Guide for Aviation Medical Examiners

Special Issuances, AASI for All Classes

If this is a first-time issuance for a disqualifying disease/condition, and the applicant has all of the requisite medical information necessary for a determination, the Examiner must defer, and submit all of the documentation to the AMCD or your RFS.

The Guide refers to a number of selected medical conditions that are initially disqualifying and must be deferred to the AMCD or RFS. Following the granting of an Authorization for Special Issuance of a Medical Certificate (Authorization) by the AMCD or RFS's office. Each AASI has their own specialized clinical criteria, by which an Examiner may reissue a medical certificate to an applicant with a medical history of an initially disqualifying condition, if otherwise qualified.

Arthritis and/or Psoriasis	Hyperthyroidism
Asthma	Hypothyroidism
Atrial Fibrillation	Lymphoma and Hodgkin's Disease
Bladder Cancer	Melanoma
Breast Cancer	Metabolic Syndrome, Glucose Intolerance, Impaired Glucose Tolerance, Impaired Fasting Glucose, Insulin Resistance, and Pre-Diabetes
Chronic Lymphocytic Leukemia	Migraine Headaches
Chronic Obstructive Pulmonary Disease	Mitral and Aortic Insufficiency
Colitis (Ulcerative or Crohn's Disease)	Paroxysmal Atrial Tachycardia
Colon Cancer	Prostate Cancer
Deep Venous Thrombosis/Pulmonary Embolism - Warfarin (Coumadin) Therapy	Renal Calculi
Diabetes Mellitus - Type II Medication Controlled (Not Insulin)	Renal Carcinoma
Glaucoma	Sleep Apnea
Hepatitis C	Testicular Carcinoma

AME Assisted Special Issuances for Third-Class Only

AME Assisted Special Issuances Certificate Coversheet (PDF)