Medical Review Before ICT Guide

The worst time to start a medical-review question is the morning you book in for ICT. By then, the unit has a reporting plan, your SAF100 is active, and your records may not have caught up with your symptoms or documents.

If your condition changed before ICT, the clean route is to raise it early, bring relevant documents, and separate "medical review needed" from "ICT automatically cancelled." They are not the same thing.

This guide is unofficial. Your SAF100, Medical Officer, SAF Medical Centre, eHealth/OneNS record, Personnel Admin Centre, and unit instructions override anything here.

Quick version

• Book or request review early if your medical condition changed before ICT.
• AskGov says NSmen seeking review should book a medical review at an SAF Medical Centre and bring relevant documents for the MO to evaluate.
• A pending review is not the same as an approved deferment, excuse, or changed PES.
• Bring the SAF100 details and medical documents so the review can answer the actual event question.
• If OneNS, eHealth, HSP, or unit instructions conflict, ask the official channel to reconcile the record before the event date.

What This Applies To​

• NSmen with a new injury, diagnosis, medication change, or worsening condition before ICT.
• NSmen with upcoming HSP, FFI, medical review, or temporary PES appointments.
• NSmen whose OneNS or eHealth status does not match what they were told.
• NSmen deciding what documents to prepare before calling the unit or medical centre.

This is not medical advice and does not decide whether you are fit for any activity.

When To Start The Review​

Start when a real condition change affects a real obligation.

Examples:

• new specialist diagnosis after your last review;
• injury that affects marching, lifting, driving, weapon handling, or prolonged standing;
• surgery, hospitalisation, or discharge before ICT;
• medication that affects alertness, heat tolerance, or duty safety;
• expired temporary status that still has unresolved symptoms;
• medical appointment or test result scheduled near ICT.

Do not wait for the unit to notice. The system cannot assess documents you have not submitted or brought.

The Public Route For NSmen​

AskGov says NSmen seeking medical fitness review should book a medical review appointment for consultation at an SAF Medical Centre, bring relevant documents, and let the Medical Officer evaluate and follow up as required.

That means the useful output of a review is not "I showed a memo." It is an official record or instruction after the MO assesses the information.

Until that happens, assume:

• your SAF100 still matters;
• previous status may still be the active record;
• temporary statuses may expire;
• the unit needs written or system-visible instructions;
• a specialist memo supports review but does not replace the review.

What Documents To Bring​

Bring documents that answer what changed, how severe it is, and what limitations matter for ICT.

Useful documents:

• specialist memo with diagnosis and functional limits;
• hospital discharge summary;
• imaging, scan, scope, ECG, blood test, or other relevant results;
• medication list and dosage;
• MC or light-duty notes if recent;
• physiotherapy or rehabilitation plan;
• appointment proof for pending specialist follow-up;
• previous PES or excuse records if available;
• SAF100 and activity dates.

Do not bring a vague memo and expect the MO to infer your entire training risk. Activity limits are more useful than dramatic wording.

What To Ask​

Ask the narrow question:

"My SAF100 is from [date] to [date]. My current record shows [PES/excuse]. I have [condition/document]. Does this affect reporting, activity restrictions, or need for review before ICT?"

If HSP or eHealth is involved:

"OneNS/eHealth shows [status], but I was told [different status] on [date]. Which record should I rely on for this ICT, and who can update it?"

This keeps the official route focused on the actual conflict.

If ICT Is Very Soon​

Do not self-declare that you are excused. Contact the unit or Personnel Admin Centre and explain the timeline.

Include:

• SAF100 date;
• review appointment date if booked;
• medical issue and latest document date;
• whether you can safely report;
• whether you need reporting instructions changed;
• contact details.

If there is immediate medical danger, seek medical care first, then inform the relevant official channel as soon as practical.

Common Mistakes​

• Treating a specialist memo as an automatic PES change.
• Assuming a booked review cancels ICT.
• Sending documents without checking whether they were received or recorded.
• Asking Reddit whether the memo is "strong enough."
• Bringing documents only after being assigned an activity.
• Ignoring HSP or eHealth status because someone verbally said it was cleared.

Frequently Asked Questions

How do NSmen seek medical review before ICT?

AskGov says NSmen should book a medical review appointment at an SAF Medical Centre, bring relevant documents, and let the Medical Officer evaluate and follow up as required.

Does a pending medical review excuse me from ICT?

Not by itself. A pending review is not the same as an approved deferment, excuse, changed PES, or updated unit instruction. Clarify through the official channel before the event.

What if OneNS still shows the wrong status?

Record the date checked and contact the official support route, unit, Personnel Admin Centre, or NS Contact Centre as applicable. Do not rely on guesses when a call-up or activity is affected.

Official References​

• MINDEF AskGov: How do I seek a review of my medical fitness status?
• MINDEF AskGov: How do I view my medical fitness status?
• MINDEF AskGov: How do I check my HSP status?
• MINDEF AskGov: HSP cleared but OneNS still shows unfit
• CMPB: Physical Employment Standard (PES)

Bottom Line​

If your condition changed before ICT, start the official review route early and bring documents that connect the condition to the event. Do not treat a memo, appointment, or pending status as automatic cancellation.

Related Reads​

• NS Medical Excuses and Exemptions Guide
• Specialist Memo for NS Medical Review
• PES C/E NSman: ICT and IPPT
• HSP Before IPPT or NS FIT
• First ICT After ORD: Checklist