Air force, united states federal legal forms and united states legal forms. A current air force fitness management system print out of members physical fitness history. Permission is required from rand to reproduce, or reuse in another form, any of its research. It is used to qualify an enlistees physical profile for each military skill. 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 report, lackland fitness assessment cell, corps of engineers engineering forms, cpol army mil library employment forms html, usace forms online, fillable. Call them and tell them what you need and that it is just for pulhes.
What does it mean to possess at minimum a physical profile of. Get instant access to ebook af form 422 pdf pdf at our huge library af form 422 pdf pdf download. Jun 25, 2019 the physical profile serial system is created around the various military duties and provide a numerical standard that a medical doctor recommends during the routine recruit physical. Af form 422, physical profile serial report current within 5 years, validated within 12 months only required if you are retraining into the afsc. This form may include work, mobility or fitness restrictions. Purpose of af form 422, notification of air force members qualification status.
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. Pulhes 1121 af form 422 required for retraining for additional information about asvab scores, reference the additional information section in this announcement. It can take five to seven days for a profile to go through the system. All active duty air force enlisted members need to obtain this form with a mandatory eligibility statement to assess the physical and mental standards. Physical profile this document is located on another website. These procedures have been developed to ensure maximum utilization and readiness of personnel, while preserving their health and. Dover addresses afwide mti shortage dover air force base. Currently af form 1540 time gaps of 30 days or more between periods of training, education, or employment must be explained in the remarks section. Administrative data change in physical profile requred yes prepare af form 422 no meal card yes no 41. If the member has a current fitness score, but was exempt during any portion of the award period, an af form 422 must be provided. Must be signed and verified within 6 months from your medical group 4.
Jul 11, 2012 the exercise physiologist will use air force form 422. Another document giving the same information, da form 3349, medical condition physical profile record, for example, may be. Aug 21, 2017 a current air force fitness management system print out of members physical fitness history. Military medical pulhes grading system the balance careers. The new afi 10203 published the other month switched the pt restrictions on an af 422 from the exercise physiologist back to the pcm your normal doc and everything is documented on the af 469. If member is on a profile include a copy of the members af form 422, physical profile serial report in the package. Af form 422, physical profile serial report current within 5 years, validated within 12 months orang air technicians interested in converting to agr status. Assist bioenvironmental engineering be in writing the supplement to this instruction. Secretary of the air force air force instruction 48123 24 september 2009 aerospace medicine medical examinations and. 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.
Af form 469, duty limiting condition report if applicable provide 1 copy and maintain 1 copy. 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. 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. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller instantly no software. The fac will not allow an airman with physical limitations to test without a current signed form 422.
Af form 422, physical profile assessment if applicable provide 1 copy and maintain 1 copy includes waivers same as. Af form 422 download printable pdf or fill online notification of. To compete for appointment, you must complete and submit the precandidate questionnaire along with af form 1786. Patient id use plastic card or typeprint name grade. It is used to determine medical standards for different jobs, and to make sure that military members are medically qualified to perform the duties of that job, the military has developed a medical profile indicator, known. Purpose of af form 422, physical profile serial report, is to standardize classification of an individuals physical functional abilities. The physical profile serial system is created around the various military duties and provide a numerical standard that a medical doctor recommends during the routine recruit physical.
Once an application is audited and qualified, and all physical requirements are met. Adapt provides services primarily to active duty military members. Be supported by an af form 422, physical profile serial report, confirming the pregnancy. Af form 422, physical profile serial report validated within 12 months required if you are retraining into 2a6x1 orang air technicians interested in converting to agr status. Air force instruction 10203 air force personnel center af. Af form 422 fill online, printable, fillable, blank pdffiller. Air national guard 187th communications flight 187th fighter. Each letter in the acronym see box below is paired with a number from 1 to 4 to designate the service members physical capacity. To access this document click on the following link.
Medal narratives downloaded from armsvmpf most current first. Purpose of profiling system system of classifying individuals according to their functional abilities applicability. Af form 422 fill online, printable, fillable, blank. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Dover addresses afwide mti shortage dover air force. 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. Interview with the installation psychologist for behavioral analysis take mmpi and shipley exams mental health section. Applicants for appointment, enlistment, and induction into military. Get the air force form description of air force form 422 airmen unable to participate in physical activity sufficient to train to meet fitness requirements should be issued an af form 469 and an af form 422 notification of air force member s qualification status with activity restrictions and exercise prescription. 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. Steps to help complete physical limitation form keesler air. Air national guard 187th communications flight 187th.
Ppt af form 422 powerpoint presentation, free download. Solicitation for 12 outstanding airmen of the year air. Selection for the advertised position does not constitute acceptance into the agr program. 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. Performs tasks qualification loading and downloading procedures on ale40 and ale47. For example, air force form 422 for an exercise prescription will no longer be mandated for airmen with a medical profile.
Obtain a complete af form 422 physical profile call base multimedia to schedule a full length photograph wearing shortsleeve blues, including all ribbons, accouterments and duty badge. Air force ots example 56, af imt 560, form 56, af form 56 commander interview, ots applicant profile examples. Establish procedures for processing af form 422, physical profile serial report, according to paragraph 7. These physicals are based primarily upon all of the body system functions. Steps to help complete physical limitation form keesler. Purpose of af form 422, duty limiting condition report. Af form 1786 is the application for appointment to the usaf academy under quota allotted to enlisted members of the regular and reserve components of the air force. Excusal from the fitness program for greater the 30 days will require a af form use an af form 422 to communicate the fitness recommendations of members to the unit commander. Air force form fill online, printable, fillable, blank. Functional ability is assessed in six different categories, referred to as factors by the army. In general, the af form 469 will describe an airmans limitations and fitness assessment clearanceexemptions.
Af form 56 pdf commanders comments and recommendations af form 56, page 6. Pulhes is a united states military acronym used in the military physical profile serial system. Refer recommended changes and questions about this publication to the office of primary responsibility opr using the af form 847, recommendation for change of publication. The fac uses the fitness test restrictions on the form 422 to determine which parts of the usaf fitness test can be safely evaluated. The physical profile serial system is created around the various military duties and provide a numerical standard that a medical doctor recommends during the.
Jan 26, 2009 obtain a complete af form 422 physical profile call base multimedia to schedule a full length photograph wearing shortsleeve blues, including all ribbons, accouterments and duty badge. What does it mean to possess at minimum a physical profile. Like i have said in previous posts, i strongly recommend you talk to your commander. Air force fitnessmanagement system ii affmsii report. Physical profile system to include physical profile serial chart pulhes.
Af form 469 is used to convey limitations related to the af fitness program fp as well as fitness assessment exemptions fae. 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. A statement must be made to document the activities and location of the provider during the period, to include vacation, relocation activities, etc. 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.
Although some of the services once provided by the hawc will be moved to the clinic or to the field house, other requirements performed by the hawc will no longer be required by air force instructions. Hawc services changing this fall offutt air force base. Air force medical service mtf offutt clinics services. 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. If its there, its the blue hyperlink at the bottom that says af422. The clinic here is closed for training, and i really need this form asap. Health benefits from an active lifestyle will increase productivity, optimize health, and decrease. Since 1987, the strength aptitude test, a test of physical strength, has been used by the air.
It must be signed by a designated profiling officer. The exercise physiologist will use air force form 422. Strength testing in the air force rand corporation. Yes epts, lod not applicable af form 348 check if continued on reverse check if continued on reverse 40. Usaf first sergeant of the year award air reserve personnel. Download printable af form 422 in pdf the latest version applicable for 2020.