FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.
1) Go to Public Hospital /
Private Specialist.
Note: You will be
classified as a subsidised patient if your first
visit is via:
2) Consult specialist, and
do whatever medical check ups required. E.g. physical
exam, blood test, x-ray, CT scan, MRI scan.
3) Specialist gave
a finalised clinical diagnosis.
4) Get the specialist to write you a
memo which is to be given to
SAF MO. Those who can and are willing to spend some
more money can get him/her to write you a specialist report,
which is more precise and detailed.
Note: For not to waste time and money, please be
more direct yet humble. Request the specialist to write about
reviewing of PES
and medical board / anything specific such as any
excuses to your conditions.
5) Book an
medical review appointment using the
eHealth module @ www.ns.sg (for NSman
Reservists).
Just go down to your camp medical centre
(for NSFs).
Call CMPB @ 6373 1340 to request another
PES review (for Pre-Enlistees after CMPB
Checkup).
6) Make a trip down to the respective
unit camp medical centre. Give the MO whatever supporting
documents you have in hand. E.g. Specialist memo/report
(most usually the case and highly recommended), x-ray
films, CT/MRI scan report, blood investigation
lab report... etc.
7) MO will decide whether you are deemed
eligible for KIV downgrade, according to the criterias set in
the "PES Bible" directive. E.g. Diagnosis, Extent of
Diagnosis, Degree of
Diagnosis/Injury/Illness/Disease...etc.
8) If deemed so, you will sign an undertaking
note of medical board, whereby your case statement will
be prepared for discussion at the
monthly medical board meet (usually at the Formation/Division
HQ) with another NSF CPT MO, and the Chairman
(SAF Regular Medical Doctor of MAJ rank and above). Your
Medical Board result will be post mailed to you by your respective
NSHRC (Formation NS Hub).
Time and time
again, the questions for downgrade is repetitive. So this serves as
a general SOP for Medical
Board.
Extracted from here:
NSmen must update their NS HRCs
if they should develop any new medical condition or if their
existing medical condition has worsened which might affect their
ability to perform their duties during ICT. Arrangements will then
be made for them to attend a medical review at the SAF medical
centre to assess their fitness for NS.
The NSmen MUST bring along all investigation results and
memorandums from his external physician/specialist during the
medical review. Depending on the outcome of the medical review, the
NSman may be given a medical certificate to defer him from ICT, be
scheduled for a medical board to downgrade him if his medical
condition is significant, or referred to a restructured hospital
for further investigation. In the event that the medical officer
determines that the NSman’s medical condition will not affect his
ability to participate in the ICT, he will allow the NSman to
attend the ICT.