Guide for Aviation Medical Examiners
Special Issuances - AASI for Third-Class
AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations (14 CFR) part 67.
The AASI's listed below are presently restricted to the issue of a third-class airman medical certificate.
An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination.
If this is a first-time application for an AASI for a disqualifying disease/condition, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
- Coronary Heart Disease (CHD) (to include):
- Angina Pectoris
- Coronary Bypass Grafting
- Myocardial Infarction
- Percutaneous Transluminal Angioplasty (PTCA)
- Stent Insertion
- Valve Replacement
AME Assisted Special Issuances for All Classes