Join Your Online AME Community

Required Registration Items

AME's Public Display Name^*

You attest you are this physician or their authorized Agent

Email^*

Email Address will be primary login credential

Password^*

Confirm password^*

Primary Medical Degree^*

Registration is for Physicians Only

Offers BasicMed Exams^*

You can change this later through profile

Initial Message to FlightPhysical.com (Optional)

Registration Items Below are Optional to Enhance your Public Listing:

Other Services

Other Clinical Exams Offered

FAA HIMS Evaluations

Insurance Exams

School Exams

DOT / DMV / CDL Exams

Publicize Your External Web Site (Optional - 60 day free trial then $3 per month )

Additional Degrees to Display

Other Degrees or Certifications you want to display on your FlightPhysical.com Listing

Identifiers to Help Accelerate Listing Verification / Approval

Optional: Last 4 digits of FAA Published Phone No.

AME Number

I agree to the FightPhysical.com terms and conditions^*

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