Canadian Armed Forces - Medical Release Process

When you are unable to perform your duties safely and effectively due to a medical condition, you may be medically released from the Canadian Armed Forces (CAF). The process of medical release involves several steps and decisions made by different authorities. This guide will help you understand the options available to you and what you need to know about being medically released from the CAF.

Authorities

The Chief of Defence Staff (CDS) has delegated authority for employment and career decisions, including medical release, to the Director of Military Careers Administration (DMCA). The Director of Medical Policy (D Med Pol) provides medical advice and assigns Medical Employment Limitations (MEL), but does not make employment, career, or release decisions.

Case Management

Your health care provider may refer you to Case Management. Then, a Nurse Case Manager will meet with you to assess your transition needs. Case Management services are based on your needs and can start at any stage of the health process. The Case Manager will help analyze your situation and provide support during your transition. You cannot self-refer to Case Management.

Temporary Medical Category (TCat)

If you have a health condition, a Temporary Medical Category (TCat) may be assigned to give you time to heal. The TCat includes specific Medical Employment Limitations (MEL) that restrict your work schedule, tasks, roles, environments, or location. It may also include a period of work interruption or sick leave. The TCat is usually assigned for 3, 6, or 12 months. If you need more time to heal, a second TCat can be assigned, and if necessary, a third TCat may be recommended.

A TCat does not expire once the TCat period has elapsed. The TCat period simply communicates to the Chain of Command how long your recovery should take. You must be assessed by a Health Care Provider to have a TCat lifted.

Permanent Medical Category (PCat)

If your health issue persists beyond 12-18 months, a Permanent Medical Category (PCat) may be assigned. PCat indicates a permanent condition that affects your ability to perform military duties. PCat involves permanent MEL that can impact your career and employment in the CAF.

The recommendation for PCat is made by your healthcare provider, reviewed by the Base/Wing Surgeon, and finally assigned by the Director of Medical Policy (D Med Pol).

Administrative Review (AR)

Once permanent MEL are assigned, your file is sent either to your Commanding Officer (CO) or to the Director of Military Careers Administration (DMCA) for an administrative review (AR). Highly restrictive permanent MEL are reviewed by DMCA, while less restrictive MEL are sent to your commanding officer (CO). The purpose of the review is to evaluate your medical situation and make recommendations for administrative career action.

Universality of Service (U of S)

The principle of Universality of Service (U of S) or “soldier first” principle means that CAF members are expected to perform general military duties and common defense tasks, not just the duties specific to their occupation. If your MEL are not compliant with U of S, you will be released. This is non-negotiable. DMCA may offer retention only until 1 April 2025 if there is a critical shortage in your occupation or a specific skill set is required.

Options for Medical Release

When your file is passed to DMCA, you will receive a Disclosure package. In the package, you will have three options to choose from:

Option A - Representations

You can submit written representations to be considered before a final decision is made. Representations are your opportunity to provide additional information, including your preference for a period of retention if needed and your preferred release date.

Option B - Accelerated Decision - No Representations

If you do not wish to submit representations and do not want a period of retention, you can choose this option. DMCA will make a decision within 6 months, and you can be released within that timeframe.

Option C - Normal Administrative Timelines - No Representations

If you do not wish to submit representations and do not want to accelerate the decision process, you can choose this option. Your file will be reviewed by DMCA, which may take up to six months, and you will be released within six months plus 30 days after a decision is rendered.

Period of Retention

DMCA considers several factors before offering a period of retention, such as critical shortages in your occupation or specific skill requirements. Retention is temporary and transitional, allowing you to work full-time except for tasks related to your MEL. A specific military position must be available for you, and the retention cannot exceed 1 April 2025 unless your MEL changes and you become fit to serve. Retention can be terminated by the CAF if circumstances change, but you can also request to cease retention.

Transition and support

Once DMCA makes a decision, you will receive a letter notifying you of the outcome. You may request an earlier release by contacting DMCA through your Chain of Command. It is recommended to research programs and services to assist in your transition. Local contacts, such as your unit's Adjutants and Chief Clerks, IPSC, and your Case Manager can provide guidance and support.

Remember, the medical release process can be complex, but understanding the options available to you and seeking support will help you navigate through it.