16-02 Annex A - ​Example Training Limitations Assessment Form

Cadet Administrative and Training Orders (CATOs)

Example – Training Limitations Assessment Form

A.   Identification And Medical Status

The CF 51 of this cadet applicant for the Canadian Forces Cadet Summer Training Program mentions the following medical condition: [insert conditions]

B.  Authorization

I authorize the disclosure of information contained in this document to medical authority for the purposes of training programmed selection of this applicant.

C.  Medical Information

Additional medical information is required to determine the applicant’s medical suitability to undertake training. Please identify the following:

1. Past history of illness, surgery or incapacitating conditions:

[Insert conditions]

2. Past/present treatment and/or medications: 

[Insert ast/present treatment and/or medications]

3. Date of last follow-up with his/her physician and current medical status:

[Insert status]

 Use the attached task statement to determine the cadet’s  physical requirements on his/her course and the conditions under which they will have to perform. Please indicate any factors or task the cadet cannot perform for medical reasons:

[Insert reasons]

D.   Formation Surgeon Review

Include any restrictions imposed due to medical condition:

Note: The department of National Defense is not responsible for any FEES incurred, as a result of this request.

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