AME Assisted - All Classes
Melanoma
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 for Special Issuance of a Medical Certificate (Authorization) to
an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations
(14 CFR) part 67.
An FAA physician provides the initial certification decision and grants the Authorization in accordance
with
14 CFR ยง 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 a determination,
the Examiner must defer and submit all of the documentation to the AMCD or
RFS for the initial determination.
Examiners 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; and
- A current status report performed within 90 days that must include all the required followup items and studies as listed in the Authorization letter and that confirms absence of recurrent disease.
The Examiner must defer to the AMCD or Region if:
- There has been any recurrence of the cancer, or
- Any new treatment is initiated.
Note:
- A Special Issuance or AASI is required for any metastatic melanoma regardless of Breslow level
- A Special Issuance or AASI is required for any melanoma which exhibits Breslow Level > .75 mm with or without metastasis
- A melanoma that exhibits a Breslow Level < .75 mm which has no evidence of metastasis may be regular issued.