Medical Discharge and Denied Leave

I just received information that I am gonna receive a medical discharge. Transition says I need to have my ETS leave turned in and 4187 for Medical Discharge. The thing is they want it to go through the S-1 OIC and previously working for him, he didn't like the fact that I was injured and couldn't be much help for him. Anyway, he has denied my leave countless and has never let it go beyond him. How would i go about getting my discharge orders without my terminal leave? It's just so I have a heads up before I start trying to get things going next week.
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