Guide for Aviation Medical Examiners
Special Issuances

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• |  Updated: 2:00 pm ET September 23, 2009

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	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	Renal Carcinoma
Glaucoma	Sleep Apnea
Hepatitis C	Testicular Carcinoma

AME Assisted Special Issuances for Third-Class Only

AME Assisted Special Issuances Certificate Coversheet (PDF)