Air force, marine corps, or coast guard on active duty. Apr 14, 2020 af form 422 physical profile see your medical group only required if you do not have the 2a3x3 afsc orang air technicians interested in converting to agr status. Another document giving the same information, da form 3349, medical condition physical profile record, for example, may be. In general, the af form 469 will describe an airmans. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller instantly no software. Pdf filename should be 2017999 last name, first initial, middle initial. Selection for the advertised position does not constitute acceptance into the agr program. The profile is also used to communicate with the health and wellness center exercise physiologist so they can develop an exercise prescription on form 422.
Either option will allow you to send an encrypted file. Yes epts, lod not applicable af form 348 check if continued on reverse check if continued on reverse 40. Enterprise, afi 363212, physical evaluation for retention. Af form 422 fill online, printable, fillable, blank pdffiller. Af form 422 download printable pdf or fill online notification of. Gcssaf form 41 system authorization access request page 2 of 2.
The following index of official military forms from the dod, army, navy, air force, marine corps, coast guard, and department of veterans affairs will help you access your earned benefits. Click browse to attach your pdf file and once selected it will appear under file s applications must be submitted as one file. Pulhes 1121 af form 422 required for retraining for additional information about asvab scores, reference the additional information section in this announcement. Af form 63, active duty service commitment adsc acknowledgement statement af form 422, physical profile serial report af form 475, education fill af 422 form, download blank or editable online. Af form 63, active duty service commitment adsc acknowledgement statement af form 422, physical profile serial report af form 475, educationtraining report.
Patient id use plastic card or typeprint name grade. Jun 19, 2008 requests for separation for pregnancy must. The primary objective of the adapt program is to promote readiness, health and wellness through the prevention and treatment of substance abuse, and to minimize the. The air force fitness program goal is to motivate airmen to participate in a yearround physical conditioning program that emphasizes total fitness, to include proper aerobic conditioning. I am not set to return until after my window closes out, as im based oconus. The latest version of the form was released by the air force af with all previous editions obsolete. It must be signed by a designated profiling officer. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Applications must be complete upon initial submission in one single pdf package, not to exceed 6 mb and 656.
Af form 422 physical profile see your medical group only required if you do not have the 2a3x3 afsc orang air technicians interested in converting to agr status. In general, the af form 469 will describe an airmans limitations and fitness assessment clearanceexemptions. Af form 469 is used to convey limitations related to the af fitness program fp as well as fitness assessment exemptions fae. Enter or confirm your name is entered, then enter email address all e mail addresses work with safe. Health benefits from an active lifestyle will increase productivity, optimize health, and decrease. The p in pulhes is an overall inspection of the body and its living systems heart, lungs, digestion, reproductive, central nervous system, and. Ngb form 341, application for active guardreserve agr position, form version dated 11 november 20 o announcement number and position title must be annotated on the form o download the current form version from. Fill out the duty limiting condition report online and print it out for free. Publications and forms are available for downloading or ordering on the e. If its there, its the blue hyperlink at the bottom that says af422.
Adapt provides services primarily to active duty military members. Af form 422 physical profile, my health manager log in, math concepts by grade level, recent questions and answers p, irans oil industry post sanctions, 2018 pr 26 form. Strength testing in the air force rand corporation. Yes epts, lod not applicable af form 348 check if continued on reverse check if. The application for assignment to housing, dd form 1746 that you signed to request family housing at travis afb, california, authorized the air force to. Click browse to attach your pdf file and once selected it will appear under file s applications must be. This form may include work, mobility or fitness restrictions. Im a sra currently deployed and attempting to retrain. Air national guard 187th maintenance squadron 187th fighter. Download printable af form 422 in pdf the latest version applicable for 2020. To access this document click on the following link. Free pdf download it helps us in keeping data which can be af form 988 pdf.
By order of the air force instruction 48 123 secretary of. Establish procedures for processing af form 422, physical profile serial report, according to paragraph 7. Download printable af form 469 in pdf the latest version applicable for 2020. Af form 422 physical profile, my health manager log in, math concepts by grade level, recent questions and answers p, irans oil industry post sanctions, 2018 pr 26 form, paralegal responsibilities, chapter 2 pavement composition and behaviour, isbn 9781285749693, reference price for section 45i credit for, af form 1881 fillable, plan. Af form 422 notification of air force members qualification. This afi is available for downloading from the epublishing. Af form 422 fill online, printable, fillable, blank. Airmen who have not been exercising regularly andor have other risk factors of a heart attack increasing age, smoking, diabetes. I have been notified that im eligible, and i am working to get all my required paperwork. A dd form 28 is a department of defense form is used for gathering dental information for military members who will spend an extended period of time away from dental. Sssncoa applicants cannot be on a fitness profile at the time application is.
