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United States Department of TransportationUnited States Department of Transportation

Guide for Aviation Medical Examiners

Current revision date – October 26, 2022

The Guide provides pertinent information and guidance needed to perform the duties and responsibilities of an Aviation Medical Examiner.

NOTE: Updates to the AME Guide are posted on the last Wednesday of each month, usually before 9:00 a.m. CT. For specific dates, see the 2022 update schedule. Refer to the Archives (PDF) document for a description of changes posted each month.




  • Formal HIMS cases (this refers ONLY to pilots who fly for an airline with a HIMS Chairman) must be submitted to Washington, D.C. via Huddle AND have an accompanying HIMS Data Sheet.
  • No formal HIMS cases will be accepted in paper format after January 1, 2023.
  • Airline HIMS Chairs will be advised of any HIMS AME not in compliance at that time.
  • HIMS AMEs who are not yet Huddle capable should contact for training. DO NOT SEND FILES TO THE ABOVE EMAIL.
  • Send ALL OTHER Drug and Alcohol cases to AMCD at the address indicated on the HIMS-Trained AME Checklist. No Data Sheet needed.

Methods to navigate through the Guide


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