Jan 26, 2015 the 85008 is the faas medical history and physical examination form. Complete the first section of form 85008, the faa application for airman medical certification. There were minor format changes made to faa form 8. The information on the attached faa form 85008, application for airman medical certificate or airman medical and. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete. Faa medical standards near vision eye charts pilot. We reached out to leftseat and before the end of the day i was assigned a. Start a free trial now to save yourself time and money. Control, such as the customers social security number, income, assets, citizenship, residency, medical insurance, and information about the customers spouse, minor children, and parents if the customer is a minor child. One of the first steps is to make sure you go to the faa website and complete the faa form 85008 this form is no longer available in paper format and must be completed and submitted online prior to coming in for the medical exam.
Frequency of medical certification requirement and distribution of pilots by medical class 2011 5 table 2. Applicant please tear off this sheet after completing the application form. Provide your doctor with the aopa basicmed pilot and physician guide pdf 651 kb before the exam, if possible. Instructions for completion of the application for airman. Basicmed login aircraft owners and pilots association. Oct 01, 2018 the faa online medical application can be confusing and a little intimidating, especially for a firsttime applicant. With this notice, the federal aviation administration faa informs applicants for airman medical certification with insulintreated diabetes mellitus itdm of a new protocol available to evaluate pilots seeking to exercise pilot privileges as airline transport, commercial, or.
These entries are the pilots own statements about hisher medical history entered online through medxpress. Pilots medical form april 2014 gao14330 united states government accountability office. Faa form 85008 399 supersedes previous edition nsn. Medical you might also like similar terms related to the medial category not able to find full form or full meaning of faa may be you are looking for other term similar to faa. Form 85008 application for airman medical certificate or. Faa medical standards near vision eye charts pilot medical. Please mail or fax your completed request for airman medical records form to.
Faa form 85008, application for airman medical certificate or airman medical and student pilot certificate. Faa medical standards, protocols and forms pilot medical. Ac form 806071 1014 us department of transportation federal aviation administration form approved omb no. Download printable faa form 85008 in pdf the latest version applicable for 2020. Faa form 811014 statement of qualifications darodardmirder adobe. Waivers ame guide airman medical application faa medxpress addadhd addadhd evaluations 806068 faa medical records request 80652 806069 send faa medical records to a 3rd party atcmed atc medical standards basicmed basicmed physician evaluation form 850011 neurological evaluation specification form neuropsych faa neuropsychological. The faa medxpress system allows anyone requesting an faa medical clearance or medical certificate to electronically complete an application. Fill out, securely sign, print or email your faa form 8500 14 instantly with signnow. Ac 806071, verification of authenticity of foreign. Enforcement policy for expired airman medical certificates. Accordingly, the faa emphasizes that under 14 cfr 61.
Medical certification federal aviation administration. This rule basicmed allows pilots to use this checklist, and other requirements, in lieu of holding thirdclass faa airman medical certificate. Federal register specialissuance medical certification. Admittedly, it is, at first glance, an inquisitive investigation, and in fact, the faa does consider the medical application process an investigation to determine the applicants qualifications to hold and exercise the privileges of the medical certificate. Faa medical requirements college of aviation western. Basicmed comprehensive medical examination checklist federal.
Recent events regarding the covid pandemic have led to significant access problems to aviation medical examiners and other medical specialists. The top half of the first page has an image that resembles the old preprinted form, followed by the conditions and limitations. This includes items 120 of the medical certification application the pilot portion. Yes, it is the responsibility of the pilots to understand and comply with the eligibility requirements for basicmed, including an faa medical certificate held any time on or after july 15, 2006. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete the faa form. Faa medicals are issued in 3 classes 1st class, 2nd class, and 3rd class, and are valid for different types of piloting activities. An faa medical certificate is a medical certification required for almost all pilots to be able to fly an aircraft. If you held a regular or specialissuance medical anytime on or after july 15, 2006, you are likely eligible to fly under basicmed. In response, the faa will not enforce airman medical certificates which expire between the dates of march 31, 2020 and june 30, 2020. Once logged in, click the link form 85008 to start a new medical application. Faa form 85008 download printable pdf or fill online application. Should you need to request additional time to provide medical documentation to the faa, a letter can be mailed or faxed to the faa with the following guidelines. To navigate through the guide pdf by item number or subject matter, simply click.
Ac 806071, verification of authenticity of foreign license. Fill out the application for airman medical certificate online and print it. To navigate through the guide pdf by item number or subject matter, simply click on the bookmark tab in the left column to search specific certification decisionmaking criteria. This rule basicmed allows pilots to use this checklist, and other requirements, in lieu of holding a thirdclass faa airman medical certificate.
