Review Phase (Physical Disability Agency) - ✔️✔️-Has full authority to accept or
change the findings and recommendations of PEB regarding: Fitness for duty, Disability
rating
-Issues written notice to Soldier if findings are changed
-Finalizes the case
Medical Retention Determination Point (MRDP) - ✔️✔️-Within 1 year
-When the course of further recovery is relatively predictable
-When further treatment will not cause Soldier to meet medical retention standards
-When further treatment will not render Soldier capable of performing required duties
Soldier is issued a permanent profile (DA Form 3349) and can be referred to: - ✔️✔️-
Military Occupational Specialty (MOS)/Administrative Retention -
Review (MAR2)
-Medical Evaluation Board (MEB)
Physical Profile (DA Form 3349) - ✔️✔️Soldier with permanent profile of 3 or 4 will be
referred to either: MAR2 or MEB
MOS/Administrative Retention Review (MAR2) - ✔️✔️-Ensures continuity of effort
between: Doctors, Personnel managers, IDES
-Determines if Soldier has the physical ability to perform primary MOS
-Recommends that Soldiers be either: Retained in PMOS/AOC (RTD), Reclassified to
another MOS, Referred to MEB
Steps of the IDES process in order - ✔️✔️1. Soldier is wounded, injured, or becomes ill
2.Soldier undergoes treatment or rehabilitation
3. Soldier reaches Medical Retention Determination Point
4. Soldier is issued a permanent profile (DA Form 3349)
, 5. Soldier is referred to MAR2 or MEB
Permanent profile - ✔️✔️DA Form 3349
Soldier has a disability and does not meet medical retention standards - ✔️✔️Refer to
MEB
Soldier is retainable but unable to perform duties of current MOS - ✔️✔️Refer to MAR2
MEB - Physician Phase - ✔️✔️-Evaluate Active Duty (AD) or Reserve Component (RC)
Soldiers to determine if standards of medical fitness are met for retention
-Document medical conditions and Soldiers' duty limitations
-Complete the Narrative Summary (NARSUM)
-Refer Soldiers to Physical Evaluation Board (PEB) if standards of medical fitness are
not met
MEB - NARSUM Phase - ✔️✔️-Narrative Summary (NARSUM)
-Physical Profile (DA Form 3349) Or electronic version
-MEB Proceedings (DA Form 3947)
-Personal documents
-Line of Duty determination
-Commander's letters
-Performance evaluations
-Soldier's signature
-Physician's signature
-MEB approving official's signature-
IDES - ✔️✔️Integrated Disability Evaluation System
Purpose of IDES - ✔️✔️-Provides a means of evaluating the physical fitness of
Soldiers who may be unfit to perform their military duties due to a physical disability
-Determines the level of fitness and applicable disability benefits of Soldiers with duty-
related impairments
-Provides Soldiers with due process through rebuttals and appeals throughout the DoD
and VA systems
IDES Treatment/Rehabilitation Phase - ✔️✔️-Begins when Soldier is wounded, ill, or
injured
Treatment consists of (but not limited to): Surgeries, Physical therapy, Trial of duty