Federal Aviation Administration

Guide for Aviation Medical Examiners
Special Issuances

Updated: 11:18 am ET May 31, 2006

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 Issuances for All Classes

AME Assisted Special Issuance Certificate Coversheet (MS Word)

11:18 am ET May 31, 2006