For AMEs and Referring Professionals

HIMS Program Referral Form

For Pilots and Referring Partners

Please complete this form to refer a pilot to our HIMS Program or to request information regarding HIMS services.
A member of our team will contact you shortly.

Reviewing the paperwork

A Referral Is Only as Strong as the Documentation That Comes Back.

AMEs, HIMS chairs, EAP representatives, and union reps refer pilots to Lions Gate Recovery because the clinical record is built to FAA aeromedical standards, delivered on schedule, and the line of communication stays open from intake through aftercare.

You Know HIMS Cold. The Real Question Is Whether the Treatment Center Does.

When you refer a pilot, you are handing the most consequential part of the case to someone else and trusting them to protect it. You already understand what that requires. The recertification path is carried by the clinical record and by sustained compliance, and a center that treats a HIMS pilot like an ordinary admission produces documentation that does not hold up to aeromedical review.

That is the exposure for the referring professional. A chart written to the wrong standard, reports that arrive late or incomplete, a pilot who was kept comfortable rather than held accountable, any one of those lands back on the person who made the referral. The facility you choose is, in practice, an extension of your own judgment. It should operate like it knows that.

Aviation Medical form
A Report Written to DSM-5
Does Not Advance an Aeromedical Case.

The distinction is the whole job. Under 14 CFR 67, the federal definitions of substance dependence and substance abuse are stricter than the DSM-5 criteria that drive most clinical documentation, and a record assessed to the wrong framework can stall a case or send it backward. Lions Gate Recovery treats and documents to FAA aeromedical standards from intake forward, so what reaches the HIMS AME is built correctly the first time rather than reconstructed after a problem surfaces.

We also run the full continuum HIMS requires inside one program, inpatient through intensive outpatient and into aftercare. There is no handoff between disconnected providers where the thread of the case gets dropped, and no gap in the record where a monitoring requirement quietly goes unmet. One program, one accountable source for the documentation you depend on.

You Should Not Have to Chase a File
to Find Out How Your Pilot Is Doing.

Consistent Reporting Keeps Everyone Working From the Same Record

The reporting that carries a HIMS case is only useful if it is consistent and on time. We report to the HIMS AME on the expected schedule and keep referring professionals informed across the arc of treatment and aftercare, so the people responsible for the pilot’s recertification are never working from a blank space. When something needs attention, you hear about it from us rather than discovering it later.

Coordination Continues Through the Monitoring Years

That coordination runs through the eight-year monitoring phase as well. We stay engaged through aftercare and work alongside the pilot’s monitoring team, because the long tail of the case is exactly where lapses tend to happen when no one is holding the line.

pilot professional training

The Pilots You Refer Land in a Program Built on Accountability, Not Comfort.

A referral only works if the pilot actually does the work, and that comes down to the environment. Lions Gate Recovery was built by people in long-term recovery, with decades of combined sobriety among ownership, and we have never run a program designed around catering to clients. We run a structured, accountability-driven program because that is what produces a defensible record and durable recovery.

That is a precise match for what HIMS asks of a pilot over the following years: testing, reporting, peer support, and monitoring that only ends once it has been earned. Pilots here also work alongside other aviators in profession-specific peer support, including Birds of a Feather, which reinforces compliance in a way a general population cannot. You are not sending a pilot somewhere they will be managed. You are sending them somewhere they will be held to the standard the program is going to hold them to anyway.

Take the First Step

Recovery Starts With a Decision

Most of our clients arrive in crisis — facing criminal charges, losing relationships, after hospitalizations. But desperation can become transformation.

You do not have to wait for things to get worse.