BY ORDER OF THE SECRETARY
OF THE AIR FORCE
AIR FORCE MANUAL 10-3509
22 DECEMBER 2020
Operations
AIR FORCE SPECIAL
WARFARE MEDICAL OPERATIONS
COMPLIANCE WITH THIS PUBLICATION IS MANDATORY
ACCESSIBILITY: Publications and forms are available on the e-Publishing web site at
www.e-Publishing.af.mil for downloading or ordering
RELEASABILITY: There are no releasability restrictions on this publication
OPR: AF/A3S
Supersedes: AFI16-1204, 16 August 2006
Certified by: AF/A3S
(Col James P. Hughes)
Pages: 25
This manual implements Air Force Policy Directive (AFPD) 10-35, Battlefield Airmen. It
establishes the Air Force Special Warfare (AFSPECWAR) Pararescue (PJ) medical operations
program. This manual applies to all regular Air Force (AF), Air Force Reserve, Air National
Guard, and Department of the Air Force civilian personnel involved in AFSPECWAR medical
operations, to include operational, training, support, or administration. For the purposes of this
manual, all references to Major Commands (MAJCOMs) are intended to also reference or
include the Air National Guard. Ensure all records created as a result of processes prescribed in
this publication are maintained in accordance with AFI 33-322, Records Management and
Information Governance Program, and disposed of in accordance with the Air Force Records
Disposition Schedule located in the Air Force Records Information Management System. Refer
recommended changes to this manual to the office of primary responsibility (OPR) using the AF
Form 847, Recommendation for Change of Publication; route AF Forms 847 from the field
through the appropriate functional chain of command. This manual may be supplemented at any
level, but all supplements must be routed to the OPR of this manual for coordination prior to
certification and approval. Send supplements to Headquarters Air Force Special Warfare
Directorate (AF/A3S) at AF.A3S.Workflow@us.af.mil or to AF/A3S, 1480 Air Force
Pentagon, Washington, DC 20330-1480. The authorities to waive wing/unit level requirements in
this manual are identified with a Tier (“T-0, T-1, T-2, and T-3”) number following the
compliance statement. Submit requests for waivers through the chain of command to the
appropriate Tier waiver approval authority, or alternately, to the requestor’s commander for non-
tiered compliance items. See DAFI 33-360, Publications and Forms Management, for a
description of the authorities associated with each Tier. Approved T-2 and T-3 waivers will be
sent to AF/A3S within three business days for tracking and process improvement. The use of the
