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Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 35. Lungs and Chest - Sleep Apnea

Common Conditions and Course of Action

Disease/Condition Class Evaluation Data Disposition
Obstructive Sleep Apnea All Requires risk evaluation, per OSA Protocol. Document history and Findings. If meets OSA Criteria (PDF) - Issue, if otherwise qualified.

Initial Special Issuance - Requires FAA Decision.

Followup Special Issuance's - See AASI Protocol
Periodic Limb Movement, etc. All Submit all pertinent medical information and current status report. Include sleep study with a polysomnogram, use of medications and titration study results, along with a statement regarding Restless Leg Syndrome Requires FAA Decision

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