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Medical Recommendation for Flyer Duty A4186 - DA Mobile App

This mobile application is used by medical staff to determine recommendations for military flying duties. The user can recommend specific actions necessary for completion prior to flying. The user may also specify disqualifying actions if the personnel is not deemed pursuant. This app can be customized as a qualification assessment for various purposes such as scuba diving, parachuting, surgery, etc.

  • Lendlease
  • The Cooperative
  • PG&E
  • Toys R Us
  • Red Bull
  • Mirvac

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Take a peek inside the Medical Recommendation for Flyer Duty A4186 - DA Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico multiline

    TO

  • Ico multiline

    FROM

  • Ico textbox

    LAST NAME

  • Ico textbox

    FIRST NAME

  • Ico textbox

    MI

  • Ico textbox

    SSN

  • Ico textbox

    GRADE

  • Ico date

    DATE OF BIRTH

  • Ico textbox

    ORGANIZATION

  • Ico textbox

    TYPE FLYING DUTY PERFORMED

  • Ico statictext

    MEDICAL CLEARANCE IS RECOMMENDED FOR THE FOLLOWING REASON(S): (Check one or more)

  • Ico checkbox

    TERMINATION OF TEMPORARY MEDICAL SUSPENSION

  • Ico checkbox

    MEDICAL EXAMINATION

  • Ico checkbox

    REPORTING TO NEW DUTY STATION

  • Ico checkbox

    AFTER AIRCRAFT MISHAP

  • Ico checkbox

    TERMINATION OF MEDICAL DISQUALIFICATION

  • Ico checkbox

    PENDING ISSUE OF WAIVER FOR MEDICAL DISQUALIFICATION

  • Ico checkbox

    ISSUE OF WAIVER FOR MEDICAL DISQUALIFICATION

  • Ico checkbox

    OTHER (Explain under remarks)

  • Ico dropdown

    REQUIRED TO WEAR GLASSES WHILE FLYING OR OTHER DUTIES REQUIRING CORRECTED VISUALL ACUITY.

  • Ico date

    EFFECTIVE DATE

  • Ico date

    DATE CLEARANCE EXPIRES

  • Ico multiline

    REMARKS

  • Ico statictext

    THE FOLLOWING ACTION IS RECOMMENDED:

  • Ico checkbox

    TEMPORARY MEDICAL SUSPENSION

  • Ico checkbox

    TEMPORARY MEDICAL SUSPENSION FOLLOWING A/C MISHAP

  • Ico checkbox

    PERMANENT MEDICAL DISQUALIFICATION

  • Ico checkbox

    PERMANENT MEDICAL DISQUALIFICATION FOLLOWING A/C MISHAP

  • ...and More!

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