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You can absolutely state that your medical issues are causing you to have a problem with that run. Now, that being said, command will ask why you have not been given a profile against the run, allowing you to take only the remaining portions of the PT test. This is usually permitted when a medical issue causes a temporary inability to pass a portion of the test. So, the question will be why your doctors didn't recommend that.
An OTH isn't even available for a PT failure and General discharge is rarely given where you have a good record. The most common discharge status for a PT failure that isn't thought to be intentional is Honorable.
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That depends on which form of discharge you are going through, notification or a discharge board hearing (over 6 years of service).
For notification process:
The separation status recommendation is going to come from the initiating commander. The next level commander will decide what the discharge status will be. If the initiating commander recommends Honorable, then it has to be honorable. The next level commander can't lower the discharge status. If the initiating commander recommends General, the next level commander can go with that or go with Honorable. You would have the ability to submit written matters in your favor to the next level commander asking to be retained or, if separated, to be given an Honorable.
For the discharge board process:
The initiating commander will still make a recommendation and then a board hearing is held. That board will make their recommendation to the next level commander. During that hearing, you'd have the chance to submit matters to the board. While the next level commander can do what they wish, they almost always follow the recommendation of the board.
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