FAA medical exams

Choose your medical class

First Class is typically used for airline transport pilot privileges, Second Class for commercial pilot privileges, and Third Class for private or student pilot privileges. The class you need depends on the privileges you intend to exercise.

Tell the office which class you need when booking. If you have questions about eligibility, medications, or a complicated medical history, message Dr. Brown at the question form with your cell phone number before starting your application.

Bring the right records

• Your MedXPress confirmation number—not just a saved application or appointment confirmation.
• Current glasses or contact lenses, if worn, and a list of medications, doses, and reasons taken.
• Your Special Issuance authorization letter and every report it requires, if applicable.
• Current treating-physician documentation for any CACI or AASI condition.
• Be prepared to provide the required urine specimen.

ECG: what to expect

For First Class certification, the FAA requires an ECG at the first application after your 35th birthday and annually after your 40th birthday. The ECG fee is separate from the examination fee.

If you have had an ECG elsewhere, message Dr. Brown at the question form with your cell phone number about interpretation and documentation. The guidance below explains electrode placement, clothing, privacy, and chaperone arrangements.

Color vision: is testing needed?

First-time FAA applicants need an approved computerized color vision screening test. Returning pilots who previously passed an FAA-approved test generally do not need routine repeat screening.

Third Class pilots with a color-vision SODA or LOE do not need CCVT to retain Third Class. Upgrading to First or Second Class requires testing unless the pilot previously met that class’s color-vision requirements. A medical condition or medication affecting color vision may require additional testing.