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Guide for Aviation Medical Examiners
  1. Front Matter
  2. Section 1: GENERAL INFORMATION
  3. Section 2: APPLICATION FOR MEDICAL CERTIFICATION
  4. Section 3: EXAMINATION TECHNIQUES
  5. Section 4: AME PHYSICAL EXAMINATION INFORMATION AND DISPOSITION TABLES
  6. Section 5: ITEMS 31-34. Eye
  7. Section 6: ITEM 35. Lungs and Chest
  8. Section 7: ITEM 36. Heart
  9. Section 8: ITEM 37. Vascular System
  10. Section 9: ITEM 38. Abdomen and Viscera
  11. Section 10: ITEM 39. Anus
  12. Section 11: ITEM 40. Skin
  13. Section 12: ITEM 41. G-U System
  14. Section 13: ITEMS 42-43. Musculoskeletal
  15. Section 14: ITEM 44. Identifying Body Marks, Scars, Tattoos
  16. Section 15: ITEM 45. Lymphatics
  17. Section 16: ITEM 46. Neurologic
  18. Section 17: ITEM 47. Psychiatric
  19. Section 18: ITEM 48. General Systemic
  20. Section 19: AME OFFICE-REQUIRED ANCILLARY TESTING
  21. Section 20: AMCS SUPPORT DESK
  22. Section 21: APPLICATION REVIEW
  23. Section 22: CACI CONDITIONS
  24. Section 23: DISEASE PROTOCOLS
  25. Section 24: PHARMACEUTICALS
  26. Section 25: AME ASSISTED SPECIAL ISSUANCES (AASI)
  27. Section 26: SUBSTANCES OF DEPENDENCE/ABUSE
  28. Section 27: Drug/Alcohol Monitoring Programs and HIMS
  29. Section 28: SYNOPSIS OF MEDICAL STANDARDS
  30. Section 29: Student Pilot Rule Change
  31. Section 30: GLOSSARY
  32. Section 31: ARCHIVES AND UPDATES

Guide for Aviation Medical Examiners|Version 09/30/2026

Section 22

CACI CONDITIONS

1 page|Page 515

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(Updated 02/25/2026) Conditions AMEs Can Issue (CACI) is a series of conditions which allow AMEs to regular issue if the applicant meets the parameters of the CACI Condition Worksheet. The worksheets provide detailed instructions to the AME and outline condition-specific requirements for the applicant.

1.

Review the disposition table BEFORE the CACI worksheet to verify a CACI is required.

2.

If ALL the CACI criteria are met and the applicant is otherwise qualified, the AME may issue on the first exam or the first time the condition is reported to the AME without contacting AMCD/RFS. Keep the supporting documents in your files; they do not need to be submitted to the FAA at this time.

3.

If the requirements are not met, the AME must defer the exam and send the supporting documents to the FAA.

4.

Annotate Block 60 with one of the three allowable options found on the bottom of the CACI worksheets.

  • ARTHRITIS
  • ASTHMA
  • BLADDER CANCER
  • BREAST CANCER
  • Carotid /Vertebral Artery Stenosis
  • CHRONIC IMMUNE THROMBOCYTOPENIA
  • (c-ITP)
  • CHRONIC KIDNEY DISEASE
  • CHRONIC LYMPHOCYTIC LEUKEMIA
  • (CLL)/ SMALL LYMPHOCYTIC LYMPHOMA
  • (SLL)
  • COLITIS
  • COLON CANCER/ COLORECTAL CANCER
  • ESSENTIAL TREMOR
  • GLAUCOMA
  • HEPATITIS C – CHRONIC
  • HYPERTENSION
  • HYPOTHYROIDISM
  • Low Testosterone (Low T) Hypogonadism
  • MASH/NASH (Liver)
  • MIGRAINE AND CHRONIC HEADACHE
  • MITRAL VALVE REPAIR
  • POLYCYSTIC OVARIAN SYNDROME
  • (PCOS)
  • PREDIABETES
  • PRIMARY HEMOCHROMATOSIS
  • PROSTATE CANCER
  • PSORIASIS
  • RENAL CANCER
  • RETAINED KIDNEY STONE(S)
  • TESTICULAR CANCER
  • WEIGHT LOSS MANAGEMENT
Previous SectionSection 21: APPLICATION REVIEWNext Section Section 23: DISEASE PROTOCOLS

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CACI CONDITIONS

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