Federal Aviation Administration, DOT

Section 68.9

warranted as part of the comprehensive
medical examination;
(3) To discuss all drugs the individual
reports taking (prescription and nonprescription) and their potential to
interfere with the safe operation of an
aircraft or motor vehicle;
(4) To sign the checklist, stating:  - I
certify that I discussed all items on
this checklist with the individual during my examination, discussed any
medications the individual is taking
that could interfere with his or her
ability to safely operate an aircraft or
motor vehicle, and performed an examination that included all of the items
on this checklist. I certify that I am
not aware of any medical condition
that, as presently treated, could interfere with the individual-s ability to
safely operate an aircraft. - ; and
(5) To provide the date the comprehensive medical examination was
completed, and the physician-s full
name, address, telephone number, and
State medical license number.

kpayne on VMOFRWIN702 with $$_JOB

Section 68.9

Special Issuance process.

(a) General. An individual who has
met the qualifications to operate an
aircraft under Section 61.113(i) of this chapter
and is seeking to serve as a pilot in
command under that section must have
completed the process for obtaining an
Authorization for Special Issuance of a
Medical Certificate for each of the following:
(1) A mental health disorder, limited
to an established medical history or
clinical diagnosis of - 
(i) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts;
(ii) A psychosis, defined as a case in
which an individual - 
(A) Has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of psychosis; or
(B) May reasonably be expected to
manifest
delusions,
hallucinations,
grossly bizarre or disorganized behavior, or other commonly accepted symptoms of psychosis;
(iii) A bipolar disorder; or
(iv) A substance dependence within
the previous 2 years, as defined in
Section 67.307(a)(4) of this chapter.

(2) A neurological disorder, limited
to an established medical history or
clinical diagnosis of any of the following:
(i) Epilepsy;
(ii) Disturbance of consciousness
without satisfactory medical explanation of the cause; or
(iii) A transient loss of control of
nervous system functions without satisfactory medical explanation of the
cause.
(3) A cardiovascular condition, limited to a one-time special issuance for
each diagnosis of the following:
(i) Myocardial infarction;
(ii) Coronary heart disease that has
required treatment;
(iii) Cardiac valve replacement; or
(iv) Heart replacement.
(b) Special rule for cardiovascular conditions. In the case of an individual
with a cardiovascular condition, the
process for obtaining an Authorization
for Special Issuance of a Medical Certificate shall be satisfied with the successful completion of an appropriate
clinical evaluation without a mandatory wait period.
(c) Special rule for mental health conditions. (1) In the case of an individual
with a clinically diagnosed mental
health condition, the ability to operate
an aircraft under Section 61.113(i) of this chapter shall not apply if - 
(i) In the judgment of the individual-s
State-licensed medical specialist, the
condition - 
(A) Renders the individual unable to
safely perform the duties or exercise
the airman privileges required to operate an aircraft under Section 61.113(i) of this
chapter; or
(B) May reasonably be expected to
make the individual unable to perform
the duties or exercise the privileges required to operate an aircraft under
Section 61.113(i) of this chapter; or
(ii) The individual-s driver-s license
is revoked by the issuing agency as a
result of a clinically diagnosed mental
health condition.
(2) Subject to paragraph (c)(1) of this
section, an individual clinically diagnosed with a mental health condition
shall certify every 2 years, in conjunction with the certification under
Section 68.3(b)(3), that the individual is under
the care of a State-licensed medical

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