Posted on Aug 1, 2022
My medical profile is wrong. How do I get it to change?
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I had surgery done four months ago and have been doing physical therapy. My therapist informed me that I can conduct to do things and I should be at a MCL2 instead of MCL3. The doctor informed me that he doesn’t know and the personnel in records at the hospital don’t help, even though they haven’t seen me in three months. Also need to report hospital staff. How do I correct this?
Medical
Posted >1 y ago
Responses: 3
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MAJ (Join to see) - By "doctor" do you mean your PCM? Your PCM should be able to update your profile. Did PT pass along notes to your PCM recommending the change? They should be talking to each other.
What do you mean by "personnel in records at the hospital?" Why would the records section have seen you three months ago? I'm really just confused because I've always been under the impression you just need your PCM or whoever your profiling authority is to update a profile, especially a permanent profile.
Do you mean MRC code? You may want to go through DA PAM 40-502 because it explains about changing permanent profiles from 3 or 4 to a 1 or 2.
If you have issues with hospital staff, I believe you call patient advocacy at your hospital.
4–8. Profiling reviews and approvals
a. Permanent “3” or “4” profiles, or profiles with a deployment-limiting physical-category code require the signatures of a profiling provider, and a physician approving authority, unless specified by policy. Permanent profiles of “3” or “4” for the IRR require two signatures to include the Army Human Resources Command Surgeon, or his or her designee. Temporary profiles require the signature of an authorized profiling provider. Permanent profiles with a PULHES of “2” without a deployment-limiting code require the initial signature of one profiling provider and the second signature of an approved profiling provider authorized in paragraph 4–6.
b. Situations that require a mandatory review of an existing physical profile include—
(1) Return to duty of a previously hospitalized Soldier. The attending physician will ensure that the patient has the correct e-Profile, assignment limitations(s), and medical follow-up instructions, as appropriate.
(2) Placing a Soldier on convalescent leave. The attending physician or component profiling provider, ensures that the patient has a profile entered into e-Profile, functional limitations(s), and medical follow-up instructions, as appropriate.
(3) When directed by the approving authority in cases of discrepancy or controversial nature requiring temporary revision of profile.
(4) At the time of the PHA or other medical examination.
(5) Upon request of the unit commander.
(6) Upon request of a PEB.
(7) A profiling provider and approving authority signatures are necessary to either change a permanent “3” or “4” profile to a permanent “1” or “2” or remove a deployment-limiting physical-category code.
(8) A change in the Soldier’s health that impacts his or her basic Soldier function and ability to perform their duty.
c. The profiling provider adds a temporary condition for a Soldier in e-Profile when, in their opinion, the functional limitations or capacity of the individual temporarily alters their ability to perform their duty. Temporary e-Profiles will not exceed 3 months (90 days) except as provided for in paragraphs 4–8d and 4–9. Temporary functional limitations limited
to acute, minor, and self-limited illnesses written on DA Form 689 will not exceed 3 days. The utilization of e-Profile for acute conditions lasting for 3–7 days supports the tracking, medical support, and communication with commands regarding the recovery of their Soldiers.
What do you mean by "personnel in records at the hospital?" Why would the records section have seen you three months ago? I'm really just confused because I've always been under the impression you just need your PCM or whoever your profiling authority is to update a profile, especially a permanent profile.
Do you mean MRC code? You may want to go through DA PAM 40-502 because it explains about changing permanent profiles from 3 or 4 to a 1 or 2.
If you have issues with hospital staff, I believe you call patient advocacy at your hospital.
4–8. Profiling reviews and approvals
a. Permanent “3” or “4” profiles, or profiles with a deployment-limiting physical-category code require the signatures of a profiling provider, and a physician approving authority, unless specified by policy. Permanent profiles of “3” or “4” for the IRR require two signatures to include the Army Human Resources Command Surgeon, or his or her designee. Temporary profiles require the signature of an authorized profiling provider. Permanent profiles with a PULHES of “2” without a deployment-limiting code require the initial signature of one profiling provider and the second signature of an approved profiling provider authorized in paragraph 4–6.
b. Situations that require a mandatory review of an existing physical profile include—
(1) Return to duty of a previously hospitalized Soldier. The attending physician will ensure that the patient has the correct e-Profile, assignment limitations(s), and medical follow-up instructions, as appropriate.
(2) Placing a Soldier on convalescent leave. The attending physician or component profiling provider, ensures that the patient has a profile entered into e-Profile, functional limitations(s), and medical follow-up instructions, as appropriate.
(3) When directed by the approving authority in cases of discrepancy or controversial nature requiring temporary revision of profile.
(4) At the time of the PHA or other medical examination.
(5) Upon request of the unit commander.
(6) Upon request of a PEB.
(7) A profiling provider and approving authority signatures are necessary to either change a permanent “3” or “4” profile to a permanent “1” or “2” or remove a deployment-limiting physical-category code.
(8) A change in the Soldier’s health that impacts his or her basic Soldier function and ability to perform their duty.
c. The profiling provider adds a temporary condition for a Soldier in e-Profile when, in their opinion, the functional limitations or capacity of the individual temporarily alters their ability to perform their duty. Temporary e-Profiles will not exceed 3 months (90 days) except as provided for in paragraphs 4–8d and 4–9. Temporary functional limitations limited
to acute, minor, and self-limited illnesses written on DA Form 689 will not exceed 3 days. The utilization of e-Profile for acute conditions lasting for 3–7 days supports the tracking, medical support, and communication with commands regarding the recovery of their Soldiers.
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If you received a temporary profile greater than 30 days, you are MRC3, at least until the temp profile expires, and probably until you are assessed by a PCM or go through another PHA to get coded back to 1.
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I would go to your unit and tell them what's going on, if they won't help, file a Congressional Complaint. That should get things fixed pretty fast.
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