Do I Need a HIMS Neuropsychological Evaluation or Just the CogScreen?

If the FAA has flagged your medical certificate for psychological testing, you might be wondering whether you’re facing a full HIMS neuropsychological evaluation or just the CogScreen-AE Pro. These two terms are often used interchangeably, but they’re not the same—and knowing which path you're on can save you time, money, and frustration.

➡️ For a breakdown of what a full FAA neuropsychological evaluation involves—including timelines, common triggers, and costs—click here.

CogScreen-AE Pro: What It Is—and Isn’t

The CogScreen is a computerized test of attention, memory, psychomotor speed, and executive function. It’s often required if you’ve:

• Taken ADHD medication in the past

• Reported a head injury or loss of consciousness

• Had psychiatric treatment that may affect cognition

• Been involved in a substance-related incident

  
  

But the CogScreen is usually just one part of the process. If you’ve had recent stimulant use, psychological treatment, or cognitive concerns, the FAA often requires a full neuropsychological battery, including clinical interviews, standardized paper-and-pencil tests, and a narrative report from a HIMS-qualified psychologist.

You'll notice in your letter that the specific tests are not listed. That's done to protect test security. Talking to a HIMS neuropsychologist can help you quickly learn whether the battery is simple or complex. For example, not all protocols include the CogScreen.

FAA Flowcharts Can Help

For example, the FAA publishes an ADHD pathway chart (PDF) and an ADHD disposition table that outline when full testin

g is required. Most pilots find these documents confusing—so if you’re unsure, feel free to contact me. I offer free reviews of your FAA letter or FAA request to clarify what you actually need.

Need help figuring out which evaluation applies to you?

Schedule a free consult or visit this page on FAA neuropsych evaluations to learn more about timelines and requirements.