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FAA Medical Certification | Special Issuance
with disqualifying medical conditions are often eligible for waivers through Special Issuance
The FAA also requires Special Issuance for many medical conditions not specifically listed as disqualifying in the FAR's. Some conditions require immediate 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.
Aviation Medical Examiners are NOT authorized to grant Special Issuance certification. Some pilot membership groups have issued statements which many airmen have interpreted incorrectly. Many pilots only hear or see the statement "AME's authorized.....special issuance medicals" and don't notice that it is only for certain types of renewals and not the actual waiver. Special Issuance waivers must be issued by an FAA government employee versus an AME who is designated by the FAA to perform examinations.
Some consider it logical to have an AME coordinate the Special Issuance process. While one-stop-shopping may be an attractive option, this arrangement forfeits confidentiality and can put the pilot in a defensive posture. Many find themselves frustrated when their AME ends up deferring the case to the Aeromedical Branch in Oklahoma. This means the pilot does not walk out of the AME's office with a medical in-hand and 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.
While Aviation Medical Examiners are permitted to renew certain Special Issuance waivers, the initial waiver authorization must be granted from the Federal Air Surgeon first. This is typically authorized by a letter to the pilot from the Aeromedical Certification Branch of the FAA in Oklahoma City.
Those who are authorized must have that letter permiting them to see their AME for Special Issuance renewal. Interestingly many AME's will still defer these cases due to the complexity of the issue, their lack of comfort or familiarity with the condition or certification criteria.
AGAIN, the AME assisted program is NOT for first-time Special Issuance applicants.
The FAA must grant the initial medical certification Special Issuance waiver. The 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:
Pilot Medical Solutions provides confidential collaboration with your private physician to assure all records and documentation phraseology meets the FAA's requirements. Pilot Medical Solutions has helped thousands of pilots with FAA Special Issuance medical certification.
We work directly with your physicians and the FAA to resolve complex aeromedical certification issues quickly.
MEDICAL FAR's (Part 67) | Special Issuance Stats | FAA Protocols | Checklist