Guide for Aviation Medical Examiners

Decision Considerations – Aerospace Medical Dispositions
Item 35. Lungs and Chest – Asthma

Common Conditions and Course of Action
Disease/ConditionClassEvaluation DataDisposition
Mild or seasonal asthmatic symptomsAllReview all pertinent medical information and current status report, include PFT's, duration of symptoms, name and dosage of drugs and side effects for special issuance considerationSee CACI – Asthma Worksheet (PDF). If airman meets all certification criteria – Issue.

All others require FAA Decision. Submit all evaluation data.

Initial Special Issuance – Requires FAA Decision

Followup Special
Issuances – See AASI Protocol (PDF)
Frequent severe asthmatic symptomsAllSubmit all pertinent medical information and current status report, include PFT's, duration of symptoms, name and dosage of drugs and side effectsInitial Special Issuance – Requires FAA Decision

Followup Special
Issuances – See AASI Protocol (PDF)
Last updated: Tuesday, September 8, 2026