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FAA CACI Colitis Worksheet (Crohn's, UC) for AMEs

Pilots with Crohn's disease, ulcerative colitis, microscopic colitis or irritable bowel syndrome can be certified at the AME's office under the FAA's CACI program. This worksheet, updated 04/29/2026, requires a stable condition with no effects on flight duties, no surgery in the last 6 weeks, no or mild symptoms, and treatment limited to the listed medications.

Who completes it

The AME completes the worksheet from a current, detailed Clinical Progress Note written after a clinic visit with the treating physician or specialist, such as a gastroenterologist, no more than 90 days before the AME exam.

Submitting and payment

How to submit it
If all criteria are met, the AME issues, notes 'CACI qualified colitis' in Block 60 and keeps the documents on file without sending them to the FAA; otherwise the AME defers and submits them.
Who pays
The FAA does not set AME examination fees; the pilot pays the examiner, and the FAA recommends the usual and customary local fee for similar services.

Good to know

  • Mild symptoms means fewer than 4 bowel movements a day, with or without mild cramping, and no severe abdominal symptoms or fatigue limiting activity.
  • Accepted drugs include mesalamine, sulfasalazine, azathioprine, mercaptopurine, methotrexate, linaclotide, plecanatide, tenapanor, low-dose oral steroids, oral budesonide 9 mg or less, and steroid foams or enemas.
  • Hyoscyamine is allowed once or twice a week with a 48-hour no-fly period after use, and loperamide up to 16 mg a day with no side effects.
  • A single listed biologic or JAK inhibitor qualifies after a 2-week ground trial, with 4-hour post-dose observation for drugs like adalimumab or vedolizumab and 24 hours for infliximab.

Get the official form

Download the current version from the source each time; forms change without notice.

CACI - Colitis Worksheet

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Does Crohn's disease disqualify a pilot from an FAA medical?

Not necessarily. Crohn's disease is one of the causes the colitis CACI accepts, with ulcerative colitis, microscopic colitis and irritable bowel syndrome. If the condition is stable, symptoms are absent or mild, there was no surgery in the last 6 weeks and medications are on the list, the AME can issue.

Can a pilot on Humira or Entyvio use the FAA colitis CACI?

Yes, if it is the only medication from that group and follows a 2-week ground trial. Adalimumab (Humira) and vedolizumab (Entyvio) need a 4-hour post-dose observation period before flying, and infliximab needs 24 hours. Causes of colitis not on the worksheet require an FAA decision.