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	Hyperthyroidism
Asthma	Hypothyroidism
Atrial Fibrillation	Lymphoma and Hodgkin's Disease
Bladder Cancer	Melanoma
Breast Cancer	Migraine Headaches
Chronic Lymphocytic Leukemia	Mitral and Aortic Insufficiency
Chronic Obstructive Pulmonary Disease	Paroxysmal Atrial Tachycardia
Colitis (Ulcerative or Crohn's Disease)	Prostate Cancer
Colon Cancer	Renal Calculi
Deep Venous Thrombosis/Pulmonary Embolism - Warfarin (Coumadin) Therapy	Renal Carcinoma
Diabetes Mellitus - Type II, Medication Controlled	Sleep Apnea
Glaucoma	Testicular Carcinoma
Hepatitis C

AME Assisted Special Issuances for Third-Class Only

AME Assisted Special Issuances Certificate Coversheet (PDF)