FAA Forms and Medical Protocols

The FAA publishes disease protocols in its Guide to Medical Examiners. These protocols outline the minimum expected information needed for a particular condition. Additional information may be needed based on individual presentation. The FAA protocols can be found at:

• FAA Medical Protocols for AASI
• FAA Disease Protocols from AME Guide

The following forms and unofficial protocols (official protocols are found in the hyperlink above) are no longer posted by the FAA, but are still commonly utilized by the Aeromedical Certification Division or may be useful in certification submission:

• ADD Extended Evaluation
• ADD Initial Evaluation
• Cardiac Diagrams
• Carotid Massage Protocol
• DUI Notification Letter
• FAA Stress Test Specifications
• FAA Hypertension Protocol 2003 (Most current version in FAA link above)
• INR Worksheet
• Psych & Neuropsych Protocol
• RFS Request for Clinical Status Report (CSR)
• Stress Echo Protocol
• Substance Abuse Evaluation
• VFS Hypertension Worksheet (Evaluation Template Letter)
• VFS Services Information
• VFS Sleep Apnea Specifications
• VFS Stress Test Specifications
• Historical FAA Form 8500-19 - Cardiovascular Evaluation Specifications
• FAA Form 8500-19 Ver 4/7/06 - Cardiovascular Evaluation Specifications