710/18  Clearance for Nonmilitary / Nonaircrew Personnel to Fly in USN/USMC Aircraft 
SF 513  Consultation Sheet 
SF 507  Continuation of DD 2807-1 Special Aviation Application 
DD 2992  Medical Recommendation for Flying or Special Operational Duty 
NAVMED 6410/14  Medical Screening for Class II Flight Deck Personnel and Personnel Who Maintain Aviator Night Vision Standards
NAVMED 6490/1  Navy Warfighter Refractive Surgery Consult
DD 2808  Report of Medical Examination
DD 2807-1  Report of Medical History
DD 877  Request for Medical / Dental Records of Information
DD 2875  System Authorization Access Request
NAVMED 6410/13  Unmanned Aircraft System (UAS) Physical worksheet
 
 
 
 
 
 


 



 
Address:
7840 Roswell Road
Building 300, Suite 325
Atlanta, GA 30350
Phone Numbers:
Telephone(Local): (770) 396-3898
Telephone(Toll-Free): 800-917-2081
Fax: (770) 396-3790
 
COE is the institutional accrediting body for the NMFSC AOR and is available for students and staff who have
submitted issues through normal grievance channels but feel that their grievance is still unresolved.
https://council.org/
 

 

Guidance-Card-Icon Dept-Exclusive-Card-Icon