A new pathway called the FAA ADHD Fast Track went into effect on August 30, 2023, offering a new option for pilots diagnosed with ADHD seeking a FAA medical certificate.
The Original Path: FAA ADHD Standard Track
Up until recently, airmen with prior ADHD treatment or medication had to follow the path of the FAA ADHD Standard Track to be considered for a FAA pilot medical certificate.
The ADHD Fast Track For Pilots Brings Two Big Changes
The biggest change that sets the ADHD Fast Track apart from the Standard Track is its neuropsychological evaluation. With the Fast Track, pilots will still need an evaluation from a neuropsychologist or psychologist at the doctoral level, i.e., PhD or PsyD. The ADHD Fast Track evaluation consists of an interview and presents much less of a hurdle than intensive cognitive testing.
The other major change brought by the ADHD Fast Track is that an Aviation Medical Examiner (AME) can now issue a first-time FAA medical certificate to an applicant with a history of ADHD. The AME has previously been required to defer an FAA medical certificate application, causing the pilot to wait months for the FAA to decide on the pilot’s application.
Are you eligible for FAA ADHD Fast Track?
The Four Criteria For FAA ADHD Fast Track
There are four primary criteria in the new FAA ADHD Fast Track that must be met. Pilots or applicants not meeting this criteria will be under the Standard Track.
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- No ADHD Symptoms Shown in the Last Four Years
- No ADHD Medication Taken in the Last Four Years
- No History of Any Other Psychological / Psychiatric Diagnosis or Treatment Outside of ADHD (Depression, OCD, Bipolar)
- Stability in Your Occupation and Social Functioning
Some of these criteria, such as medication taken and medical history, are relatively straightforward. In contrast, others could be considered more subjective – such as the ones related to symptoms and job stability.
Regardless of which track you best fit for, you must provide certain records for clear evaluation.
Records Required For ADHD Fast Track Review
The FAA ADHD Fast Track, like the Standard Track, requires the pilot to present the following records for review:
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- Pharmacy Records in the last four years
- Medical records related to diagnosis and treatment for ADHD
- Any other evaluations or treatment records related to ADHD or learning issues
- Any medical records related to the use of ADHD medication, even if not for ADHD.
- Driver’s license records from all states where the pilot has held a driver’s license for the last four years
- Academic Records: All transcripts, 504 Plans and any Individualized Education Programs (IEP).
- A Personal Statement
For many pilots and applicants, disclosing these documents may feel invasive. However, the FAA requires these documents for the FAA ADHD Fast Track and the FAA ADHD Standard Track.
Comparing FAA ADHD Fast Track To ADHD Standard Track
- Both Tracks require thorough records collection and review.
- Standard Track: No meds for 90 days
- FAST TRACK: No meds for 4 years
- Standard Track: 1-2 day testing and neuropsychological evaluation with an FAA HIMS Neuropsychologist, including 4-6 hour minimum cognitive assessment. In-person evaluation is required. These reports can take months to finalize.
- FAST TRACK: 1-2 hour interview and neuropsychological evaluation with an FAA HIMS Neuropsychologist. No cognitive testing is required. Neuropsychologists are not required to have FAA designation. Another qualified medical professional can perform an interview and evaluation.
- Standard Track: Farther out scheduling since HIMS Neuropsychologist is the only option for interview and evaluation
- FAST TRACK: Faster scheduling. Option for AME to issue in-office interview and evaluation.
- Standard Track: Medical certificates could take months to arrive.
- FAST TRACK: AME can provide a medical certificate with no processing time if criteria are met (pilots only, air traffic controllers not eligible).
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