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 - G H - T
Arthritis and/or Psoriasis Hepatitis C
Asthma Hypertension
Atrial Fibrillation Hyperthyroidism
Bladder Cancer Hypothyroidism
Breast Cancer Lymphoma and Hodgkin's Disease
Cerebrovascular Disease (CVA/Stroke/TIA) Melanoma
Cardiac - Single Valve Replacement or Repair Migraine Headaches
Chronic Kidney Disease Mitral and Aortic Insufficiency
Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL) Neurofibromatosis Type 1
Chronic Obstructive Pulmonary Disease Paroxysmal Atrial Tachycardia
Colitis (Ulcerative or Crohn's Disease) or Irritable Bowel Syndrome Prediabetes or Overweight/Obesity Treated with Medication
Colon Cancer/Colorectal Cancer Prostate Cancer
Coronary Heart Disease (CHD) Renal Calculi
Venous Thromboembolism (VTE) - Deep Venous Thrombosis (DVT), Pulmonary Embolism (PE), and/or Hypercoagulopathies Renal Cancer
Diabetes Mellitus - Type II Medication Controlled (Not Insulin) Sleep Apnea/Obstructive Sleep Apnea (OSA)
Glaucoma Testicular Cancer

AME Assisted Special Issuances Certificate Coversheet

Last updated: Wednesday, September 27, 2023