DA Form 4186, officially titled "Medical Recommendation for Flying or Special Operational Duty," is the primary Army aviation medical form. Flight surgeons and aviation medical officers (AMOs) use it to document their assessment of a soldier's fitness for aviation-related duties.
Army aeromedical policy requires flight surgeons to complete DA Form 4186 for every Fit for Flying Duty (FFD) or Duties Not Including Flying (DNIF) determination. The form is mandatory when a soldier in an aviation assignment develops a medical condition affecting flight safety, when returning to aviation duties after hospitalization, and when applying for a medical waiver through the Army Aeromedical Center. Army Regulation 40-8 and AR 40-501 govern all flying duty medical requirements.
The form contains four primary sections: patient identification data (name, unit, aviation MOS), a clinical evaluation summary with ICD-10 diagnosis codes, the duty recommendation block (FFD or DNIF with projected return date), and the certifying flight surgeon's signature. Supporting documents such as lab results or specialist consultation notes are attached as required by aeromedical policy.
Service members and unit administrators often use DA Form 4186 alongside the DA Form 3349 (Physical Profile) for documenting duty limitations and the DA Form 2173 for injury and disease reporting. The Army Functional Capacity Form 507 is used for comprehensive fitness assessments.
| Question | Answer |
|---|---|
| Form Name | DA Form 4186 |
| Full Title | Medical Recommendation for Flying or Special Operational Duty |
| Form Length | 19 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 4 min 45 sec |
| Governing Regulation | Army Regulation 40-8, AR 40-501 |
| Issuing Authority | U.S. Army |
| Other names | 4186, da form 4186 fillable, army 4186, da form 4186 flying duty, FFD form, DNIF form, aeromedical recommendation |