DoDI 6130.03-V2, September 4, 2020
Change 1, June 6, 2022
TABLE OF CONTENTS 2
TABLE OF CONTENTS
SECTION 1: GENERAL ISSUANCE INFORMATION .............................................................................. 4
1.1. Applicability. .................................................................................................................... 4
1.2. Policy. ............................................................................................................................... 4
1.3. Summary of Change 1. ..................................................................................................... 5
SECTION 2: RESPONSIBILITIES ......................................................................................................... 6
2.1. Under Secretary of Defense for Personnel and Readiness (USD(P&R)). ........................ 6
2.2. Assistant Secretary of Defense For Health Affairs (ASD(HA)). ...................................... 6
2.3. Deputy Assistant Secretary of Defense for Health Services Policy and Oversight
(DASD(HSP&O)). .............................................................................................................. 6
2.4. Deputy Assistant Secretary of Defense for Military Personnel Policy (DASD(MPP)). ... 6
2.5. Director, DHA................................................................................................................... 7
2.6. Secretaries of the Military Departments and Commandant, United States Coast Guard
(USCG). .............................................................................................................................. 7
SECTION 3: PROCEDURES FOR APPLYING MEDICAL STANDARDS .................................................... 8
3.1. Applicability of Retention Medical Standards. ................................................................. 8
3.2. Application of Criteria Used to Develop Standards. ........................................................ 8
3.3. Implementation. ................................................................................................................ 9
SECTION 4: ACTIVITIES OF THE RMSWG...................................................................................... 11
4.1. Purpose of the RMSWG. ................................................................................................ 11
4.2. Overall Goals of the RMSWG. ....................................................................................... 11
4.3. Co-Chairs of the RMSWG. ............................................................................................. 11
4.4. Membership of the RMSWG. ......................................................................................... 11
SECTION 5: DISQUALIFYING CONDITIONS ..................................................................................... 12
5.1. General. ........................................................................................................................... 12
5.2. Head. ............................................................................................................................... 12
5.3. Eyes. ................................................................................................................................ 12
5.4. Vision. ............................................................................................................................. 13
5.5. Ears. ................................................................................................................................ 13
5.6. Hearing. ........................................................................................................................... 13
5.7. Nose, Sinuses, Mouth, and Larynx. ................................................................................ 14
5.8. Dental. ............................................................................................................................. 14
5.9. Neck. ............................................................................................................................... 14
5.10. Lungs, Chest Wall, Pleura, and Mediastinum............................................................... 14
5.11. Heart. ............................................................................................................................. 16
5.12. Abdominal Organs and Gastrointestinal System. ......................................................... 18
5.13. Female Genital System. ................................................................................................ 20
5.14. Male Genital System. .................................................................................................... 20
5.15. Urinary System. ............................................................................................................ 21
5.16. Spine and Sacroiliac Joint Conditions. ......................................................................... 22
5.17. Upper Extremity Conditions. ........................................................................................ 23
5.18. Lower Extremity Conditions......................................................................................... 24
5.19. Generalized Conditions of the Musculoskeletal System. ............................................. 25
5.20. Vascular System............................................................................................................ 25