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FAA Medical Support for Pilots and AME's


FAA Medical Certification | Special Issuance

Pilots with disqualifying medical conditions are often eligible for waivers through Special Issuance medical certification.
Federal Aviation Regulation (FAR) 67.401
Typically this requires extensive documentation and decisions are made on a case by case basis.

The FAA also requires Special Issuance for many medical conditions not specifically listed as disqualifying in the FAR's.  Some conditions require self-grounding while others do not.  

The conditions listed below are specifically listed in the FAR's as disqualifying, yet most of these conditions still permit Special Issuance medical certification.  Contact us to determine eligibility.

  • Coronary heart disease
  • Angina
  • Myocardial infarction
  • Heart replacement
  • Cardiac valve replacement
  • Permanent cardiac pacemakers
  • Diabetes
  • Psychosis
  • Bipolar disorder
  • Severe personality disorder
  • Substance dependence or abuse
  • Epilepsy
  • Disturbance of consciousness
  • Transient loss of nervous system function

FAA SI recertification

Aviation Medical Examiners are NOT authorized to grant Special Issuance certification.  AOPA has released statements which many have interpreted incorrectly.  Most pilots only read the statement "AMEs can reissue special issuance medicals" and don't look further to note the criteria.  On the surface, it makes sense to have your AME coordinate the process.  While one-stop-shopping is an attractive proposition, many pilots find themselves frustrated when their AME ends up deferring the case to the Aeromedical Branch in Oklahoma.  In many of these cases, the pilot waits several months only to receive a letter from the FAA asking the pilot for more records or information. 

In some cases, an Aviation Medical Examiner may be permitted to renew a Special Issuance.  The authorization must always be granted from the Federal Air Surgeon first and typically it is issued via the Aeromedical Branch of the FAA in Oklahoma City.

Those who are authorized must have a letter which permits them to see their AME for RENEWAL ONLY.   Many AME's will still defer these cases, as they have for years, due to their lack of familiarity with these complicated decisions.

The AME assisted program is NOT for first-time Special Issuance applicants.

The FAA must grant the initial medical certificate.  Airman must have a letter from the FAA which authorizes AME Special Issuance renewal.

Currently Special Issuance may be renewed by AME's (when authorized by the aforementioned FAA letter) for the following medical conditions:

  • Asthma
  • Arthritis
  • Brachytherapy
  • Cancer: Breast, Bladder, Colon, Hodgkin's Lymphoma, Lymphoma, Melanoma, Prostate, Renal
  • Chronic Lymphocytic Leukemia
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Crohn's Disease
  • Diabetes Type II (Diet controlled or Oral Medication Only)
  • Glaucoma or Ocular Hypertension
  • Hepatitis C
  • Hyperthyroidism
  • Hypothyroidism
  • Kidney Stones (Urolithiasis)
  • Migraine Syndrome
  • Sleep Apnea
  • Ulcerative Colitis
  • Cardiovascular / Heart: Angina Pectoris (chest pain), Atherectomy, Atrial Fibrillation, Coronary Artery Disease, Coronary Bypass Grafting (CABG), Mitral & Aortic Insufficiency, Murmur, Myocardial Infarction, Paroxysmal Atrial Tachycardia, Percutaneous Transluminal Coronary Angioplasty (PTCA), Stent Implantation, Valve Replacement Valvuloplasty,

Pilot Medical Solutions has helped thousands of pilots with FAA Special Issuance medical certification. 

We work directly with your physicians and the FAA to assure compliance with FAA protocol and to resolve complex aeromedical certification issues quickly.

Contact us at 800-699-4457 or via E-Mail to confidentially discuss
the details of your case and
to establish your eligibility for FAA medical certification.

There is no charge for an initial consultation.

MEDICAL FAR's (Part 67)  Special Issuance Stats  |  FAA Protocols  |  Checklist


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