Guide for Aviation Medical Examiners
AME Assisted - All Classes
Initial Eligibility Criteria:
- The AME may issue an airman medical certificate if the applicant is euthyroid, stable, and does not have other organ system involvement. See Item 48., General Systemic, Aerospace Medical Disposition.
- The AME must document the period of stability, laboratory evidence of euthyroid state and absence of other organ system
in Item 60 of the FAA Form 8500-8.
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
- An Authorization granted by the FAA;
- The name and dosage of medication(s) used for treatment and/or prevention with comment regarding side effects;
- A statement regarding any other associated problems, such as cardiac or visual; and
- A statement regarding the current thyroid stimulating hormone (TSH) level performed within last 90 days.
- The applicant develops a related problem in another system, such as cardiac; or
- The TSH level is elevated.
AME Assisted Special Issuance (AASI) is a process whereby the FAA delegates to AMEs 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.
A staff 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 issuance of an Authorization for the disease/condition, and the applicant has all of the requisite medical information necessary for a determination, the AME must defer and submit all of the documentation to the AMCD or RFS for the initial determination.