Further FAA Medical Workup

Index to Supplemental Requirements for Pilot Medical Certification

Apr 2014

Abbreviated Briefing:

FlightPhysical.com provides information for pilots who fail to meet medical standards at their Airman Medical Examination. Depending on the condition that needs to be evaluated, the FAA clinical workup instructions may be as simple as demonstrating that the condition is stable over time, but the process often involves additional testing or certification from specialists. These additional clincal guidelines and requirements are broken up in categories matching FAA terminology:


Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).

Index to Categories of FAA Guidance: Checklists for Clinical Follow Up

Below are links to guidelines for additional medical workups required of airman who do not initially meet federal aviation standards. These checklists will only be needed if the applicant has a specific medical problem or condition that requires further information. These guidelines help direct both the AME and the pilot-applicant in their pursuit of a waiver, special issuance, or other clinical reasurance from specialists or special tests requested by the FAA before they will grant clearance to fly.

Note: Most pilots will not need to pursue any of these additional tests. As an airman, you should only begin this follow-on testing if specifically requested and directed by your AME.

AME Assisted Special Issuance (AASI) for All Classes

FAA AME Assisted Special Issuances Certificate Coversheet (pdf)

Special Issuances - AASI Limited to Third-Class Only

FAA Disease Protocols

FAA AME Assisted Special Issuances Certificate Coversheet (pdf)

Musculoskeletal and Mental Health Evaluations

The FAA may need one or more specially designated mental health assessments for pilots seeking airman medical certification. Requirements are very specific.

FAA Clinical Worksheets

FAA Medication (Pharmaceutical) Policies

Selected FDA Warnings of Relevance to Pilots


Recall that the process for obtaining an FAA Airman Medical Certificate is segmental and many pilots will not need to worry about the supplemental workups described here. This is the entire process:

  1. Pilot applicant registers online and inputs medical data and information releases through web interface (MedXPress). The applicant will answer items 1-20 on the form 8500-8
  2. Pilot applicant schedules an Exam with AME.
  3. At the AME office, the physician reviews the previously input medical history data and performs his/her own examination on the applicant and AME will review the first 20 items and complete the next sections: exam (items 21 - 58) and review (items 59 - 64) .
  4. If standards are met, the Airman Medical Certificate is issued on the spot, if not, the AME will discuss feasibility and next step actions for pursuit of a possible FAA Waiver.
  5. This page is an index of additional requirements for the medical problems listed above.


This page discussed Further FAA Medical Workup

Reminder: use FlightPhysical.com to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. Find an AME now