A HIMS psychiatric evaluation is a comprehensive psychiatric and substance use evaluation. The evaluator must be familiar with the medical standards for pilots and the HIMS program.

The HIMS psychiatric evaluation must produce a comprehensive report. Although the FAA publishes specifications for what the report must include, there is no standard template for the report. Reports vary in length but must cover every topic on the specification sheet. Even though the report is based on clinical information, its use is as evidence in a regulatory proceeding. It is not a clinical report.