Page 141 - DIDC SOPS and Guidelinesv as of April 2019
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MAINTENANCE OF SERVICE TREATMENT RECORD (STR) AND CIVILIAN EMPLOYEE MEDICAL RECORDS UPON
                  MOBILIZATION STRS OF DEPLOYED MILITARY MEMBERS AND CEMRS OF DEPLOYED CIVILIANS WILL NOT ACCOMPANY
                  THEM TO DEPLOYED AREAS IAW AR 40-66. DODD 6490.2 AND DOD INSTRUCTION (DODI) 6490.3 STATE THAT, TO THE
                  EXTENT APPLICABLE, MEDICAL SURVEILLANCE ACTIVITIES WILL INCLUDE ESSENTIAL DOD CIVILIAN AND CONTRACTOR
                  PERSONNEL DIRECTLY SUPPORTING DEPLOYED FORCES, CONSISTENT WITH PLANS ESTABLISHED UNDER DODI 1400.32
                  AND DODI 3020.37.
               Soldiers who deploy to CENTCOM's area of responsibility (AOR) must meet the medical
               requirements.  List of specific AOR requirements by region, is in the Appendix of the AMDR.

               Section II
               Mobilization

               5-4. Pre-Mobilization requirements

               A Soldier with a pre-existing medical condition identified within the first 25-days
               that renders the individual non-deployable may be released from active duty (REFRAD)
               immediately.
                 a. Disqualifying conditions include temporary and permanent conditions that do not meet
               medical retention standards (Reference AR 40-501, Chapter 3). SRP Sites should report all 25-
               day REFRADs in the MEDPROS 25-day REFRAD Module.
               The Soldier's Command will ensure that the Soldier receives appropriate medical care and
               follow-up upon return to home station. Care should result in either a Return to Duty status or
               MEB/PEB processing within 6-months. Upon resolution of the disqualifying medical condition,
               individuals are immediately subject to a subsequent order to Active Duty.
               Administrative processing of a released from active duty order, must be complete no later than
               30-days from the M-date.
               Applicability:
                       1) Rule applies to all RC, AGR Soldiers mobilized in support of contingency operations.
                       2) Rule does not apply to AC Soldiers, and AC Soldiers assigned to RC units.
                       3) AGR Soldiers in Title 10 status and RC Soldiers injured in the line of duty after
               mobilization.
                       4) 30-days and Pre-existing Medical Condition: RC Soldiers on active duty for 30 days or
               more with a preexisting medical condition, who fail to meet medical retention standards, will be
               released back to their RC units to undergo a non-duty related MEB/PEB processing prior to
               REFRAD.
                       5) Soldiers with medical conditions that render them non-deployable (pre-existing or
               otherwise), who are retained on active duty for more than 30 days, must be retained on active
               duty for appropriate medical processing.

                 b. Medical evaluation of IRR Soldiers are done using DA Form 7425 Readiness and
               Deployment Checklist and screened for substance abuse at the Reception Battalion. Medical
               personnel will determine if a physical exam is required (Reference AR 40-501). If an IRR Soldier
               has a permanent or temporary medical condition within the first 25- days of mobilization, he/she
               will be REFRAD IAW the 25-day rule policy and their medical records will be forwarded to the
               HRC Surgeon's Office (AHRC-SG) for disposition.

                 c. Documentation: All units/individual personnel must report to mobilization stations with the
               following:

                       1)  Medical and Dental records.


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