FAA Airman Medical Exam: Applicant History

Excerpts from Guide for Aviation Medical Examiners
Application Process for Medical Certification

Applicant History

This section contains guidance for items on the Medical History and General Information page of FAA Form 8500-8, Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate.

Item(s)	Description
1-2	Application For: Class of Medical Certificate Applied For
3	Last Name; First Name; Middle Name
4	Social Security Number (SSN)
5	Address and Telephone Number
6	Date of Birth
7	Color of Hair
8	Color of Eyes
9	Sex
10	Type of Airman Certificate(s) You Hold
11-12	Occupation, Employer
13	Has Your FAA Airman Medical Certificate Ever Been Denied, Suspended, or Revoked?
14-15	Total Pilot Time
16	Date of Last FAA Medical Application
17 a	Do You Currently Use Any Medication (Prescription or Nonprescription)?
17 b	Do You Ever Use Near Vision Contact Lens(es) While Flying?
18	Medical History
19	Visits to Health Professional Within Last 3 Years
20	Applicant's National Driver Register and Certifying Declaration

Applicant History

Aeromedical Examination Items 1-20

Applicant History