Overview of Pilot Medical Standards - Part 67 at a Glance

Index to 14 CFR Part 67

Apr 2014

Abbreviated Briefing:
  • Legal Authority for Medical Standards from CFR Part 67
  • Medical Standards are based on Class of Certificate
  • Major Medicolegal Categories include

    • Eyes and Vision
    • Ears, Hearing and Equilibrium
    • Mental
    • Cardiovascular


Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).

Table of Contents


from Title 14: Aeronautics and Space

Subpart A—General

SubPart A Index
§67.7Access to the National Driver Register.

Subpart B—First-Class Airman Medical Certificate

SubPart B Index
§67.101Eligibility - Class 1
§67.103Eye - Class 1
§67.105Ear, nose, throat, and equilibrium - Class 1
§67.107Mental - Class 1
§67.109Neurologic - Class 1
§67.111Cardiovascular - Class 1
§67.113General medical condition - Class 1
§67.115Discretionary issuance - Class 1

Subpart C—Second-Class Airman Medical Certificate

SubPart C Index
§67.201Eligibility - Class 2
§67.203Eye - Class 2
§67.205Ear, nose, throat, and equilibrium - Class 2
§67.207Mental - Class 2
§67.209Neurologic - Class 2
§67.211Cardiovascular - Class 2
§67.213General medical condition - Class 2
§67.215Discretionary issuance - Class 2

Subpart D—Third-Class Airman Medical Certificate

SubPart D Index
§67.301Eligibility - Class 3
§67.303Eye - Class 3
§67.305Ear, nose, throat, and equilibrium - Class 3
§67.307Mental - Class 3
§67.309Neurologic - Class 3
§67.311Cardiovascular - Class 3
§67.313General medical condition - Class 3
§67.315Discretionary issuance - Class 3

Subpart E—Certification Procedures

SubPart E Index
§67.401Special issuance of medical certificates.
§67.403Applications, certificates, logbooks, reports, and records: Falsification, reproduction, or alteration; incorrect statements.
§67.405Medical examinations: Who may perform?
§67.407Delegation of authority.
§67.409Denial of medical certificate.
§67.413Medical records.
§67.415Return of medical certificate after suspension or revocation.

Synopsis of Aero-Medical Standards for Pilots Seeking Aviation Medical Certification
Pilot Type
Airline Transport Pilot
Commercial Pilot
Private Pilot
DISTANT VISION 20/20 or better in each eye separately, with or
without correction.
20/40 or better in each eye separately, with or without correction.
NEAR VISION 20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches.
20/40 or better in each eye separately (Snellen equivalent), with or without correction at age 50 and over, as measured at 32 inches. No requirement.
COLOR VISION Ability to perceive those colors necessary for safe performance of airman duties.
HEARING Demonstrate hearing of an average conversational voice in a quiet room, using both ears at 6 feet, with the back turned to the examiner or pass one of the audiometric tests below.
AUDIOLOGY Audiometric speech discrimination test: Score at least 70% reception in one ear.
Pure tone audiometric test. Unaided, with thresholds no worse than:

CFR Part 67 Hearing Standards

Frequency (Hz)500 Hz1000 Hz2000 Hz3000 Hz
Better ear (Db)35303040
Poorer ear (Db)35505060
ENT No ear disease or condition manifested by, or that may reasonably be expected to maintained by, vertigo or a disturbance of speech or equilibrium.
PULSE Not disqualifying per se. Used to determine cardiac system status and responsiveness.
BLOOD PRESSURE No specified values stated in the standards. The current guideline maximum value is 155/95.
At age 35 and
annually after age 40 for 1st Class.
Not routinely required for 2nd or 3rd class certificates.
MENTAL No diagnosis of psychosis, or bipolar disorder, or severe personality disorders.
A diagnosis or medical history of "substance dependence" is disqualifying unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. A history of "substance abuse" within the preceding 2 years is disqualifying. "Substance" includes alcohol and other drugs (i.e., PCP, sedatives and hynoptics, anxiolytics, marijuana, cocaine, opioids, amphetamines, hallucinogens, and other psychoactive drugs or chemicals).

AME must disqualify if the applicant has a history of:

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