The following conditions  require approval by the FAA  and an Airman Medical Examiner (AME)  cannot issue you a certificate until this is done. If you bring in the information required by the protocol at the time of your exam  the AME will forward the reports along with your exam  to the FAA.   Assuming  you are otherwise qualified and satisfy the protocol requirements the FAA may issue a certificate under the SI (Special issuance)  process.  Clicking on one of the following protocols will take you directly to the FAA Protocol Page for that particular disease or condition.   .

Allergies, Severe

Attention Deficit/Hyperactivity Disorder

Binocular Multifocal and Accommodating Devices

Cardiac Transplant

Cardiovascular Evaluation (CVE)

Conductive Keratoplasty

Coronary Heart Disease (CHD)

Depression Treated with SSRI Medications

Diabetes Mellitus - Diet Controlled

Diabetes Mellitus Type I or Type II - Insulin Treated

Diabetes Mellitus Type II - Medication Controlled

Graded Exercise Stress Test Requirements (Maximal)

Graded Exercise Stress Test Requirements (Bundle Branch Block)

Human Immunodeficiency Virus (HIV)

Implanted Pacemaker

Liver Transplant (Recipient)

Metabolic Syndrome - Medication Controlled

Musculoskeletal Evaluation

Neurocognitive Impairment

Obstructive Sleep Apnea (OSA)

Peptic Ulcer

Psychiatric Evaluation

Psychiatric and Psychological Evaluations

Renal Transplant

Substances of Dependence/Abuse (Drugs and Alcohol)

Thromboembolic Disease

Valve Replacement



This page was last updated on 02/10/24