The FAA has implemented new guidelines that allow Aviation Medical Examiners to issue medical certificates without written or verbal FAA approval for certain medical conditions that previously required special issuance authorizations. With the use of certification worksheets that provide both the pilots’ treating physicians and the AME with a checklist of information needed for office certification, the process known as CACI (Conditions Aviation Medical Examiners Can Issue) is now less complex and time consuming.
For office certification, you will need to provide your AME with the medical records of your treatment, including:
If treatment is complete and there are no side effects and you have been cleared for normal activities, the AME may issue your certificate at the time of examination. For recertification at the time of your next medical renewal, you will repeat the process and provide the information specified on the worksheet.
If the records indicate any evidence of metastatic disease or other complications or adverse symptoms, the AME will defer your application and the medical records will be sent to the FAA for review. You may still be found eligible for a special issuance medical certificate, possible under the AASI Protocol.
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Updated August 24, 2015