Who is the final approving authority for a DD form 2992?

The final approving authority for a DD Form 2992, which is used for the aviation-related medical evaluations of service members, is the Unit Commander. This is because the Unit Commander has the overall responsibility for the health and readiness of the personnel under their command. They are equipped with the authority to make final decisions concerning the duty status and medical fitness of crew members, in light of the evaluations and recommendations provided by Flight Surgeons, Medical Boards, or other healthcare professionals.

While the Flight Surgeon conducts medical assessments and offers recommendations based on the crew member's health, the Chief Pilot oversees operational aspects of flight crew performance but does not hold the final authority concerning medical determinations. The Medical Board may provide evaluations and input regarding the individual's suitability for duty, but it is ultimately the Unit Commander who must consider all information and make the decisive call regarding the individual's fitness for aviation duties. This hierarchical structure is essential to maintain operational safety and readiness within military aviation.