Discretionary Medical Issuance

FAR 67.215 Discretionary Medical Issuance

FAR 67.215 explains how applicants who don't meet third-class medical standards can apply for a discretionary medical certificate under §67.401.

In Plain English

FAR 67.215 is a short but important safety net for pilots seeking a third-class medical certificate. It says that if you don't meet the standard medical requirements found in §§ 67.203 through 67.213 (which cover eye, ear/nose/throat, mental, neurologic, cardiovascular, and general medical standards for third-class), you aren't automatically disqualified from flying.

Instead, you can apply for a discretionary issuance — also known as an Authorization for Special Issuance — under § 67.401. This process lets the FAA Federal Air Surgeon review your specific case and issue a certificate based on your individual circumstances, often with conditions, time limits, or required follow-up exams.

Why it matters operationally:

  • It keeps your flying career or hobby alive when a medical condition would otherwise ground you.
  • It puts the decision in the hands of FAA medical specialists, not just your AME.
  • You may need to provide additional medical records, testing, or specialist evaluations to support your application.
Regulation Text
14 CFR § 67.215
§ 67.215 Discretionary issuance. A person who does not meet the provisions of §§ 67.203 through 67.213 may apply for the discretionary issuance of a certificate under § 67.401.
Oral Exam Questions a DPE Might Ask
Q1If you don't meet the standard third-class medical requirements, are you automatically disqualified from flying?
No. Under FAR 67.215, an applicant who doesn't meet §§ 67.203 through 67.213 may apply for a discretionary issuance of a medical certificate under § 67.401.
Q2Which regulation authorizes a discretionary or special issuance medical certificate for third-class applicants?
FAR 67.215 directs applicants who don't meet the standard third-class medical requirements to § 67.401, which governs the discretionary (special) issuance process.
Q3What sections contain the standard medical requirements that FAR 67.215 references?
FAR 67.215 references §§ 67.203 through 67.213, which contain the eye, ear/nose/throat/equilibrium, mental, neurologic, cardiovascular, and general medical standards for a third-class certificate.
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FAR 67.215 — Discretionary Issuance of 3rd-Class Medical