survive in combat.
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(a) Medical professionals should advise commanders when a Soldier is determined to not meet the minimum
requirements as described in paragraph H-5b and H-5c. The advice should clearly articulate whether the Soldier has
received adequate treatment and rehabilitation or should be medically separated from the Army. Medical professionals
will document physical status on the DA Form 3349. Commanders will instruct medical holdover status for Soldiers
with a DA Form 3349 to remain on active duty status until the Soldier has been declared fit for further
training/permanent change of station, or until they are medically separated from the Army.
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(b) For injured ARNG/USAR Soldiers, medical authorities and unit leaders complete LOD investigations
pertaining to the circumstances surrounding the injury (see paragraph 5-3). The LOD paperwork should be completed
as soon as possible after the Soldier’s injury is evaluated by medical professionals, and prior to the transfer or
REFRAD of the injured Soldier.
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(c) Unit commanders should ensure early notification and participation of installation ARNG/USAR liaisons
when determining the disposition of moderate to severely injured ARNG/USAR Soldiers. ARNG/USAR liaisons
should individually counsel Soldiers on the process and procedures pertinent to the Soldier's situation.
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(d) Unit commanders should advise injured ARNG/USAR Soldiers of the following options when the Soldier
is moderately to severely injured and cannot continue training or be expected to permanently change station:
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Remain on active duty in a medical holdover status during their recovery and rehabilitation period to include
implementation of the active duty medical extension program, when applicable.
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Return home in an inactive status with an authorization for appropriate medical treatment and rehabilitation of the
Soldier’s injuries. This authorization, issued by the supporting MTF, is hand carried to an installation triservice
medical care (TRICARE) office to coordinate treatment. Once fully recovered, parent units can return these Soldiers
to BCT/OSUT/AIT to complete their IET. Those Soldiers who do not fully recover and cannot complete IET should
receive a MEB. Accomplishment of the MEB can be arranged by ARNG/USAR medical authorities at home station
or performed by AA physicians (when the parent unit coordinates for the Soldier to travel to the nearest MTF for
MEB processing).
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(e) Unit commanders, ARNG/USAR liaisons, and medical personnel should closely coordinate the disposition
of injured ARNG/USAR Soldiers who are unable to continue training or deploy. Key milestones include: timely
completion of LOD paperwork; placement of the Soldier into a medical holdover training status; ensuring the
existence of a credible clinical recovery and rehabilitation plan; coordinating the return of inactive Soldiers to their
home unit/state with an authorization for care; establishment of a reasonable timeline for allowing IET graduation
versus initiating a MEB/physical evaluation board for the injured Soldier; verification of LOD completion prior to
transfer/REFRAD of affected Soldier; final liaison counseling prior to the Soldier’s departure to their parent unit/state.
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(4) Medical authorities determine when a Soldiers has received adequate recovery and rehabilitation, but is not
expected to be able to continue training or deploy. In these cases, Soldiers will be evaluated by an MEB as defined in
AR 40–400, and will be referred to a physical evaluation board as defined in AR 635–40. Administrative medical
separation is rarely appropriate for Soldiers injured during training.
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