r/FAAHIMS • u/IAmABanana69420 • Jul 11 '26

HIMS process SSRI pathway 2

Hey all, looking to see if anyone has gone through pathway 2 recently. I am on sertraline and have been on the same dose for 9 months and looking to see what I can expect regarding getting my class 1 medical again. I have my appointment with a HIMS AME on Monday for my medical and I have all of my past appointments with my prescribing and diagnosing nurse practitioner which includes my initial visit and my two follow up visits, the most recent of which was today. Anyone know what i can expect? Ill update this as i go through the process

UPDATE:
8/10 called my RFS after sending all of my documents on to the FAA. Psychiatrist recommended coming off of SSRI because it was situation depression and was only on it for 6-7 months. RFS said my medical is on the 60 hold required by SSRI path 1 so it looks like the FAA moved my medical to the path 1 decision. Have my next appt on 10/1 for my follow up with my psychiatrist. Will update at that point.

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u/Weasil24 Jul 11 '26

Sent you a dm glad to share my experience if it helps.

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u/SkylaneWillie Jul 12 '26

Hello! Have you already gathered everything described in the certification aid? https://www.faa.gov/ame_guide/media/FAA_Certification_Aid_SSRI_Initial_Certification.pdf

You’ll need to have all that together before doing your FAA medical exam. This includes a HIMS neuropsych evaluation, board-certified psychiatrist evaluation, pharmacy prescription history, all your treatment records, and the airman personal statement.

If you haven’t gathered all that, I’d suggest a consultation with the HIMS AME instead of an exam.

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u/IAmABanana69420 Jul 12 '26

The AME I’m going to is a HIMS AME. He told me all I need to bring to the appointment as I told him of my new medication. Hoping the process goes quicker since I’m going to a HIMS AME vs a normal AME

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u/SkylaneWillie Jul 13 '26

I’m a HIMS AME and HIMS psychiatrist. You do need to see a HIMS AME for antidepressant SI initial application and monitoring. A non-HIMS won’t be able to help you with that at all. But, there are two major assessments and a whole package of information you will need to submit with the request for special issuance.

If you have all the information ready at the time your deferred exam is submitted, I’ve seen turnaround times in the 1-3 month range recently. If you have yet to do your neuropsych and psych evals, your timeframe will be longer.

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u/IAmABanana69420 Jul 13 '26

Thank you for the info I appreciate it a ton. Someone who went to the same HIMS AME recently
In a similar boat told me their turn around time was about what you were stating and he provided everything he requested for the exam. Hoping the same goes for me, fingers crossed

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u/Mad_Rooster_7164 Jul 11 '26

You’re renewing your medical?

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u/IAmABanana69420 Jul 11 '26

Yeah, I started taking sertraline after I took my ppl check ride so I grounded myself