Health Services

Medical Standards Management Element (MSME)


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:
  • 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.

Overseas PCS

Members must send Medical Clearance Memorandums and Personnel Processing Code, located on their RIP. PCS clearances are processed no earlier than 120 days from RNLTD. 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., face to face with primary care manager, PACAF/SG Waiver).

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.

Navy Sea/Operational Duty Suitability Screening

Members must indicate the service and type of screening requested and attach the following:

  • 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 Memorandum and indicate the service and type of screening requested.

Sister Service Commissioning Physicals

All other branches of military need an appointment with their PCM for all paperwork completion.

Contact Us


402-232-2273, Option 3333


Monday, Tuesday, Thursday, Friday
7:30 a.m. to 4:30 p.m.

7:30 a.m. to 12:00 p.m.


Closed the third Thursday of every month, 12:00 p.m. to 4:30 p.m., for required staff training


Ehrling Bergquist Clinic,
First Floor with Active Duty Clinics

Patient Portal Messages

Offutt BOMC (Base Operational Medicine Clinic)

Don't forget to keep your family's information up-to-date in DEERS.