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Team Aerospace Begins Here! AF Form 422

AF Form 422

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AF Form 422. PHYSICAL PROFILE Outlined in AFI 48-123, Chapter 10, & Attachments 11 & 13. Purpose of Profiling System - system of classifying individuals according to their functional abilities Applicability: Applicants for appointment, enlistment, and induction into military - PowerPoint PPT Presentation

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Page 1: AF Form 422

Team Aerospace Begins Here!

AF Form 422

Page 2: AF Form 422

Team Aerospace Begins Here!

PHYSICAL PROFILEPHYSICAL PROFILE

Outlined in AFI 48-123, Chapter 10, & Outlined in AFI 48-123, Chapter 10, & Attachments 11 & 13Attachments 11 & 13

Page 3: AF Form 422

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Purpose of Profiling System -Purpose of Profiling System - system of classifying system of classifying individuals according to their functional abilitiesindividuals according to their functional abilities

Applicability:Applicability:

Applicants for appointment, enlistment, and Applicants for appointment, enlistment, and induction into military induction into military

Active & ARC (throughout their military service)Active & ARC (throughout their military service)

Page 4: AF Form 422

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PurposePurpose

Communicates information in layman’s terms to Communicates information in layman’s terms to NONMEDICAL authorities NONMEDICAL authorities

Detailed instruction for completing Detailed instruction for completing

AF Fm 422, are found in AF Fm 422, are found in AFPAM 48-133AFPAM 48-133

Page 5: AF Form 422

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Initial ProfileInitial Profile

Airmen – Airmen – Force Health Management personnel review Force Health Management personnel review profile from basic training. profile from basic training.

Officers - Officers - first permanent duty station.first permanent duty station.

Page 6: AF Form 422

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Factors

-- human functions are divided into six factors designated human functions are divided into six factors designated

P U L H E S

Previous Profile

Revised Temporary

Permanent Profile

Page 7: AF Form 422

PP -Physical Status Relative to Organic Defects or -Physical Status Relative to Organic Defects or Systemic Diseases Systemic Diseases

Rate here organic defects or systemic Rate here organic defects or systemic diseases that are not normally rated diseases that are not normally rated under other profile factorsunder other profile factors

P U L H E S

Previous Profile

Revised Temporary

Permanent Profile

Page 8: AF Form 422

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PP-Physical (Cont)-Physical (Cont)

Cardiovascular Cardiovascular DiseasesDiseases

Pulmonary Pulmonary DiseasesDiseases

Gastrointestinal Gastrointestinal DiseasesDiseases

Renal DiseasesRenal Diseases

AllergiesAllergies

HerniasHernias

Endocrine Endocrine DisordersDisorders

Dental DefectsDental Defects

Page 9: AF Form 422

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U U -Upper Extremities - -Upper Extremities - rate here functional use, rate here functional use,

strength, range of motion and general efficiency of strength, range of motion and general efficiency of

hands, arms, shoulder girdle, and spine (hands, arms, shoulder girdle, and spine (cervical &cervical &

thoracicthoracic))

P U L H E S

Previous Profile

Revised Temporary

Permanent Profile

Page 10: AF Form 422

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LL-Lower Extremities - -Lower Extremities - rate here functional use, rate here functional use,

strength, range of motion and general efficiency of feet, strength, range of motion and general efficiency of feet,

legs, pelvic girdle, lower back (legs, pelvic girdle, lower back (lumbar & sacrallumbar & sacral))

P U L H E S

Previous Profile

Revised Temporary

Permanent Profile

Page 11: AF Form 422

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H-Hearing - H-Hearing - rate here rate here ONLY Auditory AcuityONLY Auditory Acuity

Organic defects of the ears are profiled under “P”Organic defects of the ears are profiled under “P”

See Attachment 11 of AFI 48-123 for instructions See Attachment 11 of AFI 48-123 for instructions for establishing “H” profilefor establishing “H” profile

P U L H E S

Previous Profile

Revised Temporary

Permanent Profile

Page 12: AF Form 422

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E-Eyes - E-Eyes - rate here ONLY rate here ONLY DISTANT DISTANT VISUAL ACUITYVISUAL ACUITY

Organic eye diseases and visual field defects are Organic eye diseases and visual field defects are profiled under “P”profiled under “P”

Near vision and color vision are not profiledNear vision and color vision are not profiled

