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 Issuances for All Classes

AME Assisted Special Issuance Certificate Coversheet (MS Word)