Sarah Nilsson, JD, PhD, MAS
Sarah Nilsson, JD, PhD, MAS

Medical Cases

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FAA regulations pertaining to medical standards and certification may be found at 14 CFR Part 67


FAA guide for Aviation Medical Examiners - Application Process for Medical Certification and 

Medical Certification Decision Making


ADHD and the FAA by Warren Silberman

ADHD - FAA Website 


Guide for Aviation Medical Examiners

Pharmaceuticals (Therapeutic Medications)


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FAA Industry Drug and Alcohol Testing Program​


Requirement to file a written report of any conviction for a drug- or alcohol-related traffic offense OR the denial, cancellation, suspension, or revocation of your driver's license related to such an offense

FAA Civil Aviation Security Division - Oklahoma City - no later than 60 days after the conviction or motor vehicle agency action


Consequences are under 14 CFR 61.15


Settlement Policy for Commercial Pilots in Drug and Alcohol Testing Cases


FAA Frequently Asked Questions


Excellent articles on Medical Issues in AOPA magazine by Dr. Warren Silberman

and Dr. Jonathan M. Sackier


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AME Assisted Special Issuance

AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization to an applicant who has a medical condition that is disqualifying under 14 CFR part 67. 

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. Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the requisite medical information required for determination. Examiners may not issue initial Authorizations. An Examiner's decision or determination is subject to review by the FAA.


Special Issuance

At his discretion, the Federal Air Surgeon may grant an Authorization for Special Issuance of a Medical Certificate (Authorization), with a specified validity period, to an applicant who does not meet the established medical standards. The applicant must demonstrate to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering public safety for the validity period of the Authorization. The Federal Air Surgeon may authorize a special medical flight test, practical test, or medical evaluation for this purpose. 

An airman medical certificate issued under the provisions of an Authorization expires no later than the Authorization expiration date or upon its withdrawal. An airman must again show to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering public safety in order to obtain a new airman medical certificate/Authorization under 14 CFR § 67.401.




CACI - Conditions AME Can Issue - as of January 2017 there are 16 conditions identified by the FAA, previously requiring approval from the Aerospace Medical Certification Division in Oklahoma City, that can now be issued by the AME at the time of the flight physical


Your AME can make the call without deferral to the Federal Air Surgeon prior to granting your medical certificate in these instances (talk to your AME BEFORE filling out medical application online):

- Asthma that is uncomplicated and has not necessitated frequent emergency-room visits or hospitalizations - asthma

- Diet-controlled Diabetes Mellitus - Pre-diabetes

- High blood pressure - Hypertension

- A solitary kidney stone that has passed with no retained stones

- Retained kidney stone(s)

- Chronic kidney disease

- Uncomplicated peptic ulcer 

- Arthritis

- Bladder Cancer 

- Colitis

- Glaucoma

- Hepatitis C - Chronic

- Hypothyroidism

- Migraine and Chronic Headache

- Prostate Cancer

- Renal Cancer

- Mitral valve repair

- Testicular Cancer



List of FAA-accepted medications - Pilot Medical Solutions, Inc.


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Air Docs



BasicMed Begins May 1, 2017  

April 24- General aviation pilots can now prepare to fly under BasicMed without holding a Federal Aviation Administration (FAA) medical certificate as long as they meet certain requirements. They can fly under BasicMed beginning on May 1, the effective date of the January 10 final rule. It offers pilots an alternative to the FAA's medical qualification process for third class medical certificates, while keeping general aviation pilots safe and flying affordable.

General aviation pilots may take advantage of the regulatory relief in the BasicMed rule or opt to continue to use their FAA medical certificate. Under BasicMed, a pilot will be required to complete a medical education course every two years, undergo a medical examination every four years, and comply with aircraft and operating restrictions. For example, pilots using BasicMed cannot operate an aircraft with more than six people onboard and the aircraft must not weigh more than 6,000 pounds.


A pilot flying under the BasicMed rule must:·      


  • possess a valid driver's license;
  • consent to a National Driver Register check;
  • have held a medical certificate that was valid at any time after July 15, 2006;
  • have not had the most recently held medical certificate revoked, suspended, or withdrawn;
  • have not had the most recent application for airman medical certification completed and denied;
  • have taken a BasicMed online medical education course within the past 24 calendar months;
  • have completed a comprehensive medical examination with any state-licensed physician within the past 48 months;
  • have been found eligible for special issuance of a medical certificate for certain specified mental health, neurological, or cardiovascular conditions, when applicable; and
  • not fly for compensation or hire.


Pilots can read and print the Comprehensive Medical Examination Checklist and learn about online BasicMed online medical courses at


For the Physician - Understanding BasicMed - AOPA

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AC 120-68G - Pilot Records Improvement Act of 1996

The Pilot Records Improvement Act of 1996 (PRIA), as amended, was enacted to ensure that air carriers and air operators adequately investigate a pilot’s background before allowing that pilot to conduct commercial air carrier flights. Under PRIA, a hiring employer cannot place a pilot into service until he or she obtains and reviews the last 5 years of the pilot’s background and other safety-related records as specified in PRIA.

This advisory circular (AC) is supplemented by the current edition of Federal Aviation Administration (FAA) Order 8000.88, PRIA Guidance for FAA Inspectors, and numerous other documents available on the PRIA Web site at These sources of detailed information related to PRIA provide invaluable assistance to the certificate holder or others concerning the PRIA records request process as well as other compliance issues.



Pilot Records Database (PRD)


FAA - Pilot Records Database

Notice Number: NOTC8193


The Pilot Records Database (PRD) has been available since January 2017. PRD allows certain aviation employers such as those operating under FAR Parts 121 and 135 to review an aiman's FAA records online after an airman has granted consent via PRD.

This review of an airman's records normally occurs during the hiring process as required by the Pilot Record Improvement Act of 1996 (PRIA).

As part of the PRD release, airman who are applying for employment with an aviation employer may be asked to provide consent which allows the company to review your airman records online via PRD.

ATP and Commercial pilots are invited to log into PRD* and review your FAA airman records. This includes certificate information, incidents or accidents, enforcements, and more. You can also enter your previous aviation employers which will simplify the PRIA process when applying for a new pilot position.


  • FAA ATP or Commercial Pilot Certificate 
  • Current FAA Medical 
  • Online Identity Verification during account creation 
  • *Not all users who wish to use PRD will be able to complete the online identity verification process. Those users must continue to use the existing PRIA processes and forms. An alternate registration option will be made available in the future. Subscribe to PRD Updates to stay informed. 

Visit the PRD Website

Watch a Video showing how to grant consent

Watch a Recorded Webinar


Microsoft Power Point presentation [5.4 MB]
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Request for Airman Medical Records - from the FAA Form 8065-2


Contact Me

Sarah Nilsson, J.D., Ph.D., MAS


602 561 8665


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Legal Disclaimer

The information on this website is for EDUCATIONAL purposes only and DOES NOT constitute legal advice. 

While the author of this website is an attorney, she is not YOUR attorney, nor are you her client, until you enter into a written agreement with Nilsson Law, PLLC to provide legal services.




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