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FAA CACI Hypertension Worksheet for Pilots

Pilots with treated hypertension can be certified at the AME's office under the FAA's CACI program. This worksheet, updated 04/13/2022, requires an office blood pressure of 155/95 or lower, stable control on the current regimen for at least 7 days, no symptoms or medication side effects, and up to three drugs from accepted classes.

Who completes it

The AME completes the worksheet. A treating physician's progress note from the last 90 days is normally reviewed, but it is not required if the AME can otherwise confirm 7 days of stable control without symptoms or side effects.

Submitting and payment

How to submit it
If all criteria are met, the AME issues, notes 'CACI qualified hypertension' 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

  • Up to 3 of these classes may be combined: alpha blockers, beta blockers, calcium channel blockers, diuretics, ACE inhibitors, ARBs, direct renin inhibitors and direct vasodilators.
  • Centrally acting antihypertensives such as clonidine are not acceptable for the CACI.
  • Although 155/95 is acceptable for certification, the AME should refer the pilot to their primary provider if blood pressure is above clinical practice standards.
  • The FAA's antihypertensive pharmaceuticals guidance lists acceptable medications in more detail, and no treatment changes may be recommended at the time of the exam.

Get the official form

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

CACI - Hypertension Worksheet

Official pagePDF

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Frequently asked questions

What blood pressure does a pilot need for the FAA hypertension CACI?

An in-office reading of 155 systolic and 95 diastolic or lower, with the condition stable on the current regimen for at least 7 days and no symptoms or medication side effects. The worksheet notes the AME should still refer a pilot above clinical practice standards to their primary provider.

Does a pilot need a doctor's note for the FAA hypertension CACI?

Not always. The AME normally reviews a progress note from the treating physician dated within 90 days, but can skip it if the AME can otherwise confirm stable control on current medication for at least 7 days, without symptoms or side effects and with no treatment changes recommended.