It's sent to the PEB in the same manner your package is submitted. it will be essentially part of the package as if you submitted more medical documentation. they can read it and do nothing of course but if it's coming from a high ranking officer or official they will take it serious.I’ve been told by my PEBLO and what feels like everyone else that this isn’t possible so I’ve had to turn down multiple job offers because of that. I’m glad that someone is getting help in this process. Who did you submit your memo to if you don’t mind?