BY ORDER OF THE
SECRETARY OF THE AIR FORCE
DEPARTMENT OF THE AIR FORCE
MANUAL 48-123
8 DECEMBER 2020
Aerospace Medicine
MEDICAL EXAMINATIONS AND
STANDARDS
COMPLIANCE WITH THIS PUBLICATION IS MANDATORY
ACCESSIBILITY: Publications and forms are available for downloading or ordering on the
e-Publishing website at www.e-publishing.af.mil.
RELEASABILITY: There are no releasability restrictions on this publication.
OPR: AFMRA/SG3PF
Supersedes: AFI48-123,
5 November 2013
Certified by: AF/SG3/4
(Maj Gen Robert I. Miller)
Pages: 92
This manual implements Department of the Air Force Policy Directive (DAFPD) 48-1,
Aerospace & Operational Medicine Enterprise (AOME) and HAF MD 1-48, The Air Force
Surgeon General. It prescribes procedures and references the authority for retiring, discharging,
or retaining members who, because of physical disability, are unfit to perform their duties. This
manual applies to all applicants for service in the Department of the Air Force (DAF). It applies
to members of the Regular Air Force and Space Force (RegAF), Air Force Reserve (AFR), Air
National Guard (ANG), and associated reserve components. It also applies to Pre-Trained
Individual Manpower (PIM) Air Force personnel and civilian government employees engaged in
flying or special operational duties as ordered by the Department of the Air Force. [Note: ANG
and AFR will be collectively referred to as the Air Reserve Component (ARC)]. This manual
requires the collection and or maintenance of information protected by the Privacy Act of 1974
authorized by Title 10 USC § 9013, Secretary of the Air Force. The applicable System of
Records Notice F044 F SG E, Electronic Medical Records System, is available at:
https://dpcld.defense.gov/privacy/SORNS.aspx. 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. The use of the name or mark of any specific manufacture, commercial product,
commodity, or service in this publication does not imply endorsement of the Air Force. Refer
recommended changes and questions about this publication to the 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
