# FAA Special Issuance & HIMS Packets > Evidence packets for FAA special issuance and HIMS pilot medical certification, assembled to the protocol's own required elements and page-cited. Canonical page: https://medrecords.ai/solutions/faa-medical-certification-packets/ --- [Home](https://medrecords.ai/) ›[Solutions](https://medrecords.ai/solutions/) ›FAA Special Issuance Packets FAA SPECIAL ISSUANCE & HIMS PACKETS ## The deferral letter lists what's missing. The packet has to close it. FAA special issuance packet services assemble the medical evidence a certification decision runs on: the specialist reports, testing, and treatment history the applicable protocol names, ordered and page-cited. The Federal Air Surgeon's office issues, defers or denies; the packet arrives complete rather than in instalments. [Test a file ](https://medrecords.ai/test-a-file/?src=faa-medical-certification-packets) [Book a demo](https://medrecords.ai/demo/) Click any row → the source page it cites Evidence packet · Case #IME-4812 documented Adams, Timothy · airman medical file 342 pp / 2 packets received logged 11 duplicate pages removed free p.140 — wrong patient quarantined Pages 342 Documents 27 Cited 100% ### The protocol is published. So is the office that decides. We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In airman medical certification, both are already published. The standard and the referee The rulebook - 14 CFR Part 67, which sets the medical standards for first, second and third class certificates - 14 CFR §67.401, the special issuance authorization provision, and the FAA's published disease-specific protocols - The FAA Guide for Aviation Medical Examiners, including the CACI conditions an AME may issue in the office and the specification sheets for each - The HIMS program protocol, where substance dependence or a psychiatric condition is in play The referee - The Federal Air Surgeon's office and the Aerospace Medical Certification Division, which issue, defer or deny - The Aviation Medical Examiner, who cannot issue outside the CACI and protocol boundaries - The NTSB on appeal from a denial, and the federal courts beyond it Months of certificate downtime while a packet goes back and forth in pieces Flat 10¢/page here, duplicates free Evidence packet · Case #IME-4812 cited 100% Packet342 pp / 2 packets · 11 deduplicatedlogged Protocol elementsEach located and page-citedcited Testing & specialist reportsDated, with results carriedcited Missing elementsProtocol requires it, file lacks itflagged Packet delivered · cited 100% · no certification decision How it works ### 3 steps between the file and the decision. 01 #### Send the medical file Treatment records, specialist reports, testing, and the FAA's own deferral or request letter, in any format. 02 #### We return the packet, page-cited Every element the applicable protocol names, located and cited, with elements the file does not contain flagged so they can be obtained before submission. 03 #### The FAA decides Issuance, deferral and denial are the Federal Air Surgeon's office's decisions. We never certify fitness, opine on airworthiness, or predict an outcome. The boundary, in writing ### An evidence packet, never a fitness determination. We assemble and cite the medical evidence the applicable protocol requires and flag what the file is missing. We do not determine medical fitness, opine on whether a standard in Part 67 is met, issue or recommend a certificate, or predict what the FAA will do. Certification is the Federal Air Surgeon's office's decision. Flagging a missing protocol element before submission is most of the value. A packet submitted incomplete comes back as another deferral, and the airman spends another cycle out of the cockpit. Audit trail · Case #IME-4812 exportable 08:12Packet received · 342 pp / 2 packetssystem 08:3111 pages deduplicatedsystem 08:44p.140 flagged — wrong patientsystem 08:54Evidence packet complete · packet complete · protocol elements cited · cited 100%system 09:20Evidence packet reviewed · citations verifiedreviewer 09:26Evidence packet exported · FAA submission made off-platformreviewer Every access logged · file deleted 30 days after delivery Why Medrecords AI ### The rules the platform never breaks. EVERY LINE CITED CASE #IME-4812 · ADAMS, T.342 pp 2/14 — ER visit, right knee p.4 4/18 — arthroscopic surgery p.61 p.140 — wrong patient quarantined Medrecords AI Read every page · cite every line #### HIPAA, under a signed BAA Every file is handled under our Business Associate Agreement, from the first byte. #### Never trains a model Your records are never used to train any AI model — ours or anyone else's. #### Every line cited If we can't cite it, we don't say it. Every sentence links to its source page. #### Deleted after delivery Files are deleted 30 days after delivery, with a full audit log of every access. Powered by the platform ### 4 capabilities behind every evidence packet. The evidence packet is 1 deliverable of the same platform that reads, sorts, and cites the whole record. [ #### Medical Records OCR Every page read in full — specialist reports, testing results, treatment notes, handwritten records — nothing skipped, nothing guessed. IN ACTION · 342 pp / 2 packets → 27 documents, read in full ](https://medrecords.ai/product/ocr/) [ #### Medical Chronology The treatment course builds itself into a timeline, so stability and duration are shown from the record rather than asserted. IN ACTION · diagnosis → current status, 1 continuous timeline ](https://medrecords.ai/product/chronology/) [ #### Verifiable AI Citations If we can't cite it, we don't say it. Every protocol element in the packet links to the page it was read from. IN ACTION · every element → cited 100% ](https://medrecords.ai/product/citations/) [ #### Medical Summary Reports The packet formats straight into the submission — your template, your letterhead. IN ACTION · evidence packet → submission-ready ](https://medrecords.ai/product/summaries/) FAQ ### FAA special issuance packets, answered. No. Medical fitness under 14 CFR Part 67 and any special issuance under §67.401 are decided by the Federal Air Surgeon's office. We assemble and cite the evidence the applicable protocol requires, so the decision is made on a complete file. No, and anyone who does is guessing. What the packet does is show, element by element with citations, whether the file contains what the protocol asks for — and flag what it doesn't, before submission rather than after another deferral. Yes. The HIMS protocol has its own required elements, monitoring documentation and reporting cadence. Those are located and cited the same way, with anything the file lacks flagged for the HIMS AME and the sponsoring program to obtain. No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes. ### Send 1 file. We'll tell you what we can read. No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so. [Test a file ](https://medrecords.ai/test-a-file/?src=faa-medical-certification-packets) [Book a demo](https://medrecords.ai/demo/) [See every case type we process →](https://medrecords.ai/solutions/case-types/)