MILITARY READINESS
ARMY
E-Profile
How do I get access to E-profile as a provider at Walter Reed?
- Log into Joint Knowledge Online (JKO)
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Search for the Medical Readiness Healthcare Portal Training -
Course number DHA-US298 -
Time requirement: 2hrs.
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Request access to the Medical Readiness Health Care Portal via the MODS User Management website. -
This is on Page 8 of user guide.
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Select the "Medical Readiness Health Care Portal" for Program Selection. NOT E-PROFILE. -
Select Provider-Physician for user Role Selection -
Add comment about your duties for Access Reason -
Under Role Property Assignment Selection: Click Active Duty-> RHC ATLANTIC (RHCA)-> Bethesda-PDMIS -
Request access to the system from Mr. Donnie Nieves (Office: 301-295-2666) by emailing your 1) Full Name and 2) DOD ID to Donnie.nieves.ctr@mail.mil.
How do I actually place an E-profile?
Watch this tutorial: https://youtu.be/V28UXnXisdM
What is the Army E-Profile system?
What guidelines do I follow to place an E-profile?
Army Regulations
What are the different types of E-profiles?
- Temporary: limitations up to 12 months, with 30-90 days being the most common
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Permanent: limitations lasting more than 12 months. -
Requires two provider signatures. -
Profiles affect deployability. A permanent profile may require a referral to the medical board or an administrative separation (more details in the medical board and administrative separation tabs).
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When should I consider if a Service Member needs an E-Profile?
At every behavioral health encounter!
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Initating new psychiatric medications -
Changing doses of psychiatric medications -
Psychiatric hospitalization
Who needs access to E-Profile?
How do I log on to the E-profile website?
1) Log in directly via https://medpros.mods.army.mil/portal/#/
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Go to the tabs on the left side of the screen -
Select "Army Readiness" > "eProfile"
What are some examples of appropriate limitations?
- "No deployment to an austere environment"
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"Requires 8 consecutive hours of sleep in a 24 hour period" -
"No alcohol" -
"No weapons/ammunition" -
“SM should remain near an MTF where definitive specialty care is available"
What are some examples of inappropriate limitations?
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"No 24 hour duty indefinitely" -
"No rotating shifts” -
"No formations" -
"No uniforms" -
"SM can only work from 0900-1700 hours" -
"SM cannot present to work until 1000 hours"
MEB
What is the Army Medical Evaluation Board (MEB)?
A panel of at least two physicians who review Service member's cases to determine the impact of medical conditions on a Service member's ability to perform the duties of his or her office, grade, rank, or rating. The Board consists of a minimum of two or more physicians trained in the Disability Evaluation System (DES). If the board is related to a psychiatric condition, one physician must be a psychiatrist.
Where do the MEB guidelines come from?
Army Regulations:
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AR 40-501 Chapter 3-33 -
MEDCOM Policy 19-001
How does a Service member get placed into the MEB process?
If a Service Member enters into the MEB, does this mean they will be discharged from the military?
No.
What happens if the MEB decides that the Service member does NOT meet retention standards and/or will be unable to return to duty within one year?
What happens if the MEB decides that the service member DOES meet retention standards & will be able to return to duty within one year?
The soldier will be returned to full duty.
What if the Service member disagrees with the decision made by the MEB?
The Soldier may accept or appeal the MEB's assessment. They may also ask for an independent medical review.
When should I consider placing a Service member into the MEB process?
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One or more medical conditions that may, individually or collectively, prevent the Service member from reasonably performing the duties of their office, grade, rank, or rating, including those duties remaining on a Reserve obligation for more than one year after diagnosis -
A medical condition that presents an obvious medical risk fo the health of the member or to the health/safety of other members -
A medical condition that imposes unreasonable requirements on the military to maintain or protect the Service member and/or other members.

Where can I learn more about the MEB process?
Complete these JKO trainings:
How do I make a referral to the MEB at Walter Reed?
Place a PERMANENT E-Profile (see E-profile tab for more details). If a patient already has a temporary E-profile, you may convert the temporary E-profile to a permanent E-profile.
What are the basic steps of the Disability Evaluation System (DES) process?