See See Attachment 13 of AFI 48-123Attachment 13 of AFI 48-123 for for establishing “E” profiles establishing “E” profiles

P U L H E S

Previous Profile

Revised Temporary

Permanent Profile

Page 13: AF Form 422

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SS-Psychiatric - -Psychiatric - rate here emotional stability and neuro-rate here emotional stability and neuro-

psychiatric history, psychotic and neurotic conditionspsychiatric history, psychotic and neurotic conditions

P U L H E S

Previous Profile

Revised Temporary

Permanent Profile

Page 14: AF Form 422

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GRADES (NUMBERS)

P U L H E S Suffix

Previous Profile

Revised Temporary

Permanent Profile

Page 15: AF Form 422

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A A 1, 2,1, 2, or or 3 Profile3 Profile indicates the member is medically indicates the member is medically qualified for qualified for

World Wide Duty (WWD)World Wide Duty (WWD)

A A 4 Profile4 Profile indicates the member IS NOT medically indicates the member IS NOT medically qualified for World Wide Dutyqualified for World Wide Duty

WWD)WWD)

P U L H E S Suffix

Previous Profile

Revised Temporary

Permanent Profile

Page 16: AF Form 422

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SUFFIXES

Page 17: AF Form 422

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WW - - member member ISIS considered medically qualified for considered medically qualified for

WWDWWD

This suffix is used when the profile contains only This suffix is used when the profile contains only 1s, 2s,1s, 2s, or or 3s3s

P U L H E S Suffix

Previous Profile

Revised Temporary

Permanent Profile

Page 18: AF Form 422

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TT - - the physical profile contains one or more the physical profile contains one or more 4s,4s, indicating the member indicating the member IS NOTIS NOT considered worldwide considered worldwide serviceservice

The defect is The defect is temporarytemporary & expected to resolve & expected to resolve within within 12 months or less12 months or lessThe The “T”“T” suffix is not to be used with a suffix is not to be used with a 1, 2,1, 2, or or 3 3 profileprofileDefects of a temporary nature can be reflected in the Defects of a temporary nature can be reflected in the

remarks sectionremarks section

Page 19: AF Form 422

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CC - - members awarded an Assignment Limitation Code - members awarded an Assignment Limitation Code -

C (ALC-C) will:C (ALC-C) will:

Retain the “T” suffixRetain the “T” suffix

The physical profile contains one or more 4sThe physical profile contains one or more 4s

In the remarks section enter the ALC-C and the In the remarks section enter the ALC-C and the restrictionsrestrictions

Page 20: AF Form 422

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DO NOT DO NOT

enter an ALC-C unless it hasenter an ALC-C unless it has

been authorized by HQ AFPCbeen authorized by HQ AFPC

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Periodic 422 Review

Revalidate or Revise the Profile:Revalidate or Revise the Profile:

At all standard (PHA’s) or special purpose medical At all standard (PHA’s) or special purpose medical examinationsexaminations

On return to normal duty after any illness or injury On return to normal duty after any illness or injury that significantly affected duty performance or that significantly affected duty performance or qualification for WWDqualification for WWD

Page 22: AF Form 422

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Periodic 422 Review Cont.

REVIEW/REVALIDATE PROFILEREVIEW/REVALIDATE PROFILE

On selection for overseas, geographically On selection for overseas, geographically separated unit, or combat zone assignment. separated unit, or combat zone assignment.

Pregnancy profiles reviewed by the clinic Pregnancy profiles reviewed by the clinic providing care. Any changes in restrictions must providing care. Any changes in restrictions must be referred to Force Health Managementbe referred to Force Health Management

Page 23: AF Form 422

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Periodic 422 Review Cont.

