Conditional release can either be a memo or DA 4187 signed by Commander and Branch Manager.

DEPARTMENT OF THE ARMY

BRIGADE SUPPORT MEDICAL COMPANY, 296TH BRIGADE SUPPORT BATTALION

3RD BRIGADE (ARROWHEAD, 2ND INFANTRY DIVISION

FORT LEWIS, WA 98433

AFZN-IN-C CO Date

MEMORANDUM FOR IPAP Program Manager, USAREC, Fort Knox KY

SUBJECT: IPAP Conditional Release for SGT Smith, John.

1. I approve SGT Smith’s request for conditional release upon his acceptance to the Interservice Physician Assistant Program (IPAP).

2. I understand that this is an administrative requirement that permits SGT Smith to change his current MOS (15T20) to Army Medical Specialist Corps upon completion of PA training and that this is a non-waiverable part of his packet.

3. The branch preferred course date start of January, April, or August and year.

4. POC for this action is the undersigned (Branch Manager for active duty), PMS for Cadets, Battalion Commander for USAR / NG, Brigade Commander for other Services Members

//original signed//

LTC, MS

Commanding

Or

Branch manager