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Description
A a s i boilerplate

Conditions AMEs Can Issue (CACI) are a series of conditions which allow AMEs to regular issue the pilot medical certificate if the applicant meets the parameters of the CACI Condition Worksheet. The worksheets provide detailed instructions to the examiner and outline condition-specific requirements for the applicant.

  • AME must review the disposition table BEFORE the CACI worksheet to verify a CACI is required.
  • If all the CACI criteria are met and the applicant is otherwise qualified, the AME may issue on the first exam or the first time the condition is reported to the AME without contacting AMCD/RFS. Document the appropriate notes in Block 60 and keep the supporting documents in your files; they do not need to be submitted to the FAA at this time.
  • If the requirements are not met, the AME must defer the exam and send the supporting documents to the FAA.
Grid
DISEASE/CONDITION EVALUATION DATA DISPOSITION
A. Non metastatic – treatment completed 5 or more years ago If no recurrence, current problems, or ongoing treatment:

Continued hormone treatment is allowed (tamoxifen, aromatase inhibitor) 		ISSUE

Summarize this history in Block 60.
B. Non metastatic – treatment completed Less than 5 years ago See CACI worksheet Follow the CACI – Breast Cancer Worksheet.

Annotate Block 60.
C. All others
  • Chemotherapy used
  • Lymph node spread
  • Metastatic disease
  • Stage IA or higher
 Submit the following to the FAA for review:
  • Status report or treatment records from treating oncologist that provides the following information:
    • Initial staging,
    • Disease course including recurrence(s),
    • Location(s) of metastatic disease (if any),
    • Treatments used,
    • How long the condition has been stable,
    • If any upcoming treatment change is planned or expected and prognosis;
  • Medication list. Dates started and stopped. Description of side effects, if any;
  • Operative notes and discharge summary (if applicable);
  • Copies of lab including pathology reports, tumor markers (if already performed by treating physician);
  • Copies of imaging such as mammogram, MRI/CT or PET scan reports that have already been performed.
(In some cases, the actual CDs will be required in DICOM format for FAA review). 		DEFER

Submit the information to the FAA for a possible Special Issuance.

Follow up Issuance Will be per the airman's authorization letter.
Sources:
FAA AME Guide Dec 2025 version
Fp post date
Sep 27, 2017
Created at
Dec 29, 2025
Updated at
Dec 29, 2025