At the time of reporting, you will need to provide the following:
1. Hospital admission and discharge summary (if applicable)
2. A detailed, current status report http://www.aopa.org/members/pic/medical/certification/introduction/status.html that includes
- Family history of thromboembolic disease
- Neoplastic workup, if clinically indicated
- Protein S & C
- Leiden Factor V
- If still anticoagulated, submit all (no less than monthly) INR from time of hospital discharge to present
An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR §67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination. If this is a first time issuance of an Authorization for the above disease/condition, and the applicant has all of the requisite medical information necessary for issuance, the aviation medical examiner (AME) defers the application to the Aerospace Medical Certification Division or the Regional Flight Surgeon for the initial determination.
After the initial issuance by the FAA, the AME may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
• An Authorization granted by the FAA;
• A summary of the applicant’s medical condition since the last FAA medical examination, including a statement regarding any further episodes of DVT, PE or other complication of hypercoagulopathy (see below *);
• The name and dosage of medication(s) used for treatment and/or prevention with comment regarding side effects; and
• A minimum of monthly International Normalized Ratio (INR) results for the immediate prior 6 months (see below *).
* The Examiner must defer to the AMCD or Region if:
• More than 20 percent of INR values are less than 2.0 or more than 3.0; or
• The applicant develops emboli, thrombosis, bleeding, or any other cardiac or neurologic condition previously not diagnosed or reported.
Helps you find the contact information for submitting your medical records
Updated: August 2017