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FAA Guidance: Substance Abuse

Psychiatric Aeromedical Dispositions

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Excerpts from AME Guide
Decision Considerations


Aerospace Medical Dispositions


Item 47. Psychiatric


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Psychiatry

Aerospace Medical Dispositions
Item 47. Psychiatric Conditions - Substance Abuse

Substance abuse includes the use of the above substances under any one of the following conditions:
  1. Use of a substance in the last 2 years in which the use was physically hazardous (e.g., DUI or DWI) if there has been at any other time an instance of the use of a substance also in a situation in which the use was physically hazardous;
  2. If a person has received a verified positive drug test result under an anti-drug program of the Department of Transportation or one of its administrations; or
  3. The Federal Air Surgeon finds that an applicant's misuse of a substance makes him or her unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held, or that may reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the applicant unable to perform those duties or exercise those privileges.
Substance dependence and substance abuse are specified as disqualifying medical conditions.

Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

25. Head, Face, Neck, and Scalp 42. Upper and Lower Extremities
26. Nose 43. Spine and other Musculoskeletal
27. Sinuses 44. Identifying Body Marks, Scars, Tattoos
28. Mouth and Throat 45. Lymphatics
29. Ear 46. Neurologic
30. Ear Drums 47. Psychiatric Conditions
31. Eyes 48. General Systemic
32. Ophthalmoscopic 49. Hearing
33. Pupils 50. Distant Vision
34. Ocular Motility 51. Near and Intermediate Vision
35. Lungs and Chest 52. Color Vision
36. Heart 53. Field of Vision
37. Vascular System 54. Heterophoria
38. Abdomen and Viscera 55. Blood Pressure
39. Anus (No Disposition) 56. Pulse
40. Skin 57. Urinalysis
41. G-U System 58. ECG (No Disposition)

Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

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