Standards of Medical Fitness
Summary of Change
Department of the Army
Washington, DC
27 June 2019
*Army Regulation 40-501
Effective 27 July 2019
Medical Services
Standards of Medical Fitness
By Order of the Secretary of the Army:
JAMES C. MCCONVILLE
General, United States Army
Chief of Staff
MARK F. AVERILL
Administrative Assistant to the
Secretary of the Army
History. This publication is an administrative revision. The portions affected by this administrative revision are listed in the summary of change.
Summary. This publication provides information on individual medical readiness elements; medical fitness standards for induction, enlistment, appointment, and retention; deployment-limiting medical conditions; and related policies and procedures. It implements DoDI 6025.19, DoDI 6130.03, Volume 1, DoDI 6490.07; Army Directive 2016–28; and supersedes Army Directive 2012–23.
Applicability. This regulation applies to the Regular Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve, unless otherwise stated. It also applies to candidates for military service. During mobilization, the proponent may modify chapters and policies contained in this regulation.
Proponent and exception authority. The proponent of this regulation is The Surgeon General. The proponent has the authority to change, approve exceptions or waivers to this regulation that are consistent with controlling law and regulations. The proponent may delegate this approval authority, in writing, to a division chief within the proponent agency or its direct reporting unit or field operating agency, in the grade of colonel or the civilian equivalent. Activities may request a waiver to this regulation by providing justification that includes a full analysis of the expected benefits and must include formal review by the activity's senior legal officer. All waiver requests will be endorsed by the commander or senior leader of the requesting activity and forwarded through their higher headquarters to the policy proponent. Refer to AR 25–30 for specific guidance.
Army internal control process. This regulation contains internal control provisions in accordance with AR 11–2 and identifies key internal controls that must be evaluated (see appendix B).
Supplementation. Supplementation of this regulation and establishment of command and local forms are prohibited without prior approval from The Surgeon General (DASG-HSZ), 7700 Arlington Boulevard, Falls Church, VA 22042–5140.
Suggested improvements. Users are invited to send comments and suggested improvements on DA FormDA FormDepartment of the Army form 2028 (Recommended Changes to Publications and Blank Forms) directly to The Surgeon General (DASG-HSZ), 7700 Arlington Boulevard, Falls Church, VA 22042–5140.
Distribution. This publication is available in electronic media only and is intended for the Regular Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve.
*This regulation supersedes AR 40–501, dated 14 June 2017; AD 2012–23, dated 18 September 2012; and AD 2013–12, dated 17 June 2013.
