How are applications for designee status generally submitted?

Applications for designee status are submitted through the command surgeon general's office to HQ USAF/SGMA because this process ensures that applications are handled in a structured manner that aligns with military protocol and governance. The command surgeon general's office acts as a liaison that facilitates the review and processing of applications, ensuring they meet the necessary standards and qualifications required for designee status. This centralization of the application process allows for consistency, oversight, and adherence to regulatory guidelines set forth by the Air Force, ultimately contributing to effective management within the health services domain.

In contrast, submitting through other channels, such as the service member's chain of command or directly to the Secretary of the Air Force, may not ensure adherence to the procedural requirements or could lead to a lack of necessary vetting and approval processes. Additionally, submitting through the local medical facility may not adequately communicate the application to the appropriate higher authorities who are responsible for making decisions regarding designee status. Thus, the command surgeon general's office serves the crucial role of centralized processing to maintain the integrity and efficiency of the application procedure.