Discretionary (special issuance) certification is possible for pilots employed by Part 121 scheduled air carriers or Part 135 air taxi operators, and some Part 91 commercial pilots meeting special FAA requirements. The following information will be required for consideration:
- Complete hospital records from all previously undeclared hospitalizations or outpatient treatment programs.
- List of charges, dates, and states of occurrence for all court convictions previously undeclared to the FAA, if any.
- Complete hospital treatment records, including:
- Discharge summary
- History and physical exam
- Consultant reports
- Progress notes
- Laboratory tests
- Special studies (EEG, brain scan, CT scan, etc.)
- X-ray reports (not films)
- Aftercare reports
- Copies of all ECG tracings and reports
- Operative reports
- Pathology reports
- Physician's summary and recommendation
- Psychiatric reports
- Psychological testing reports
- Counselor notes and summaries
- Treatment plan
- Enroll in your aftercare program, AA, etc., immediately upon discharge.
- Consult your medical sponsor to determine the frequency of contact with his office.
- Confirm any other necessary medical evaluations that may be required by the sponsor.
- Consult your flight manager(s) regarding the frequency of contact with him/her during the monitoring period. Notify your sponsor of the manager's name(s) and position titles and get medical information release forms authorizing the sponsor's communication with the flight department. Also get releases to authorize FAA communications, as required.
- You will need a complete aftercare plan and monthly reports from your aftercare coordinator beginning 30 days after discharge from the treatment facility. These reports are to be made to your medical sponsor in a timely manner. The reports must include comments about the frequency of your clinical and/or AA participation, the quality of your progress, and continued abstinence.
- A psychiatric evaluation accompanied by a battery of FAA-specified psychological tests, including all raw data scores, will be required. These tests cannot be completed sooner than one month following hospital treatment. Consult your medical sponsor about whom you should see and the frequency of appointments. (The FAA has selected psychiatrists and psychologists for this purpose.)
- After all the tests and reports are reviewed, you will be notified by the FAA.
- Complete an FAA physical examination with an aviation medical examiner (AME). This becomes part of the petition package.
- Wait until you hear from the FAA. When the special issuance is granted, you will receive a medical certificate in the mail, with a letter of issuance.
- Read the letter very carefully and note all the necessary reports, who should write them and when they should be sent to your medical sponsor. It is your responsibility to get the reports to the sponsor to avoid a delay in receiving your follow-up certificates.
- Contact each of the persons listed in the special issuance to establish communication with them.
- Maintain communication with your sponsor during the term of the special issuance (usually 24 months).
- At the end of the monitoring period, take whatever action is specified in the authorization letter.
- Follow the directions for any modifications and notify all appropriate individuals of the changes.
- Be prepared to supply a blood or urine specimen for drug and/or alcohol testing at any time.
How/Where to Submit to the FAA
Helps you find the contact information for submitting your medical records.
Updated April 2016