Since 1987, the strength aptitude test, a test of physical strength, has been. Af form 469 download printable pdf or fill online duty. Af form 422, physical profile serial report current within 5 years, validated within 12 months orang air technicians interested in converting to agr status. Steps to help complete physical limitation form keesler. The primary objective of the adapt program is to promote readiness, health and wellness through the prevention and treatment of substance abuse, and to minimize the negative consequences of substance abuse to the individual, family and organization.
Air force medical service mtf offutt clinics services. Purpose of af form 422, notification of air force members qualification status. The form is used by military physicians to determine if an applicant is fit for extended service away from dental help. Physical profile system to include physical profile serial chart pulhes. Administrative data change in physical profile requred yes prepare af form 422 no meal card yes no 41. Air force form also known as the air force fitness assessment. Af form 422, physical profile serial report current within 5 years, validated within 12 months required for retraining only orang air technicians interested in converting to agr status. Pulhes is a united states military acronym used in the military physical profile serial system. The af fitness assessment fa is a maximumeffort test. Af form 63, active duty service commitment adsc acknowledgement statement af form 422, physical profile serial report af form 475, education fill af 422 form, download blank or. Airmen who have not been exercising regularly andor have other risk factors of a heart attack increasing age, smoking, diabetes, high blood pressure, etc. Dec 22, 2019 a dd form 28 is a department of defense form is used for gathering dental information for military members who will spend an extended period of time away from dental services. Completes all required forms to include af form 2631, palace chase statement of understandingcontract, and af form 1288, application for ready reserve assignment. Anyone know if its possible to have this portion waived.
Enlisted also complete dd form 412, enlistmentreenlistment document armed. Air force fitness form listed good sites fitness 2019. Airmen with an af form 422 must maintain fa currency standards. Complete application packet should be in a single pdf format document limit file. Physical profile this document is located on another website. Counterdrug task force tour announcement open to all. The air force fitness program goal is to motivate airmen to participate in a yearround physical conditioning program that emphasizes total fitness, to include proper aerobic conditioning, strength and flexibility training, and healthy eating. The clinic here is closed for training, and i really need this form asap. It is used to qualify an enlistees physical profile for each military skill. Dd form 28071, report of medical history, 20160516 draft. Purpose of af form 422, physical profile serial report, is to standardize. Each letter in the acronym see box below is paired with a number from 1 to 4 to designate the service members physical capacity.
Be supported by an af form 422, physical profile serial report, confirming the pregnancy. May, 2020 af form 422, physical profile serial report current within 5 years, validated within 12 months orang air technicians interested in converting to agr status. Air force, united states federal legal forms and united states legal forms. Afto53, af673, afspc1648 to minimize results, use the navigation buttons below to find the levelorganization you are looking for, then use the filter to search at that level. Jun 25, 2019 a profile serial containing one or more numerical designations of 4 indicates that the individual has one or more medical conditions or physical defects of such severity that the performance of military duty must be drastically limited. This instruction establishes procedures for the documentation and administrative management of airmen with injuries or illnesses that may impact their ability to perform their military duty. Air force form 422 pdf, air force form 469 pdf, air force form 422a, af form 422 active duty, air force physical profile form, af imt 422 physical profile, af form 469 duty limiting condition. Dd form 28 active duty reserve forces dental examination. Fill out the notification of air force members qualification status online and print it out for free.
Military physicians use a profile or duty limiting condition, form 469, to communicate duty restrictions to patient supervisors. Physical profile serial report, to document exercise program evaluations, fitness prescription instructions, fitness testing exemption recommendations, and clearance for unrestricted fitness participation or fitness testing afi 10203 paragraph 2. All active duty air force enlisted members need to obtain this form with a mandatory eligibility statement to assess the physical and mental standards. Officers must also submit a personal memorandum explaining the reason for applying for early release.
Af form 422 physical profile serial report must be validated within 12 months. These procedures have been developed to ensure maximum utilization and readiness of personnel, while preserving their health and. This value of four 4 is a disqualifier for both entering the military, and for continued military. The document cannot be found through the air force epublishing website, or. Permission is required from rand to reproduce, or reuse in another form, any of. This instruction establishes procedures for the documentation and administrative management of airmen with. Air national guard 187th maintenance squadron 187th fighter wing, montgomery, alabama active guard reserve agr military vacancy. Air national guard cy 2017 enlisted developmental opportunities. Do not use spaces when performing a product numbertitle search e.
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