- Referral
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VA Claim Development and Disability Examinations -
Medical Evaluation Board (MEB) -
Physical Evaluation Board (PEB) -
VA Rating -
Appeals -
Final Disposition
ADSEP
What is ADSEP?
NAVY AND MARINE CORPS
LIMDU
What is the Navy LIMDU SMART system?
How is LIMDU SMART used?
Where do the LIMDU guidelines come from?
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MANMED, NAVMED P-117, Chapter 18
What is a LIMDU period?
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A documented period of medically restricted duty that allows for treatment aimed at a RTFD (return to full duty).
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Periods: up to 6 months. Max: TWO consecutive LIMDUs up to 12 months.
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>12 months or >2 consecutive LIMDUs for the same condition will require a referral to the Integrated Disability Evaluation System (IDES) for a medical evaluation board (MEB).
When should you consider if someone may need a LIMDU?
Every behavioral health encounter should merit consideration of whether or not a LIMDU is needed, but NOT every encounter will need one. Some of these factors include the service member’s rate/MOS, changes to psychiatric medication, and psychiatric hospitalization.
Who needs access to LIMDU?
Unlike the Army E-Profile, LIMDUs can only be signed by psychologists and psychiatrists. Psychologists can be the first signature on LIMDUs, but second and third signatures are by physicians (unless the psychologist is designated as the Convening Authority).
How do you get access to LIMDU at Walter Reed?
- Complete training certifications
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Log into WRB Relias -
Click the “Assignments” tab on the left hand side of the screen -
Click "Browse Elective Courses" -
Search “LIMDU SMART” -
Select and enroll in “LIMDU SMART Provider Training Module- Signature Authority: NMETC-16-LIMDU PRO Sign-1.0” -
13 minute video that covers all the basics -
Complete the post-test attesting that you watched the video
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Email Mrs. Beverly Mitchell at Beverly.H.Mitchell.ctr@mail.mil (Office number: 301-400-0236) the following information to receive access to LIMDU SMART: -
Full Name/DOD ID -
Discipline: Psychiatry -
Mil Email -
Attached the completed training from WRB Relias
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How do you place a LIMDU?
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Log onto LIMDU at https://edq.med.navy.mil/LIMDU -
Use your email certificate on your CAC. -
A full provider user guide is available in LIMDU SMART.
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Search for your patient – to access a service member’s profile, select the service member’s name from the search results. -
If a profile does not appear, please verify that all information was entered correctly. -
If the service member is NOT in LIMDU SMART, select “Enter New LIMDU Personnel” and a blank 6100/5 Form will populate -
If the service member is in LIMDU SMART, select the service member’s name from the search results. The service member’s profile will populate. Select the “6100/5” button on the bottom left to populate the form.
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- Complete 6100/5 Form.
- After filling out the 6100/5 Form – route and sign the form to finalize.
- Select MTF
- Select clinic
- Select MEB member to obtain signature
- Select “sign form” button and “submit” button. The “Form Successfully Signed!” icon will appear to confirm that the form has been successfully signed and the provider will receive the “Sign 6100/5” alert
What are some examples of appropriate duty limitations on a behavioral health LIMDU?
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"No deployment to an austere environment" -
"Requires 8 consecutive hours of sleep in a 24 hour period" -
"No alcohol" -
"No weapons/ammunition" -
“SM should remain near an MTF where definitive specialty care is available"
What are some examples of INAPPROPRIATE limitations on a LIMDU?
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"No 24 hour duty indefinitely" -
"No rotating shifts” -
"No formations" -
"No uniforms" -
"SM can only work from 0900-1700 hours" -
"SM cannot present to work until 1000 hours"
Should a LIMDU period affect a security clearance?
This should be decided on a case-by-case basis and will be determined based on the patient’s reliability, judgment, and severity of condition.
How do I log onto the LIMDU website?
- Log onto LIMDU SMART at https://edq.med.navy.mil/LIMDU
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Use your email certificate on your CAC
When do LIMDU periods expire?
LIMDUs do not simply expire. A service member must be returned to full duty by completing a 6100/6 form and a 1300/3 form. This is also performed in the LIMDU SMART website.
