I am assuming that you were already on a couple of temporary categories first? Once the MO determines that a chronic medical condition is not going to resolve then the temporary category (T Cat) changes to a permanent category (P Cat). The MO makes a recommendation of P Cat then sends your detailed medical form CF 2033 and Change of medical category form CF 2088 to next link which is Bde surg or Base surg. The B surg will agree with the MO or recommend another P Cat then forward to Director of Medical Policy ( D Med Pol) for approval.
D Med Pol will convene a board to determine if the recommended P Cat is correct for your condition. They will decide your final permanent category and will draft a statement detailing your Medical Employment Limitations (MEL). They will also put your final P Cat on your CF 2088. This process can take as little as 6 months to a year or more to complete due to high numbers of files to review and limited staffing at D Med Pol.
D Med Pol will then send your original CF 2088 and the MEL statement to Director of Military Careers Administrative Review Medical (DMCARM). A copy of your CF 2088 and MELs and original CF 2033 will be sent to your medical records section with a statement that says your original CF 2088 and MEL statement have been forwarded to DMCARM. DMCARM are not medical they are administrative. DMCARM will convene a board with senior members of your trade and review your MELs. They must determine if you can still be employed in your trade with the new MELs. They must see if you are within the minimum medical standard for your trade and whether or not you breach Universality of Service. DMCARM will either decide to retain you in trade with restrictions, retain you in trade without restrictions, offer you another trade with lower medical standard or recommend medical release. This process can also take several months.
Whatever DMCARM decides they will draft a letter with their decision and send that and your CF 2088 to your CO. Your CO will make his comments on the CF 2088 and you will sign form at bottom acknowledging you have received your P Cat.
Remember DMCARM gets nothing unless D Med Pol gives you a P Cat.