Guide for Aviation Medical Examiners
Special Issuances
AASI for Third-Class
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.
The AASI’s listed below are presently restricted to the issue of a third-class airman medical certificate.
An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 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.
For Third-class:
- Coronary Heart Disease (to include):
- Angina Pectoris
- Atherectomy
- Brachytherapy
- Coronary Bypass Grafting
- Myocardial Infarction
- Percutaneous Transluminal Angioplasty (PTCA)
- Rotoblation
- Stent Insertion
- Valve Replacement
AME Assisted Special Issuance Certificate Coversheet (MS Word)
