The Guide provides pertinent information and guidance needed to perform the duties and responsibilities of an Aviation Medical Examiner.

NOTE: Updates to the AME Guide are posted on the last Wednesday of each month, usually before 9:00 a.m. CT. For specific dates, see the 2024 update schedule.

AME ALERT

Current revision date – August 28, 2024

See the Archives and Updates Section (PDF) for a full listing of changes.

NEW:

• Allergies or Anaphylaxis Disposition Table (PDF)
• Sinus Conditions Dispositions Table (PDF) (Includes Sinusitis and Sinus Obstruction.)
• Speech Impediment, Stuttering or Mechanical Conditions Disposition Table (PDF)
• Psoriasis Disposition Table (PDF)
• CACI - Psoriasis Worksheet (PDF)
• AASI - Psoriasis (PDF)
• Brain Injury Decision Tool for the AME (PDF)
• Pectus Excavatum Disposition Table (PDF)
• Pharmaceuticals - Migraine Medications (PDF)
• OTC Medications Reference Table (PDF) (previously an external hyperlink, is now in Pharmaceuticals).

UPDATED:

• Head Injury or Brain Injury Disposition Table (PDF) (Row B1 – For head injury 5 or more years ago, use Brain Injury Decision Tool for the AME) (PDF) .
• CACI – Migraine Worksheet (PDF) – additional medications added.
• OSA Status Summary Initial (PDF) and OSA Status Summary Recertification (PDF) – “AHI on Treatment” added to response column.
• ADHD Standard Track General Information (PDF) – separate tests must be ordered for amphetamines AND methylphenidate.

REMOVED:

• Allergies, Severe Protocol – information now covered in Allergies or Anaphylaxis Disposition Table (PDF) .
• AASI Certificate Coversheet – Document is no longer required.
   

• FAA Form 8500-8; Application Process and Examination Techniques
  • General Information
  • Applicant History (Items 1-20)
  • Examination Techniques (Items 21-58)
  • Application Review (Items 59-64)
• Aeromedical Decision Considerations
  • Aerospace Medical Dispositions
  • CACI Certification Worksheets
  • Disease Protocols
  • Pharmaceuticals
  • Special Issuances
  • Substances of Dependence/Abuse
  • Synopsis of Medical Standards

Resources

• Frequently used webpages
• AMCS Technical Support (PDF)
• Download, Print, or View the Complete AME Guide (PDF) (best viewed using Google Chrome)
• Archives and Updates – Guide for Aviation Medical Examiners (PDF)
• Designee Management Policy – FAA Order 8000.95C
• Glossary
• International Civil Aviation Organization (ICAO) – The International Standards on Personnel Licensing are contained in Annex 1 – Personnel Licensing to the Convention on International Civil Aviation. The FAA maintains an updated, hard copy of all the ICAO Annexes and also an on-line subscription. The FAA makes copies of Annex 1 available at seminars and can provide Examiners access upon request.
• Locate an Office
  • Regional and Center Medical Offices
  • Flight Standards District Offices
• 14 Code of Federal Regulations Part 67 Medical Standards and Certification
• Pilot Information - Current Detailed Clinical Progress Note (PDF)
• Student Pilot Rule Change (PDF)
• Listing of HIMS AMEs and HIMS Independent Medical Sponsors: MS Word, PDF