REVIEW/REVALIDATE PROFILEREVIEW/REVALIDATE PROFILE

The MPF (normally Outbound Assignment The MPF (normally Outbound Assignment section) provides Assignment Availability Code section) provides Assignment Availability Code 31, 37, and 81 roster on a monthly basis31, 37, and 81 roster on a monthly basis

( FHM Quality Control)( FHM Quality Control)

Code 31 - members on a 4TCode 31 - members on a 4T

Code 37 - Pending an MEB/PEBCode 37 - Pending an MEB/PEB

Code 81 - Pregnancy profileCode 81 - Pregnancy profile

Page 24: AF Form 422

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Duty Limitations

Worldwide Duty & Deployability Limitation:Worldwide Duty & Deployability Limitation:

4T profile precludes TDY/PCS until MEB/PEB 4T profile precludes TDY/PCS until MEB/PEB processing is completed or condition is resolvedprocessing is completed or condition is resolved

60 calendar days (MPF)60 calendar days (MPF)

When an assignment is pendingWhen an assignment is pendingConfirm by MPFConfirm by MPF

Physician provides medical facts and circumstances to HQ Physician provides medical facts and circumstances to HQ AFPCAFPC

Page 25: AF Form 422

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Duty Limitations Cont.

Temporary Occupational RestrictionTemporary Occupational Restriction

Use AF Fm 422 and 1042 to inform the Use AF Fm 422 and 1042 to inform the member’s unit commander or supervisor of member’s unit commander or supervisor of member’s injury or illness which limits job member’s injury or illness which limits job performance, or deployability, for a specified performance, or deployability, for a specified durationduration

Page 26: AF Form 422

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Duty Limitations Cont.

(Cont)(Cont)

4T profiles issued for 4T profiles issued for less than 60 daysless than 60 days are are not forwarded to the MPF and can be not forwarded to the MPF and can be handwrittenhandwritten

PIMR Driven!PIMR Driven!

Page 27: AF Form 422

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Medical Evaluation Board (MEB) Process

I.D. / 4T ProfileI.D. / 4T Profile

MEB/PEBLO clerk brief patientMEB/PEBLO clerk brief patient

MTF conducts MEBMTF conducts MEB

AFPC action (PEB if necessary)AFPC action (PEB if necessary)

Returned to MTFReturned to MTF

New profile completed (Assignment Limitation Code C)New profile completed (Assignment Limitation Code C)

Page 28: AF Form 422

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MTF Profile OfficersMTF Profile Officers - - a position delegated down a position delegated down from the MTF Commander usually to the senior flight from the MTF Commander usually to the senior flight surgeon (Flight Medicine and Primary Care PCMs). surgeon (Flight Medicine and Primary Care PCMs). Profile officer ensures profiles are accurate and Profile officer ensures profiles are accurate and completed in a timely manner.completed in a timely manner.

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Temporary Disability Retirement List (TDRL)

Members who qualify for disability retirement but Members who qualify for disability retirement but whose degree of permanent impairment has not whose degree of permanent impairment has not yet stabilized are temporarily retiredyet stabilized are temporarily retired

Page 30: AF Form 422

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Additional Usage

Notification to MPF of member’s qualification for Notification to MPF of member’s qualification for retirement/separationretirement/separation

Drug Abuse ReportingDrug Abuse Reporting

AFSC Medical Retraining - AFSC Medical Retraining - Medical defect permanently Medical defect permanently precludes further employment within a AFSC (Strength Aptitude precludes further employment within a AFSC (Strength Aptitude Test (SAT). Recommendation for retraining is sent to MPF. Test (SAT). Recommendation for retraining is sent to MPF. Confirmed by member’s CommanderConfirmed by member’s Commander

Commanders notification of member’s refusal to submit DNA Commanders notification of member’s refusal to submit DNA samplesample

Physical restrictions / Fitness exemptionsPhysical restrictions / Fitness exemptions

(Cycle Ergo testing excusal)(Cycle Ergo testing excusal)

Page 31: AF Form 422

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Use of the Department of the Army (DA) Fm 3349:Use of the Department of the Army (DA) Fm 3349:Is acceptable in lieu of AF Fm 422Is acceptable in lieu of AF Fm 422

Review entries which recommends temporary or Review entries which recommends temporary or permanent geographic or climate assignment or permanent geographic or climate assignment or restrictionsrestrictions

Army’s Army’s 33 profile profile IS NOTIS NOT compatible with WWD compatible with WWD

assignability in the AF & must be converted to a assignability in the AF & must be converted to a 44 profile profile

Page 32: AF Form 422

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Distribution

Distribute the AF Form 422 to the agencies listed in the Distribute the AF Form 422 to the agencies listed in the bottom right hand corner of each copybottom right hand corner of each copy

Temporary ProfilesTemporary Profiles

MEB Profiles (include MPF)MEB Profiles (include MPF)

Page 33: AF Form 422

QUESTIONS?