They say to send documents digitally if you can, through your AME. Follow the FAA protocol for required documents. They updated it recently to include A1C.
I received the first letter four months after my initial SI application requesting three additional things. ECG print out, new labs and the letter from the cardiologist answering all the questions the FAA had in the protocol. Now I log in and it says something was insufficient to determine my eligibility for SI. We felt we had provided exactly what they requested. A letter is supposed to be here any day now so we’ll see what the fffheck they want next…
It’s been nearly a year since I had one stent placed in my heart. Getting a SI soon or expedited I think will be impossible. You just have to wait for the glorious government to let you fly. It’s been emotionally draining so prepare yourself. A CFI I know is in the same boat and was told the cases/applications have quadrupled.
All I know is to try to provide them exactly what they request.