Form preview

Get the free Aviation Medical Examiner Assisted Special Issuance

Get Form
This document is a certificate issuance form for airmen following the review of medical reports by an Aviation Medical Examiner, detailing the conditions under which a medical certificate is issued.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign aviation medical examiner assisted

Edit
Edit your aviation medical examiner assisted form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your aviation medical examiner assisted form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit aviation medical examiner assisted online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Check your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit aviation medical examiner assisted. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out aviation medical examiner assisted

Illustration

How to fill out Aviation Medical Examiner Assisted Special Issuance

01
Obtain the application form from the FAA website or your Aviation Medical Examiner (AME).
02
Fill out the personal information section including your name, address, and contact information.
03
Provide details about your medical history in the designated section.
04
Include any relevant documentation or medical records that support your case.
05
Schedule an appointment with an AME who is authorized to assist with special issuance.
06
Attend your appointment and present the completed application along with your medical history documentation.
07
Discuss your medical conditions openly with the AME and answer any questions they may have.
08
Follow any additional instructions or requests for further testing or documentation from the AME.
09
Wait for the AME to submit your application to the FAA for review.
10
Be prepared for follow-up communication from the FAA regarding your special issuance request.

Who needs Aviation Medical Examiner Assisted Special Issuance?

01
Pilots or air traffic controllers with medical conditions that may disqualify them from holding a standard medical certificate.
02
Individuals with previous medical conditions that need to be assessed for safety before being granted medical certification.
03
Those seeking to demonstrate their medical conditions have been stabilized or successfully treated.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
38 Votes

People Also Ask about

Unlike Special Issuances which require ongoing medical oversight, a SODA allows pilots to demonstrate that their condition does not impair their ability to safely operate an aircraft, but does not obligate them to ongoing monitoring.
Examples medical conditions that require a special issuance include but are not limited to coronary artery by-pass surgery, angioplasty or stent placement, heart attack or angina, pacemaker or valve replacement, diabetes, cancer, kidney stones, sleep apnea, loss of consciousness, treatment for depression, or arrest for
It is a difficult process that requires a thorough understanding of FAA procedures and rules. You need to locate the appropriate medical professionals and AMEs to assist with your application and gather information and medical records. Hiring an experienced FAA attorney is crucial.
There is also a subset of Special Issuance called AME Authorization for Special Issuance (AASI). This category allows the Aviation Medical Examiner (AME) to issue the medical certificate based upon a favorable report from the treating physician.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Aviation Medical Examiner Assisted Special Issuance is a process that allows pilots and aviation personnel with certain medical conditions to obtain a special medical certificate. This process involves the assistance of an Aviation Medical Examiner (AME) who evaluates the individual's medical history and current health status.
Individuals who have medical conditions that might disqualify them from holding a standard aviation medical certificate are required to file for Aviation Medical Examiner Assisted Special Issuance. This typically includes pilots with history of serious health issues like cardiovascular diseases, psychological disorders, or neurological conditions.
To fill out Aviation Medical Examiner Assisted Special Issuance, applicants must complete the required medical history forms and provide detailed information about their medical conditions. They should also gather any relevant medical records and have their AME review and submit the application along with any required evaluations or tests.
The purpose of Aviation Medical Examiner Assisted Special Issuance is to ensure that individuals with specific medical conditions can still operate aircraft safely while protecting public safety. It allows for a thorough evaluation of medical fitness and provides a pathway for pilots to regain their medical certification under certain conditions.
The information reported on Aviation Medical Examiner Assisted Special Issuance includes the applicant's personal identification details, medical history, any existing medical conditions, medications being taken, and results from relevant medical examinations or tests performed by the Aviation Medical Examiner.
Fill out your aviation medical examiner assisted online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.