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
acknowledgement notice of Medical Board, whereby your
case statement is prepared for review
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 MAJOR
rank or 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 Medical Review (Downgrade) is repetitive. Therefore, this
serves as a general SOP for Medical
Board.
Extract from www.mindef.gov.sg/nsmen:
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.