Air Force PT Exemptions & Profiles

A component exemption on your AF Form 469 does not normally let you take a partial official PFRA. In most cases you are placed on PFRA Hold and may not assess until the profile expires¶3.9¶4.1.2. A small group of members with enduring conditions are the exception: they assess on the components or modalities they are medically cleared to do. Not sure which applies to you? The checker below walks you through it.

The AF Form 469 documents an Airman’s medical limitations, including PFRA component exemptions and approved modalities. Providers determine at each encounter whether a condition affects fitness activities and list physical limitations and PFRA exemptions on the form¶2.17.2¶4.1.8.1. Only DAF or DHA providers make the final disposition of physical limitations; if you are treated by a civilian provider, that documentation goes to the military medical system for consideration¶4.1.8.2. The governing medical-profile reference is AFI 48-133, Duty Limiting Conditions.

Only the most current AF Form 469 applies to your next PFRA, and it must list every component exemption and expiration date, including concurrent profiles¶4.1.8.1. Your UFPM validates it and uploads it to myFitness; a previous AF Form 469 cannot be used¶2.28.4. The form also lists any limits on your Adaptive Fitness Program, such as no high-impact activity¶4.1.8.4.

Table 4.1 lists every authorized exemptionTable 4.1. The type of exemption decides whether you can test at all.

On cardio: if you are restricted from the 2-mile run but cleared for the 20-meter HAMR, that is a modality exemption and you assess on the HAMR¶3.10.7. If you are cleared for neither, the 2-kilometer walk is an option only when your AF Form 469 states it; see the walk section below.

Members with a component or composite medical exemption are placed on PFRA Hold and are prohibited from taking official assessments¶3.9¶4.1.2. While on hold:

• Your status is PFRA Hold (Not Ready)¶3.10.6.
• Your UFPM enrolls you in a unit-led Adaptive Fitness Program for the length of the profile, built around the restrictions on your AF Form 469 and your plan of care if you are in rehabilitation¶4.1.2¶4.1.8.3. Enrollment starts within 10 duty days of receiving the AF Form 469 (ARC: within 60 calendar days), with weekly check-ins documented by the UFPM¶5.5.2¶5.5.3.2.
• When the profile expires you get a one-calendar-month Reconditioning Period, and your next PFRA is due the month after it¶3.10.9¶4.1.2.
• After a year on Hold, your UFPM notifies your commander for review, and the case goes to the AMRO Board¶2.28.8¶4.3.

The waist-to-height ratio still applies. It must be accomplished for all members on a medical component or composite exemption¶4.1.1. Body composition exemptions themselves must be reviewed and approved by the AMRO Board¶4.1.8.2.

For training while you’re on a profile, the Air Force’s Warfighter’s Fitness Playbook 2.0 (AFPC, February 2026) includes an Adaptive Exercise Program built to stay inside profile limits.

AFMAN 36-2905 allows two limited exceptions to PFRA Hold for members with enduring conditions:

• Para. 4.1.2.1, ALC¶4.1.2.1: a member medically returned to duty with an Assignment Limitation Code and an enduring physical restriction assesses on the components or modalities they are medically cleared to do.
• Para. 4.1.2.2, AMRO and retention¶4.1.2.2: a member with an enduring, non-duty and non-deployment limiting condition who is not eligible for DPMNR referral after AMRO review is sent to command with a recommendation. If the commander approves retention, the member assesses on the components or modalities they are medically cleared to do.

Para. 4.1.8.3 confirms that members meeting either of these criteria are excepted from the normal PFRA Hold requirement¶4.1.8.3.

How a case reaches para. 4.1.2.2

Members unable to perform one or more components for one year or more are on an Extended Duration Profile¶4.2. They stay on PFRA Hold, and the unit commander reviews the case for referral to the AMRO Board. Conditions that meet referral criteria go to DPMNR under DAFMAN 48-108¶4.2.1. If they do not, the commander consults the AMRO Board, then makes a discharge or retention recommendation to the installation or wing commander through the administrative process. If the member is retained, para. 4.1.2.2 applies¶4.2.2. For extended-duration profiles, the WHtR is required unless the current AF Form 469 specifically exempts it¶4.2.

Documentation

Two separate records support a para. 4.1.2.2 case. The current AF Form 469 sets your medical limitations and the components or modalities you are medically approved for. The command retention documentation sets the administrative basis for the exception. The AFMAN names an ALC for para. 4.1.2.1 but does not require a special AF Form 469 code or annotation for a para. 4.1.2.2 case.

If you assess without a component (under para. 4.1.2.1 or 4.1.2.2, or on the 2-km walk), your composite is calculated from the components you actually assess¶3.7.3. The chart minimum still applies to every component you test. A modality exemption does not change scoring at all: you score the alternative exercise on its own chart.

myFitness is the only authorized system to schedule and score PFRAs, and its calculator is the official record of your score¶7.1. Our exemption score calculator takes your real reps, times and waist and shows the composite on the reduced denominator, so you can plan your training. For a full PFRA, use the main calculator or the PFRA score charts.

Pregnancy: members may not complete a PFRA while pregnant but are encouraged to keep up a physical fitness routine. For a pregnancy lasting 20 weeks or more, the post-pregnancy PFRA is due in the 13th month after delivery. For pregnancies of fewer than 20 weeks, medical providers decide under AFI 48-133¶4.1.4. See the pregnancy and postpartum guide for your due month and the Air Force’s return-to-training guide.

Deployment: for a contingency or exercise deployment, or MPA orders in direct support of a contingency operation, the home station UFPM enters the exemption in myFitness when your current PFRA expires. It runs for the rest of the deployment, and your next PFRA is due the month after a one-month Acclimatization Period following your return¶4.1.5¶3.10.8. Where the deployed location has a FAC you may volunteer to test, but you cannot be directed to.

Other situations, such as bereavement, are not exemptions a commander can grant locally. Commanders may request them through the tier waiver process via their MAJCOM¶3.5.2.

For training after a profile, see how to train for the 2026 PT test.