An applicant with a history of thromboembolic disease such as a pulmonary embolism (PE) must submit the following if consideration for medical certification is desired:

1. Hospital admission and discharge summary
2. Current status report including:
• Detailed family history of thromboembolic disease
• Neoplastic workup, if clinically indicated
• PT/PTT
• Protein S & C
• Leiden Factor V
• If still anticoagulated, submit all (no less than monthly) INR from time of hospital discharge to present

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