BY ORDER OF THE
SECRETARY OF THE AIR FORCE
AIR FORCE MANUAL 41-108
21 AUGUST 2019
Health Services
TRAINING AFFILIATION
AGREEMENT PROGRAM
COMPLIANCE WITH THIS PUBLICATION IS MANDATORY
ACCESSIBILITY: Publications and forms are available on the e-Publishing website at
www.e-Publishing.af.mil for downloading or ordering.
RELEASABILITY: There are no releasability restrictions on this publication.
OPR: AF/SG1/8N
Supersedes: AFI 41-108, 22 September 2014
Certified by: AF/SG1/8
(Brigadier General Susan J. Pietrykowski)
Pages: 46
This manual implements Air Force Policy Directive (AFPD) 44-1, Medical Operations. It
describes the procedures for establishing Air Force Medical Service training affiliation agreements
(TAA). It applies to all Air Force units and uniformed members and employees in the Regular Air
Force, Air Force Reserves, and Air National Guard with one exception: it does not apply to the
Air Force Institute of Technology (AFIT). This instruction interfaces with Title 28, U.S.C.,
Section 2679, and Air Force Instruction (AFI) 51-302, Medical Law. The authorities to waive
wing/unit level requirements in this publication are identified with a Tier (“T-0, T-1, T-2, T-3”)
number following the compliance statement. This manual requires the collection and/or
maintenance of information protected by Title 5 United States Code Section 552a, Privacy Act of
1974, authorized by 10 U.S.C. 55, Medical and Dental Care, and E.O. 9397 (SSN). The applicable
SORNs F044 AF SG D, Automated Medical/Dental Record System (August 29, 2003, 68 FR
51998) and F044 AF SG K, Medical Professional Staffing Records are available at
http://dpclo.defense.gov/Privacy/SORNs.aspx. See AFI 33-360, Publications and Forms
Management, for a description of the authorities associated with the Tier numbers. Submit
requests for waivers through the chain of command to the appropriate Tier waiver approval
authority, or alternately, to the Publication Office of Primary Responsibility (OPR) for non-tiered
compliance items. Send comments and suggested improvements on Air Force (AF) Form 847,
Recommendation for Change of Publication, through channels to AF/SGE, Attn: AF/SG1/8N,
1780 Air Force Pentagon, Washington, DC 20330-1780. Ensure all records created as a result of
processes prescribed in this publication are maintained in accordance with Air Force Manual 33-
