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ALS (Lou Gehrig's disease)

What the FAA's documents say about ALS (Lou Gehrig's disease), in plain words, with the FAA's own words one press away.

FAA term: Amyotrophic Lateral Sclerosis (ALS) aka Lou Gehrig's Disease and other Motor Neuron DiseasesCovers: All classes

FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

Show the FAA's words: which classes the FAA's table covers
and other MOTOR NEURON DISEASES All Classes … A. All classes Any history

FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

Short version

The disposition table has one row, any history, for all classes.

How the FAA's table sorts ALS (Lou Gehrig's disease)
SituationWhat the examiner doesPathway
Row AAny history
Defers to the FAA
FAA review
Show the FAA's words: the FAA's table for ALS (Lou Gehrig's disease)
  1. Row A · FAA review

    All classes, any history. The table lists what to submit for FAA review. The examiner defers and submits the information to the FAA.

    A. All classes Any history Submit the following for FAA review: … DEFER Submit the information to the FAA.

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

What the pathway names mean

The FAA pathways for ALS (Lou Gehrig's disease)

  • FAA reviewYour AME defers. The FAA decides.Row A

Your step-by-step plan

  1. Step 1: The neurological evaluation

    From a certified ALS clinic or associated clinic.Within 90 days before the exam

    A current, detailed neurological evaluation in accordance with the FAA Specifications for Neurologic Evaluation, from a clinic visit from a certified ALS clinic or associated clinic, no more than 90 days before the exam.

    Show the FAA's words: The neurological evaluation

    1. A current, detailed neurological evaluation in accordance with the FAA Specifications for Neurologic Evaluation generated from a clinic visit from certified ALS clinic or associated clinic no more than 90 days before the AME exam .

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023; checked by Crosscheck 14 October 2026.

  2. Step 2: Other testing

    What your treating physician has done or finds necessary.

    If deemed clinically necessary or already performed.

    If deemed clinically necessary or already performed.

    Any other testing deemed clinically necessary or already performed for this condition by your treating physician.

    Show the FAA's words: Other testing

    2. Any other testing deemed clinically necessary or already performed for this condition by the treating physician.

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023; checked by Crosscheck 14 October 2026.

What the examiner checks

  • Row ADefers to the FAAFAA review

    The table lists what to submit for FAA review. The examiner defers and submits the information to the FAA.

    If the examiner defers
Show the FAA's words: what the examiner does on each row
  1. Row A · FAA review

    All classes, any history. The table lists what to submit for FAA review. The examiner defers and submits the information to the FAA.

    A. All classes Any history Submit the following for FAA review: … DEFER Submit the information to the FAA.

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

If the examiner defersFAA review

The table marks its one row, any history, DEFER.

What the FAA lists to send

  1. Item 1. A current, detailed neurological evaluation in accordance with the FAA Specifications for Neurologic Evaluation, from a clinic visit from a certified ALS clinic or associated clinic no more than 90 days before the exam.
  2. Item 2. Any other testing deemed clinically necessary or already performed for this condition by the treating physician.
Show the FAA's words: if the examiner defers

When the examiner defers

  1. Reason 1

    The table marks its one row, any history, DEFER.

    A. All classes Any history … DEFER Submit the information to the FAA.

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

What the FAA lists to send

  1. Item 1

    A current, detailed neurological evaluation in accordance with the FAA Specifications for Neurologic Evaluation, from a clinic visit from a certified ALS clinic or associated clinic no more than 90 days before the exam.

    1. A current, detailed neurological evaluation in accordance with the FAA Specifications for Neurologic Evaluation generated from a clinic visit from certified ALS clinic or associated clinic no more than 90 days before the AME exam .

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

  2. Item 2

    Any other testing deemed clinically necessary or already performed for this condition by the treating physician.

    2. Any other testing deemed clinically necessary or already performed for this condition by the treating physician.

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

Good to know

Points from the FAA's own documents that are easy to miss.

  • A certified ALS clinic or associated clinic

    The table asks for the neurological evaluation from a clinic visit from a certified ALS clinic or associated clinic. It does not say what an associated clinic is associated with.

    Show the FAA's words: good to know, 1
    generated from a clinic visit from certified ALS clinic or associated clinic no more than 90 days before the AME exam .

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

  • Other motor neuron diseases are under the same title

    The table's title is ALS, also known as Lou Gehrig's disease, and other motor neuron diseases, and its one row is any history, marked DEFER.

    Show the FAA's words: good to know, 2
    AMYOTROPHIC LATERAL SCLEROSIS (ALS) aka LOU GEHRIG'S DISEASE and other MOTOR NEURON DISEASES … A. All classes Any history … DEFER Submit the information to the FAA.

    FAA source: Amyotrophic Lateral Sclerosis (ALS). FAA date 25 January 2023. Checked by Crosscheck 14 October 2026

FAA sources

Every FAA document this page relies on, with the FAA's own date and the date Crosscheck last read it. The documents to print open at the FAA, so they are always the FAA's current ones.

This reports what the FAA has published. It is not medical advice, and it does not say how the FAA or an examiner will decide a case.