COMDTINST M6410.3A governs the Coast Guard Aviation Medicine Program, including aviation medical standards, examinations, waivers, and flight clearance.
View COMDTINST M6410.3A on armypubs.army.mil
It covers aviation personnel classification, aviation physical examinations, aeromedical adaptability, medical officer designations, and medication use. It requires aviation personnel to meet examination schedules and sets conditions for waivers, grounding, and flight duty.
Applies to: All Coast Guard unit commanders, commanding officers, officers-in-charge, deputy/assistant commandants, and chiefs of headquarters staff elements shall comply with the provisions of this Manual.
All designated aviation personnel must obtain an annual aviation physical examination commensurate with the type of duty to be performed. (paragraph 4)
All CG aviation physical examinations will be completed and submitted through the U.S. Army’s electronic medical record system known as AERO. (paragraph 1)
Only Photorefractive Keratectomy (PRK), Laser In Situ Keratomileusis (LASIK), Laser Subepithelial Keratomileusis (LASEK), and Wave-Front Guided PRK (WFG-PRK) are approved. (paragraph 1-2)
Only a fully qualified military flight surgeon may render a finding of AA UNSATISFACTORY (UNSAT). (paragraph 2)
A waiver granted to an aviator becomes invalid should that service member change designation. (paragraph 2)