Guide for Aviation Medical Examiners
AASI for All Classes
If you are a pilot with a disqualifying condition, you should be familiar with AME Assisted Special Issuance (AASI). AASI is a type of renewal waiver that your local AME can grant after an initial waiver from the FAA. If this is a first-time issuance for a disqualifying 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 the RFS.
The AME Guide refers to a number of selected medical conditions that are initially disqualifying and must be deferred to the AMCD or RFS. After the FAA grants a waiver, there are then checklists or "protocols" which the airman and AME must fulfill to maintain flying status. These are the AASI guidelines. Despite confusing terminology, when the FAA refers to a waiver, they usually call this an Authorization for Special Issuance of a Medical Certificate (Authorization) by the AMCD or RFS's office. Each AASI has its own specialized clinical criteria, by which an AME may reissue a medical certificate to an applicant with a medical history of an initially disqualifying condition, if otherwise qualified.
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 issuance of an Authorization for the above 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.
- Coronary Heart Disease (to include):
- Angina Pectoris
- Coronary Bypass Grafting
- Myocardial Infarction
- Percutaneous Transluminal Angioplasty (PTCA)
- Stent Insertion
- Valve Replacement