What you need to know about question 18v on the faa 8500. The ame is a private physician who is approved by the faa to perform this function. In accordance with dots system of records notice, dotall 16 mailing management system and dotfaa 826 petitions for exemption, other than medical exemptionpublic dockets, the information provided may be disclosed to officials within the. Faa home pilots medical certification medical certification.
Fortunately, my airline works closely with pilot medical solutions in ok city. Aopa maintains your medical information utilizing the most uptodate security procedures in the industry. Important information about the impact covid19 on the enforcement of expiring medical certificates. Form 85008 application for airman medical certificate. Faa medxpress program for pilots your express lane to. You have full access to your information anytime, and can update the form with your current medical information so it will be available for reference when you complete the faa medxpress application. Family assistance administration arizona health care cost containment system ahcccs application for benefits tear off and keep pages a through l for your records. It is very helpful if you can print out the form and bring it to your appointment with me. Date of birth height weight hair eyes sex has met the medical standards prescribed in part 67, federal. The online application is now the only method of submitting a medical application, and should. This is the question that asks for a yes or no response if the airman has a history of any arrests, convictions, and or administrative actions involving. Failed medical does faa verify information airline.
The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Faa form 811026 supplemental type inspection report. Ame aeromedical examiner directory of physicians designated to provide pilot faa aeromedical examinations. Question 18v has caused airmen more aggravation than most other questions on the faa medical history. In accordance with dots system of records notice, dotall 16 mailing management system and dot faa 826 petitions for exemption, other than medical exemptionpublic dockets, the information provided may be disclosed to officials within the federal government and the public in general. Medical requirements, tips and information on the aeromedical examination required by faa for aviators.
For students, select all other and airman medical certificate for the last question. Please consult an amas physician to determine if it might be appropriate to utilize one of the following. Basicmed physician guide aircraft owners and pilots. Basicmed physician guide aircraft owners and pilots association. Application for medical certification items 1 20 of faa form 85008 this section contains guidance for items on the medical history and general information page of faa form 85008, application for airman medical certificate or airman medical and student pilot certificate. Faa form 811028 application and statement of qualification dme, dpre, dart, and odart faa form 811029 derfaa interaction tracking form. Application for airman medical certificate federal aviation. This form is to be used by individuals seeking to operate certain small aircraft in accordance with chapter 14 of code of federal regulations 14 cfr, section 61. If the medical reports requested in item 2 of attached instructions are not submitted with this form, explain reason for delay. We facilitate the faa aeromedical certification process for pilots requiring class 1, 2 or 3 physical examinations.
The information collected on this form is necessary to determine eligibility to exercise pilot privileges under basicmed and is consistent with the faas authority to. United states government accountability office highlights of gao14330, a report to congressional committees april 2014 aviation safety faa should improve usability of its online application system and clarity of the pilots medical form. Faa form 85008, application for airman medical certificate. Faa form 8500 14 pdf fill out and sign printable pdf. Aerospace medical certification division amcd federal aviation administration po box 26080 oklahoma city, ok. The declaration section must be signed and dated by the applicant after the applicant has read it. Step 4 if, in your medical opinion, after completing the examination, you are aware of. Faa medxpress the faa medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete the faa form 85008. During my last faa medical exam my ame identified a problem and it seemed that my flying career was over. Appendix iv faa form 85008 medical application form 39 appendix v gao contact and staff acknowledgments 42 tables table 1. Federal aviation administration aerospace medical certification division aam331 cami, building p. In response, the faa will not enforce airman medical certificates.
We reached out to leftseat and before the end of the day i was assigned a case manager. I certify, under penalty of law, that the disease or illness described above was the result of my employment with the united states. Copy of faa form 85008 medical certificate or faa form b4202 medical student pilot certificate issued. Jan 02, 2015 guidance is compiled and interpreted by professional pilots and physicians at from the 2014 ame guide, faa and fda web data. Questions that must be answered during the faa pilot medical exam. Fill out the pilot selfassessment portion of the checklist form, before your doctor visit. If it has been a few years since your last faa medical examination, you may be surprised to know that the paper medical application form that you completed in the aviation medical examiners office at the time of your exam has been replaced by a mandatory online medical application called medxpress. When all requirements have been met, an appropriate medical certificate, medical and student pilot certificate, or medical clearance will be issued. In response, the faa will not enforce airman medical certificates which expire between the. To protect your identity and the release of the correct records, completion of the medical records request form pdf is required to release your medical records.
205 542 72 1074 1601 127 434 933 1141 544 814 797 672 1204 197 526 1366 473 1135 216 848 1229 1143 274 314 867 631 1296 333 1084 891 127 999 401 1022 1484 1474 590 1284 170 975 1241 994 898 1344 750 570