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The focus of the Aeromedical Reference and Waiver Guide is to explain the medical and physical standards required for aviation duty. As with previous editions, this reference is published as an 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 the Flight Surgeon 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 policies published in the Aeromedical Reference and Waiver Guide (ARWG) reflect forthcoming changes approved by BUMED or future changes to MANMED. If any information in the waiver guide appears to conflict with MANMED, please contact NAMI Code 342 for guidance and clarification on that subject. Progress, research and changes in aviation medicine concepts will results 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 342 for review and consideration. The current ARWG is also available on the Word Wide Web at the BUMED 23 and NAMI Home Page.
*Attention: For NAMI Code 342 Faxes, please only use 850-452-2708.
340 Hulse Road
Attn : Code 53HN
Pensacola, FL 32508
850-452-2187 or 850-452-4272
Additional information, an AERO tutorial, and a link to the AERO Log In screen is available below and on the Aeromedical Electronic Resource Office page.
This edition of the Aeromedical Reference and Waiver Guide (ARWG) features some new hyperlinks, as seen in many interactive Internet sites. Some of these features were not available in previous editions. In moving forward and setting the pace towards a tri-service aviation medicine waiver guide, hyperlinks to the Air Force waiver guide and aviation physical standards [ AFI 48-123 ] and the US Army Aeromedical Center have also been added. This edition in its entirety is the most current in a few years, and is in the ongoing process of being updated and re-written. As such, we are always open to ideas or suggestions for improvement. Any suggestions, comments, or request for additional revisions to this edition should be forwarded to NAMI Code 342.
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. The following are key points of contact:
340 Hulse Road
Attn: Code 53HN
Pensacola, FL 32508
850-452-2187 or 850-452-4272 (DSN 459)
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
The Aeromedical Electronic Resource Office (AERO) is a web-based DOD system used jointly by the U.S. Army, Coast Guard, and Navy. Linkage with the Air Force AIMWTS electronic waiver system is being investigated. AERO is implemented as the expected method for aeromedical submissions to NAMI. Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. 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:
GREAT NEWS! AKO is no longer required for AERO use. If you still need access, you'll need to find an Army sponsor. Fort Rucker is no longer providing that service.
All flight physicals (designated or candidate) which require BUMED endorsement through NAMI, should be submitted via AERO. Packages received through mail, facsimile or e-mailed scans will be returned to the examining facility without action unless accompanied by a letter explaining why submission via AERO was not utilized. If using an e-mail, please ensure the e-mail is encrypted. If a physical needs to be sent through the mail, the physical must be sent via certified mail (FEDEX, USPS) and mailed to: Officer in Charge, Navy Medicine Operational Training Center Detachment, Naval Aerospace Medical Institute, 340 Hulse Road, Attn: Code 53HN, Pensacola, FL 32508. When mailing, please follow-up with an e-mail.
AERO will greatly improve our ability to provide better service to you and the fleet!Questions and feedback are welcome.
AN AERO ACCOUNT IS FOR MEDICAL USE ONLY. IF YOU HAVE A QUESTION ABOUT YOUR WAIVER, PLEASE CONTACT YOUR CURRENT CORPSMAN OR FLIGHT SURGEON AT THE CLINIC THAT YOU USE.
Bureau of Medicine and Surgery
7700 Arlington Blvd. Ste. 5113 Falls Church, VA 22042-5113
This is an official U.S. Navy website
This is a Department of Defense (DoD) Internet computer system.
General Navy Medical Inquiries (to Bureau of Medicine and Surgery): firstname.lastname@example.org