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YOUR FAA MEDICAL · CONDITION RESOURCES

Find your condition. Understand your next step.

Find official FAA condition guidance and CACI worksheets in one place. Your medical history, exam findings and the FAA’s criteria determine your pathway—not the diagnosis alone.

01 · CACI

CACI conditions

Conditions AMEs Can Issue: when all CACI criteria are met and you are otherwise qualified, your AME may issue a regular medical certificate without a Special Issuance. Review the FAA guidance and bring the records specified by the worksheet. If criteria are not met, additional FAA review may be needed.

Arthritis

Asthma

Bladder Cancer

Breast Cancer

C-ITP (Chronic Immune Thrombocytopenia)

Carotid /Vertebral Artery Stenosis

Chronic Kidney Disease

Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)

Colitis

Colon Cancer/Colorectal Cancer

Eosinophilic Esophagitis

Essential Tremor

Glaucoma

Hepatitis C - Chronic

Hypertension

Hypothyroidism

Low Testosterone (Low T) Hypogonadism

MASH / NASH (Liver)

Migraine and Chronic Headache

Mitral Valve Repair

Polycystic Ovarian Syndrome (PCOS)

Prediabetes

Primary Hemochromatosis

Prostate Cancer

Psoriasis

Renal Cancer

Retained Kidney Stone(s)

Testicular Cancer

Weight Loss Management

02 · SI / AASI

Special Issuance (SI)

FAA authorization comes first. Special Issuance allows the FAA to consider certification for certain medical conditions that do not meet the usual standards. AASI (AME Assisted Special Issuance) lets an AME reissue a certificate when the FAA’s authorization and condition-specific requirements allow it.

This directory lists the FAA’s 37 selected AASI conditions, not every diagnosis that may require SI. Follow the linked guidance for class restrictions, initial certification, required reports and renewal criteria. A guidance document is not necessarily a fill-in worksheet.

Anxiety, Depression, and Related Conditions Path

Aortic Insufficiency

Arthritis and/or Psoriasis

Asthma

Atrial Fibrillation

Bladder Cancer

Breast Cancer

Cardiac - Single Valve Replacement or Repair

Third-Class AASI pathway. Other classes may have different requirements.

Cerebrovascular Disease (CVA/Stroke/TIA)

Chronic Kidney Disease

Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)

Chronic Obstructive Pulmonary Disease

Colitis (Ulcerative or Crohn's Disease) or Irritable Bowel Syndrome

Colon Cancer/Colorectal Cancer

Coronary Heart Disease (CHD)

Third-Class AASI pathway. Other classes may have different requirements.

Diabetes Mellitus - Type II Medication Controlled (Not Insulin)

Glaucoma

Hepatitis C

Hypertension

Hyperthyroidism

Hypothyroidism

Low Testosterone Hypogonadism

Lymphoma and Hodgkin's Disease

Melanoma

Migraine Headaches

Mitral Valve Disease

Neurofibromatosis Type 1

Paroxysmal Atrial Tachycardia

Prediabetes or Overweight/Obesity Treated with Medication

Prostate Cancer

Psoriasis

Renal Calculi

Renal Cancer

Sleep Apnea/Obstructive Sleep Apnea (OSA)

Testicular Cancer

Thrombocytopenia

Venous Thromboembolism (VTE) - Deep Venous Thrombosis (DVT), Pulmonary Embolism (PE), and/or Hypercoagulopathies

Not sure which pathway applies?

Some conditions appear in both directories because severity, treatment and medical history change the requirements. A missing condition does not mean it is unrestricted. Talk with your AME before arranging specialized testing.

ADHD & FAA certification → · Prepare for your visit → · Pilot FAQ →

BEFORE YOU BOOK · EXAMINER & SPECIALIST ROLES

Some pathways need an additional specialist.

An AME performs the FAA medical exam; a Senior AME is required for First Class. A HIMS AME has additional FAA training for specific certification pathways. A HIMS-trained neuropsychologist performs specialized evaluation and testing. These roles are not interchangeable.

ADHD
Standard Track requires an FAA HIMS-trained neuropsychologist, not automatically a HIMS AME. See the ADHD guide →
Antidepressant treatment
The FAA Antidepressant Protocol’s initial-certification pathway for continued qualifying medication use requires a HIMS AME. Not every mental-health history uses this pathway. FAA protocol ↗
Alcohol / substance-use pathways
FAA-directed HIMS evaluation or monitoring may require a HIMS AME. Requirements depend on the history and FAA instructions; not every reported incident has the same pathway. FAA drug and alcohol guidance ↗
Other conditions / Special Issuance
Special Issuance does not automatically require a HIMS AME. The condition-specific FAA protocol or authorization determines the required specialist and follow-up.

Confirm the required designation before arranging testing. Our doctors are described here as Senior AMEs, not as HIMS AMEs. Ask the office which services and outside evaluations your case may need.

Official links checked September 23, 2026. FAA guidance can change; use the latest document at each FAA link. These resources are educational and do not guarantee certification. Your AME and the FAA determine the applicable requirements.