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Guide for Aviation Medical Examiners

Decision Considerations Disease Protocols - Attention Deficit/Hyperactivity Disorder

Why is a neuropsychological evaluation required?
Attention-Deficit/Hyperactivity Disorder (ADHD), formerly called Attention Deficit Disorder (ADD), and medications used for treatment may result in cognitive deficits that would make an airman unsafe to perform pilot duties.

What testing is required?
There are two test batteries:

  1. INITIAL BATTERY - performed on everyone; and
  2. SUPPLEMENTAL BATTERY - performed when the Initial Battery indicates a potential problem.

Why is a CogScreen-Aeromedical Edition (CogScreen-AE) required?
CogScreen-AE is a neurocognitive test developed to assist the FAA in the evaluation of the domains of neurocognitive performance most important for safety of flight.

Who may perform a neuropsychological evaluation?
Neuropsychological evaluations should be conducted by a qualified neuropsychologist with additional training in aviation-specific topics. The following link contains a list of neuropsychologists who meet all FAA quality criteria. See FAA Neuropsychologist List (PDF).

Specifications for Neuropsychological Evaluations for ADHD/ADD:

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