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AETV - _______   2d End

 

TO:  Medical Officer

 

FROM:  Commander, ________________________


SUBJECT:  Medical Screening For Weight Reduction/Exercise Program

 

 

1. _________________ exceeds the body fat standard IAW AR 600-9.

 

2. I request that you conduct a medical evaluation to determine if the cause of the soldier's overweight status is due to a medical condition.

 

 

 

 

                                                _______________________

                                                _______________________

                                                Commanding

                                                DATE: _________________

 

 

AETV - ______ 3d End

 

FROM:  Medical Officer

 

TO:  Commander, ____________________

 

SUBJECT:  Medical Screening For Weight Reduction/Exercise Program

 

1. IAW AR 600-9, _______ has been examined and found to be (FIT)(UNFIT) for participation in a weight reduction/exercise program.

 

2. The cause of the overweight condition (IS)(IS NOT) due to a medical condition.

 

3.  The following action is recommended:

 

            ___ Initiation or continuation in a weight reduction/exercise program.

 

            ___ Medical treatment for a pathological medical disorder.

 

 

                                                _______________________

                                          (Signature of Medical Officer)

 

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