ALCOAST 401/23 - OCT 2023 AVIATION PHYSICAL EXAM STANDARDS, WAIVER GUIDELINES, AND REFERENCE UPDATES

R 191408Z OCT 23   MID120000553182U
FM COMDT COGARD WASHINGTON DC
TO ALCOAST
BT
UNCLAS
ALCOAST 401/23
SSIC 6410
SUBJ: AVIATION PHYSICAL EXAM STANDARDS, WAIVER GUIDELINES, AND
REFERENCE UPDATES
A. Navy Aeromedical Reference and Waiver Guide.
B. Coast Guard Medical Manual, COMDTINST M6000.1F
C. Coast Guard Aviation Medicine Manual, COMDTINST M6410.3A
D. Coast Guard Aeromedical Electronic Resource Office (AERO) GUIDE
V2.0
1. This ALCOAST establishes US Navy (USN) aeromedical physical
standards, waiver guidelines, and references as the primary resource
for determination of flight duty for CG aviation personnel (except
student pilots, as described in paragraph 2). If medical conditions
are not covered or adequately addressed in REF (A), or if specific
CG operational needs dictate, other DoD services' aeromedical waiver
guidelines may also be used as secondary sources. REFs (B) through
(D), Coast Guard Aeromedical Policy Letters, and USCG Aeromedical
Technical Bulletins are no longer valid references for CG aviation
medicine. REF (A) can be found on the following website:
(Copy and Paste URL Below into Browser)

https://www.med.navy.mil/Navy-Medicine-Operational-Training-Command
/Naval-Aerospace-Medical-Institute/Aeromedical-Reference-and-Waiver-
Guide/

2. CG student pilots and CG pilot applicants must strictly meet the
standards and waiver guidelines of the service from which they get
their initial pilot training. Currently student CG pilots are
trained with the USN, and thus need to meet USN aeromedical
standards or have an approved aeromedical waiver, based on USN
guidelines, granted by the CG and approved by a Naval
Aerospace Medical Institute (NAMI) review before starting their
training. After designation as CG pilots, the policy in paragraph
1 of this ALCOAST applies to these pilots.
3. In the next revision of REFs (B) & (C) USCG aeromedical providers
will be directed to USN standards and guidelines, as described
above.
4. This message will be cancelled on 18 OCT 2024.
5. POC: LCDR Joel Fulkerson, Aviation Medical Standards Officer,
Aviation Training Center Mobile, Joel.Fulkerson@uscg.mil,
(251) 441-5757.
6. POC: LTJG Mikel Vartanian, Assistant Aviation Medical
Standards Officer, Aviation Training Center Mobile,
Mikel.P.Vartanian@uscg.mil, (251) 441-6878.
7. RADM Dana L. Thomas, Assistant Commandant for Health, Safety,
& Work-Life (CG-1K), sends.
8.Internet release is authorized.