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The FAA's Special Issuance Process

(Authorization), with a specified validity period, to an applicant who
does not meet the established medical standards. The applicant
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 Title 14 of the Code of Federal
Regulations (14 CFR) §67.401."

A rejection letter from the FAA does not have to mean the end of your
medical certificate and possibly your aviation career.  If you have been
disqualified for a medical certificate, you have two options: a) prove
that you do not have the medical condition with which you've been
diagnosed; b) apply for Special Issuance medical certificate.  The
Special Issuance services of  My Flight Surgeon will expedite FAA
approval. With your permission, our service retrieves, reviews,
organizes and submits your records to the FAA.

We at the Special Issuance service are dedicated to helping you
obtain a Special Issuance in the most time efficient manner possible.

AME Assisted Special Issuance (AASI)

The FAA states "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. Each AASI has their own
specialized clinical criteria, by which an Examiner may reissue a
medical certificate to an applicant with a medical history of an
initially disqualifying condition, if otherwise qualified."

The conditions which are considered for AASI for ALL classes of
medical certificate include:
arthritis
asthma
atrial fibrillation
chronic lymphocytic leukemia
chronic obstructive pulmonary
disease (COPD)
colitis (ulcerative or Crohn's)
colon cancer
diabetes on oral medications
glaucoma
hepatitis C
hyperthyroidism
hypothyroidism
lymphoma and Hodgkin's
disease
migraine syndrome
mitral and aortic insufficiency
paroxysmal atrial tachycardia
prostate cancer
renal calculi (kidney stones)
sleep apnea
For Third Class medical certificates the following are also included
Coronary heart disease    
Heart valve replacement