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Guide for Aviation Medical Examiners

Special Issuances, AASI for All Classes

The Guide refers to a number of selected medical conditions that are initially disqualifying (if the applicant does not meet the issue criteria in the Aerospace Medicine Dispositions Tables or the Certification Worksheets) and must be deferred to the AMCD or RFS. If this is a first-time application for an AASI for a disqualifying 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 your RFS.

Following the granting of an Authorization for Special Issuance of a Medical Certificate (Authorization) by the AMCD or RFS, an Examiner may reissue a medical certificate to an applicant with a medical history of an initially disqualifying condition once the AASI's specialized criteria is met and the applicant is otherwise qualified.

A - H H - T
Arthritis and/or Psoriasis Hypertension
Asthma Hyperthyroidism
Atrial Fibrillation Hypothyroidism
Bladder Cancer Lymphoma and Hodgkin's Disease
Breast Cancer Melanoma
Chronic Kidney Disease Migraine Headaches
Chronic Lymphocytic Leukemia Mitral and Aortic Insufficiency
Chronic Obstructive Pulmonary Disease Paroxysmal Atrial Tachycardia
Colitis (Ulcerative or Crohn's Disease) or Irritable Bowel Syndrome Prostate Cancer
Colon Cancer Renal Calculi
Deep Venous Thrombosis (DVT), Pulmonary Embolism (PE), and/ or Hypercoagulopathies Renal Cancer
Diabetes Mellitus - Type II Medication Controlled (Not Insulin) Sleep Apnea
Glaucoma Testicular Cancer
Hepatitis C Thrombocytopenia

AME Assisted Special Issuances for Third-Class Only

AME Assisted Special Issuances Certificate Coversheet (PDF)

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