ALCOAST 232/25 - MAY 2025 MEDICAL STANDARDS FOR MILITARY SERVICE UPDATE

R 211415Z MAY 25   MID120001960535U
FM COMDT COGARD WASHINGTON DC
TO ALCOAST
BT
UNCLAS
ALCOAST 232/25
SSIC 6110
SUBJ: MEDICAL STANDARDS FOR MILITARY SERVICE UPDATE
A. Medical Standards for Military Service: Appointment,
Enlistment, or Induction, DoDI 6130.03, Vol. 1
B. Medical Standards for Military Service: Retention,
DoDI 6130.03, Vol. 2
C. COMDT COGUARD WASHINGTON DC 151226Z APR 24/ALCOAST 170/24
D. Coast Guard Medical Manual, COMDTINST 6000.1F
1. This ALCOAST affirms that the Coast Guard's accession
standards continue to be in accordance with REF (A) and
retention standards in accordance with REF (B), as announced
previously in REF (C).
2. This ensures parity with the Department of Defense services
and will allow the Coast Guard to access and retain the maximum
number of Coast Guard personnel who can perform the duties of
their office, grade, rank, or rating.
3. The Coast Guard will use the standards specified in REFs (A)
and (B) when processing or adjudicating accession and retention
waiver dispositions.
4. Retention standards, as found in REF (B), as well as the
standards promulgated in this policy, shall be applied to:
    a. CG military personnel who are currently serving, active or
reserve, or who have had a break in service of less than 24 months
and are pursuing a CG warrant or commission.
    b. Current Uniformed Service personnel undergoing an interservice
transfer to the CG, including those pursuing a CG warrant or
commission.
    c. Former Uniformed Service personnel seeking accession into the
CG after a break in service of less than 24 months, including those
who are pursuing a CG warrant or commission.
5. As announced in REF (C), normal color vision is required for
accession into the CG for programs leading to a commission. All
commissioning accessions will be tested on equipment available to
the Coast Guard accession points and IAW testing standards. Normal
color vision requires that the member pass Pseudoisochromatic Plates
(PIP I), Rabin Cone Contrast Test (RCCT), or as designated by color
vision testing equipment and standards available at Coast Guard
commissioning accession points. Waiver Authorities may consider
waivers on a case-by-case basis and shall coordinate waiver
decisions with PSC-OPM and PSC-RPM for PSC's awareness. Adoption of
different color vision standards for different officer specialties
are still under review.
6. These changes will be incorporated into the next revision of
REF (D).
7. This ALCOAST will be cancelled on 20 MAY 2026.
8. POC: CDR Aileen Gretchen Buckler, Chief, Preventive Medicine and
Population Health, COMDT (CG-1K21), (202) 475-4055,
Aileen.G.Buckler@uscg.mil.
9. RADM Paul I. Jung, Assistant Commandant for Health, Safety,
and Work-Life (CG-1K), sends.
10. Internet release is authorized.