What is the CACI Hypertension Worksheet Form Used For?

Definition & Meaning of the CACI Hypertension Worksheet

The CACI Hypertension Worksheet is a specialized form utilized by FAA Aviation Medical Examiners (AMEs) to assess pilots with hypertension. This worksheet streamlines the medical certification process by providing clear guidelines for acceptable blood pressure levels and medication usage. Specifically, it focuses on pilots whose blood pressure is well-controlled, allowing them to meet FAA requirements without needing special approval. The form is essential for ensuring that pilots can safely operate aircraft while managing their health conditions.

How to Use the CACI Hypertension Worksheet

Using the CACI Hypertension Worksheet involves several steps that ensure both the pilot and their healthcare provider complete the necessary information accurately. The pilot must first download the worksheet from the FAA website. They then take it to their primary care physician (PCP), who fills out the form with details about the pilot's blood pressure readings, medications, and any relevant medical history. Once completed, the pilot presents the worksheet to the AME during their examination.

Key steps include:

  • Download the worksheet from the FAA website.
  • Consult with the PCP to fill out the necessary information.
  • Present the completed worksheet to the AME during the medical exam.

How to Obtain the CACI Hypertension Worksheet

The CACI Hypertension Worksheet can be easily obtained from the FAA's official website. Pilots should navigate to the section dedicated to medical certification forms, where they can find the CACI Hypertension Worksheet available for download. It is advisable to ensure that the most current version of the form is used to avoid any issues during the certification process.

How to Fill Out the CACI Hypertension Worksheet

Filling out the CACI Hypertension Worksheet requires attention to detail to ensure all necessary information is accurately recorded. The form typically includes sections for:

  • Patient identification: Name, date of birth, and FAA medical certificate number.
  • Blood pressure readings: Documenting the pilot's blood pressure at the time of the exam.
  • Medication details: Listing all medications taken for hypertension, including dosages and frequency.
  • Medical history: Providing any relevant information on past health issues or treatments.

Each section must be completed thoroughly to facilitate a smooth review by the AME.

Key Elements of the CACI Hypertension Worksheet

The CACI Hypertension Worksheet includes several key elements that are crucial for the AME's assessment. These elements include:

  • Blood pressure control: The worksheet specifies that blood pressure must be ≤ 155/95 mmHg.
  • Medication limits: Pilots can report being on up to three medications for hypertension.
  • Symptom assessment: The form requires information on any significant symptoms or side effects from the medications.

These criteria help ensure that pilots are fit to fly and that their hypertension is effectively managed.

Who Typically Uses the CACI Hypertension Worksheet

The primary users of the CACI Hypertension Worksheet are pilots seeking medical certification from the FAA. This includes both commercial and private pilots who have a history of hypertension but are under treatment and have well-controlled blood pressure. Additionally, aviation medical examiners use this form to evaluate the health status of pilots during their medical examinations.

Important Terms Related to the CACI Hypertension Worksheet

Understanding key terms related to the CACI Hypertension Worksheet can help clarify its use and importance:

  • Hypertension: A medical condition characterized by consistently high blood pressure.
  • Aviation Medical Examiner (AME): A physician authorized by the FAA to conduct medical examinations for pilots.
  • FAA: The Federal Aviation Administration, the governing body for civil aviation in the U.S.

Familiarity with these terms can enhance comprehension of the worksheet's purpose and the medical certification process.

Examples of Using the CACI Hypertension Worksheet

Real-world scenarios illustrate how the CACI Hypertension Worksheet is applied in practice. For instance:

  • A pilot diagnosed with hypertension visits their PCP, who completes the worksheet after confirming that their blood pressure is stable and within the required limits.
  • Another example involves a pilot who has recently changed medications. They bring the updated worksheet to their AME, who reviews the new medication regimen and blood pressure readings to determine certification eligibility.

These examples highlight the practical application of the worksheet in ensuring pilot safety and compliance with FAA regulations.

Legal Use of the CACI Hypertension Worksheet

The CACI Hypertension Worksheet is legally recognized within the FAA's medical certification framework. It serves as an official document that pilots must present to demonstrate their compliance with health standards. Proper completion of the worksheet helps protect pilots' rights by ensuring they are evaluated fairly based on their medical condition. Additionally, the information provided is confidential and used solely for the purpose of medical certification.

By signNow's Team
By signNow's Team
December 30, 2025
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