The designee status applications are generally submitted through which office to HQ USAF/SGMA?

• A. Through the command surgeon general's office to HQ USAF/SGMA
• B. Through the wing commander to the command surgeon general's office
• C. Through the military treatment facility commander to HQ USAF/SGMA
• D. Through the chief of hospital or clinic services to the command surgeon's office

Answer: (A)

Routing for designee status applications follows a specific chain to ensure proper review and approval. The designee status packets are prepared and submitted through the command surgeon general's office, which reviews and forwards them to HQ USAF/SGMA for the final action. This pathway keeps the process centralized and consistent with how medical authority and policy are handled across commands.

Submitting through the wing commander, the MTF commander, or the hospital/clinic services chief would bypass the formal review step at the command surgeon general's level, which is not how these applications are routed for HQ action.