Eosinophilic esophagitis
What the FAA's documents say about eosinophilic esophagitis, in plain words, with the FAA's own words one press away.
Your step-by-step plan
Step 1: The progress note from the treating doctor or specialist
The note the examiner reviews, and what your treating physician finds.Within 90 days before the examA current, detailed progress note from a clinic visit with your treating physician or specialist, no more than 90 days before the exam. Your AME reviews it.
Your treating physician finds
- Compliant with treatment
- The condition is well-controlled
- No medication side-effects
Show the FAA's words: The progress note from the treating doctor or specialist
the AME must review a current, detailed Clinical Progress Note generated from a clinic visit with the treating physician or specialist no more than 90 days prior to the AME exam.
FAA source: CACI – Eosinophilic Esophagitis. FAA date 29 April 2026; checked by Crosscheck 14 October 2026.
Treating physician finds the individual is compliant with treatment, condition is well-controlled, and no medication side-effects. [ ] Yes
FAA source: CACI – Eosinophilic Esophagitis. FAA date 29 April 2026; checked by Crosscheck 14 October 2026.
Step 2: The most recent endoscopy with biopsy
Its documentation, when it was performed, and what it shows.Documentation of your most recent endoscopy with biopsy, performed within a timeframe consistent with your treating gastroenterologist's recommended surveillance interval.
It shows
- Histologic remission (less than 15 eos/hpf)
- No fibrostenotic disease: no esophageal rings, no strictures and no narrow-caliber esophagus
Show the FAA's words: The most recent endoscopy with biopsy
Documentation of the most recent endoscopy with biopsy, performed within a timeframe consistent with the treating gastroenterologist’s recommended surveillance interval, shows: Evidence of histologic remission (less than 15 eos/hpf) and no evidence of fibrostenotic disease, (no esophageal rings, no strictures, and no narrow-caliber esophagus.) [ ] Yes
FAA source: CACI – Eosinophilic Esophagitis. FAA date 29 April 2026; checked by Crosscheck 14 October 2026.
Step 3: The worksheet's criteria
Your treatment, and any food impaction.Treatment with one or more of those the worksheet lists.
The worksheet's list
- Proton pump inhibitor
- Topical or oral steroids that do not exceed 20 mg prednisone per day
- Dupilumab (Dupixent), which requires a 4-hour post dose observation/no-fly
The worksheet's other criteria
- No history of food impaction in the last 12 months or while on treatment
Show the FAA's words: The worksheet's criteria
Treated with one or more of the following:
Proton pump inhibitor
Topical or oral steroids that do not exceed 20 mg prednisone per day
dupilumab (Dupixent) (requires 4-hour post dose observation/no-fly)
[ ] Yes
FAA source: CACI – Eosinophilic Esophagitis. FAA date 29 April 2026; checked by Crosscheck 14 October 2026.
NO history of food impaction:
In the last 12 months OR
While on treatment
[ ] Yes
FAA source: CACI – Eosinophilic Esophagitis. FAA date 29 April 2026; checked by Crosscheck 14 October 2026.
At later exams
- First and second class
- Every year
- Third class
- At each required exam
The worksheet says first- and second-class applicants must provide this information every year, and third-class applicants must provide it with each required exam.
Show the FAA's words: how often the FAA asks again
Applicants for first or second- class must provide this information annually; applicants for third-class must provide the information with each required exam.
Good to know
Points from the FAA's own documents that are easy to miss.
What a progress note must include
In most cases it should come from a visit with the treating physician no more than 90 days ago, and cover the history, medications with dosages and side effects, exam findings, test results, diagnosis, assessment and plan, prognosis and follow-up. The FAA's sheet says to make sure the physician adds the prognosis. A portal note or an After Visit Summary that does not meet these criteria is not enough, and neither is a simple "ok to fly" letter. The FAA's documents also call it a status report.
Show the FAA's words: good to know, 1
your patient portal to print out “notes” or an “After Visit Summary (AVS).” … Patient Portal notes or an AVS that do not meet the criteria listed below for a detailed Clinical Progress Note are NOT sufficient for FAA purposes. … To be “current,” in MOST CASES, the detailed Clinical Progress Note should be from an evaluation in which you saw your treating physician no more than 90 days ago. … It Must include the following items: … A summary of the history of the condition, … Current medications, dosages, and side effects (if any); … Clinical exam findings; … Results of any testing performed; … Diagnosis; … Assessment and Plan; … Prognosis (This item may not be on a standard progress note, make sure your physician adds this information.); and … Follow-up … Please note: A letter stating, “Mr. Smith is ok to fly” (or any other simple note), is NOT a current, detailed Clinical Progress Note and is NOT acceptable. … You may also see this called a “current status report” or “status report” in current FAA Guidance. Any reference to a “status report” equals the criteria listed on this sheet.
Dupilumab needs a 4-hour no-fly
Dupilumab (Dupixent) is on the worksheet's list of treatments, and the worksheet says it requires a 4-hour post dose observation/no-fly.
Show the FAA's words: good to know, 2
dupilumab (Dupixent) (requires 4-hour post dose observation/no-fly)
The gastroenterologist sets the endoscopy timing
The worksheet asks for documentation of the most recent endoscopy with biopsy, performed within a timeframe consistent with the treating gastroenterologist's recommended surveillance interval.
Show the FAA's words: good to know, 3
Documentation of the most recent endoscopy with biopsy, performed within a timeframe consistent with the treating gastroenterologist’s recommended surveillance interval, shows:
Block 60 carries one of three statements
The worksheet says the examiner must note one of three in Block 60: CACI qualified; has current or previous SI/AASI but now CACI qualified; or NOT CACI qualified, which says the examiner has deferred and to submit supporting documents.
Show the FAA's words: good to know, 4
AME MUST NOTE in Block 60 one of the following: … CACI qualified Eosinophilic Esophagitis. … Has current OR previous SI/AASI but now CACI qualified Eosinophilic Esophagitis. … NOT CACI qualified Eosinophilic Esophagitis. I have deferred. (Submit supporting documents.)
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.