Guide for Aviation Medical Examiners
Special Issuances
AME Assisted - All Classes
Hypothyroidism
Note:- The Examiner may issue an airman medical certificate if the applicant is euthyroid, stable, and does not have other organ system involvement. See Item 48., General Systemic, Aerospace Medical Disposition.
- The Examiner must document the period of stability, laboratory evidence of euthyroid state and absence of other organ system
in Item 60 of the FAA Form 8500-8.
AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations
(14 CFR) part 67.
An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR ยง 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination. If this is a first time issuance of an Authorization for the above 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 RFS for the initial determination.
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
- An Authorization granted by the FAA;
- The name and dosage of medication(s) used for treatment and/or prevention with comment regarding side effects;
- A statement regarding any other associated problems, such as cardiac or visual; and
- A statement regarding the current thyroid stimulating hormone (TSH) level performed within last 90 days.
- The applicant develops a related problem in another system, such as cardiac; or
- The TSH level is elevated.