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FAA CACI PCOS Worksheet for Pilots

Pilots with polycystic ovarian syndrome can be certified in the AME's office through this Conditions AMEs Can Issue (CACI) checklist. The AME reviews a progress note from the treating physician or specialist dated within 90 days of the exam and confirms the condition is stable, cardiovascular risk factors are controlled, and the pilot has no diabetes, prolactinoma, untreated sleep apnea, or current depression or anxiety.

Who completes it

The AME completes the checklist and marks the Block 60 outcome. The treating physician, gynecologist or endocrinologist writes the current, detailed Clinical Progress Note the AME relies on.

Submitting and payment

How to submit it
A qualifying case is noted as 'CACI qualified Polycystic Ovary Syndrome' in Block 60 of FAA Form 8500-8. If any item is not met, the AME defers and submits the supporting documents to the FAA.

Good to know

  • Accepted medications, alone or in combination: anti-androgens such as finasteride or dutasteride, letrozole, metformin, oral contraceptives and spironolactone, which carries a 7-day wait.
  • Depression and anxiety are screened by the current PHQ-9 and GAD-7 scores, so the progress note should include both.
  • Obstructive sleep apnea is acceptable only if adequately treated and the pilot already holds a special issuance for it.
  • The treating physician must find the condition stable on its regimen, with no medication side effects, controlled cardiovascular risk factors and no changes recommended.

Get the official form

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

CACI – Polycystic Ovarian Syndrome (PCOS) 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

Is metformin allowed for PCOS under the FAA CACI?

Yes. Metformin is one of the accepted PCOS medications, along with anti-androgens such as finasteride or dutasteride, letrozole, oral contraceptives and spironolactone, which carries a 7-day wait. They may be used in combination, but the pilot must have no evidence of diabetes or prolactinoma.

What should the PCOS progress note include for the FAA?

It should come from a visit within 90 days of the AME exam and confirm the condition is stable with no side effects, cardiovascular risk factors are controlled, and no changes are recommended. It should also report current PHQ-9 and GAD-7 scores, sleep apnea status and the medications used.