Health Services

Medical Standards Management Element

Medical Clearance Procedures

Step 1
Members will initiate the Medical Clearance Review by logging onto the My Individual Medical Readiness site at Air Force Members will request a Medical Clearance Review for the following actions:
  • Commander Selection Board
  • Commissioning
  • Developmental Special Duty
  • Initial Flying Class physicals
  • Overseas PCS
  • Palace Chase/Palace Front
  • PME attendance requiring an AF Form 422
  • Retraining/reclassification
  • Only CONUS PCS that require an AF Form 422
Step 2
All Clearances: Members use the MHS GENESIS Patient Portal and send a message to Offutt BOMC (Base Operational Medicine Clinic) (search "Offutt BOMC") and follow instructions below for the type of clearance requested. Subject line will be one of the following (Overseas, Retraining, PME, PCPF , CSB, CONUS (if applicable), Commissioning, OTS).

Overseas PCS: Members must send Medical Clearance Memorandums and Personnel Processing Code, located on their RIP. Members should ensure all IMR requirements (PHA, immunizations, and HIV tests) are current and will remain current 60 days past their report no later than date. Once the member has initiated the process through the MyIMR site and sent a message to BOMC with appropriate paperwork, a comprehensive record review will ensure member is medically qualified for the OCONUS PCS. MSME staff will contact member with instructions to schedule and complete specific medical tasks (i.e., color vision/depth perception testing, face-to-face with PCM, PACAF/SG waiver).

Virtual Out-processing (vOP) for CONUS and Overseas: This is completed by MSME within 14 days of the final out appointment. If this has not been completed by two duty days before the final out appointment, use the MHS GENESIS Patient Portal and send a message to Offutt BOMC (Base Operational Medicine Clinic) to request MSME “complete” within vOP.

Navy Sea/Operational Duty Suitability Screening: Members must indicate the service and type of screening requested and attach:
  • Sea Duty Orders
  • Page 13 Memo
  • NAVMED 1300/1 with demographics section completed
  • NAVMED 1300/2 with demographics completed
  • NAVPERS 1300-16 with demographics completed
  • DD 2807-1, lines 1-29 completed

PCM appointment may be scheduled after being cleared by MSME.

Navy Shore Duty Suitability Screening: Members must attach their Page 13 Memo and indicate the service and type of screening requested.
Sister Service Commissioning Physicals need an appointment with PCM for all paperwork completion. ,If you have any questions on the process, please message BOMC via the MHS GENESIS Patient Portal so that MSME may guide you through the process.
All other actions listed above (retraining, special duty, etc.): Members must include their CC/FM approval letter, AFPC email, AMS listing and/or any verbiage required on the AF Form 422. Please see the listing below for specific requirement for each clearance type. Failure to attach required approvals or supporting documentation will delay your request. You will be notified if you fail to send the required documentation through MHS GENESIS Patient Portal. Continued failure to produce documentation will lead to your request being archived.
OVERSEAS PCS: AD ONLY - Send Medical Clearance Memo & PPC codes (located on bottom of RIP). Family members will be cleared through EFMP at 402-294-6869. If you're PCSing to Korea, go to the Immunizations Clinic and pick up a smallpox questionnaire. You will only be able to receive immunizations once you’ve been qualified to PCS by BOMC.

**CONUS PCS IF PPC requires an AF Form 422 - Submit OS PCS Medical Clearance request (there is no request option for CONUS in ASIMS).

RETRAINING: Those selected for DSD, special duty, commissioning, Initial Flying Class physicals, retraining with approved AFSCs from AFPC, and current AFSC DQs. Send MyPers/AMS/eligibility email to the MHS GENESIS message pool.

COMMISSIONING: Send a signed MFR from your commander acknowledging your intent to commission, along with any other eligibility documentation, via the MHS GENESIS Patient Portal.

ENLISTED: Select the Retraining/IFC option. Once the IFC exam is approved by AETC, the AF Form 422 will be generated. OFFICERS: Applying for rated boards (initial or upgrade), initiate your request by selecting the Retraining/IFC option and we’ll review your records to start the IFC process. **IFCs are completed in the order received. The process (if a flying waiver is not required) can take months to complete, as this exam is processed outside the 55th Medical Group.

PME - (i.e., selected to attend NCOA or SNCOA): This is ONLY for those with a current AF Form 469 and who require an AF Form 422 to attend EPME.

PALACE CHASE/PALACE FRONT - Please submit your AF Form 422 request ONLY when you are within 6 months of your final out date. SHPE must be complete PRIOR to issue of AF Form 422. Send the recruiter memorandum and/or letter. Inform BOMC of SHPE date via the MHS GENESIS Patient Portal for tracking purposes.

Contact Us


Ehrling Bergquist Clinic
First Floor (with Flight Medicine Clinic)


Monday, Thursday, Friday
7:30 a.m. - 4:30 p.m.
Tuesday, Wednesday
7:30 - 11 a.m.
Closed the first and third Thursday of each month after noon for training
Contact us through the MHS GENESIS Patient Portal: Offutt BOMC (Base Operational Medicine Clinic)



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