How do I get more help with LIMDU?
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LIMDU SMART helpdesk (very helpful) -
703-273-7216 -
LIMDUSMARTHelpDesk@ucs-inc.com
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Walter Reed LIMDU Coordinators -
Ms. Beverly Mitchell - beverly.h.mitchell.ctr@mail.mil -
Ms. Ronet Staley - ronet.staley.ctr@mail.mil
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CDR Barbara Delsesto
LIGHT DUTY
What is Light Duty (LD)?
When should a Sailor or Marine be placed on Light Duty?
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New diagnosis -
Starting new medications -
Adjusting medications -
Transition from higher levels of care (residential treatment, inpatient hospitalization, partial hospitalization, intensive outpatient, and ED)
How long should Light Duty last?
How is Light Duty documented?
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Clearly annotate restrictions and limitations on member’s duty -
Include time period required in light duty status (up to 30 days) -
Place the form in service member’s health record and copies are provided to the member to deliver to parent command

What are some examples of appropriate limitations for Light Duty?
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"No deployment to an austere environment" -
"Requires 8 consecutive hours of sleep in a 24 hour period" -
"No alcohol" -
"No weapons/ammunition" -
“SM should remain near an MTF where definitive specialty care is available"
What are some examples of INAPPROPRIATE limitations for Light Duty?
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"No 24 hour duty indefinitely" -
"No rotating shifts” -
"No formations" -
"No uniforms" -
"SM can only work from 0900-1700 hours" -
"SM cannot present to work until 1000 hours"
MEB
What is the Navy Medical Evaluation Board (MEB)?
The Navy MEB is a board of DoD medical providers that determine if a Sailor who has been referred to the Disability Evaluation System (DES) meets Navy-specific medical retention standards and is able to return to full military duties within one year of the diagnosis of the condition.
Where do the MEB guidelines come from?
How does a service member get placed into the MEB process?
A referral by you (a DoD provider)!
If a Service Member enters into the MEB process, does this mean they will be discharged from the military?
Not at all! Simply being entered into the MEB process does NOT necessarily mean that a Sailor will be discharged from the Navy.
What happens if the MEB decides that the Service member does NOT meet retention standards and/or will be unable to return to duty within one year?
The Sailor will be referred to the Physical Evaluation Board (PEB).
What happens if the MEB decides that the Service member DOES meet retention standards & will be able to return to duty within one year?
The sailor will be returned to full duty.
What if the service member disagrees with the decision made by the MEB?
The Sailor may accept or appeal the MEB's assessment. They may also ask for an independent medical review.
When should I consider placing a Service member into the MEB process?
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One or more medical conditions that may, individually or collectively, prevent the Service member from reasonably performing the duties of their office, grade, rank, or rating, including those duties remaining on a Reserve obligation for more than one year after diagnosis
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A medical condition that presents an obvious medical risk fo the health of the member or to the health/safety of other members
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A medical condition that imposes unreasonable requirements on the military to maintain or protect the Service member and/or other members.
Where can I learn more about the MEB process?
How do I make a referral to the MEB at Walter Reed?
- Ensure that a LIMDU has been placed in LIMDU Smart (see LIMDU tab for more details)
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Consult with CDR Delsesto ( Barbara.s.delsesto.mil@mail.mil) for appropriate referral -
Ensure that referral is communicated cleary to the Service member and Service member's command
What kind of report do I have to provide when I refer someone for MEB?
The required documentation for the MEB process includes the NARSUM, or Narrative Summary, which the referring provider will write or help write. Instructions for the NARSUM may be found in SECNAV M-1850.1. Required elements are diagnosis, symptoms experienced by the member, and clarifying diagnostic and testing procedures.
Is there a list of conditions which are NOT appropriate for MEB referral?
Yes. A list of such conditions is listed in SECNAVIST 1850.4F.
What are the basic steps of the Disability Evaluation System (DES)?
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Referral -
VA Claim Development and Disability Examinations -
Medical Evaluation Board (MEB) -
Physical Evaluation Board (PEB) -
VA Rating -
Appeals -
Final Disposition