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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 58. ECG

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.111(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs
3. No Aerospace Medical Disposition exists

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 57. Urinalysis

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(a)(b)
2. Second-Class: 14 CFR 67.213(a)(b)
3. Third-Class: 14 CFR 67.313(a)(b)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item57/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 56. Pulse

1. The medical standards do not specify pulse rates that, per se, are disqualifying for medical certification. These tests are used, however, to determine the status and responsiveness of the cardiovascular system. Abnormal pulse rates may be reason to conduct additional cardiovascular system evaluations.
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 55. Blood Pressure

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 54. Heterophoria

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(f)
2. Second-Class: 14 CFR 67.203(f)
3. Third-Class: No Standards
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 53. Field of Vision

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(d)
2. Second-Class: 14 CFR 67.203(d)
3. Third-Class: 14 CFR 67.303(d)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 52. Color Vision

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(c)
2. Second-Class: 14 CFR 67.203(c)
3. Third-Class: 14 CFR 67.303(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 51. Near and Intermediate Vision

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(b)
2. Second-Class: 14 CFR 67.203(b)
3. Third-Class: 14 CFR 67.303(b)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 50. Distant Vision

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(a)
2. Second-Class: 14 CFR 67.203(a)
3. Third-Class: 14 CFR 67.303(a)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 50. Distant Vision

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(a)
2. Second-Class: 14 CFR 67.203(a)
3. Third-Class: 14 CFR 67.303(a)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item50/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 49. Hearing

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.105(a)(b)(c)
2. Second-Class: 14 CFR 67.205(a)(b)(c)
3. Third-Class: 14 CFR 67.305(a)(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 48. General Systemic

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(a)(b)(c)
2. Second-Class: 14 CFR 67.213(a)(b)(c)
3. Third-Class: 14 CFR 67.313(a)(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 47. Psychiatric Conditions

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.107(a)(b)(c)
2. Second-Class: 14 CFR 67.207(a)(b)(c)
3. Third-Class: 14 CFR 67.307(a)(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 46. Neurologic

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.109(a)(b)
2. Second-Class: 14 CFR 67.209(a)(b)
3. Third-Class: 14 CFR 67.309(a)(b)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 45. Lymphatics

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item45/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 44. Identifying Body Marks, Scars, Tattoos

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)
2. Second-Class: 14 CFR 67.213(b)
3. Third-Class: 14 CFR 67.313(b)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item44/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 43. Spine and other Musculoskeletal

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 42. Upper and Lower Extremities

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item42/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 41. G-U System

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item41/amd/">Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 25. Head, Face, Neck, and Scalp

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.105(b)(c)
2. Second-Class: 14 CFR 67.205(b)(c)
3. Third-Class: 14 CFR 67.305(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 26. Nose

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.105(b)(c)
2. Second-Class: 14 CFR 67.205(b)(c)
3. Third-Class: 14 CFR 67.305(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item26/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 27. Sinuses

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.105(b)(c)
2. Second-Class: 14 CFR 67.205(b)(c)
3. Third-Class: 14 CFR 67.305(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 28. Mouth and Throat

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.105(b)(c)
2. Second-Class: 14 CFR 67.205(b)(c)
3. Third-Class: 14 CFR 67.305(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 29. Ear

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.105(b)(c)
2. Second-Class: 14 CFR 67.205(b)(c)
3. Third-Class: 14 CFR 67.305(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

III. Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 30. Ear Drums

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.105(b)(c)
2. Second-Class: 14 CFR 67.205(b)(c)
3. Third-Class: 14 CFR 67.305(b)(c)

FAA Approved Examination Techniques Used by FAA Designated AMEs

III. Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 31. Eyes

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(e)
2. Second-Class: 14 CFR 67.203(e)
3. Third-Class: 14 CFR 67.303(d)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item31/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 32. Ophthalmoscopic

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(e)
2. Second-Class: 14 CFR 67.203(e)
3. Third-Class: 14 CFR 67.303(d)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item32/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 33. Pupils

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(e)
2. Second-Class: 14 CFR 67.203(e)
3. Third-Class: 14 CFR 67.303(d)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item33/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 34. Ocular Motility

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.103(e)
2. Second-Class: 14 CFR 67.203(e)
3. Third-Class: 14 CFR 67.303(d)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item34/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 35. Lungs and Chest

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 36. Heart

1. Electronic Code of Federal Regulations - Medical Standards and Certification
• First-Class: 14 CFR 67.111(a)(b)(c)
• Second-Class: 14 CFR 67.211(a)(b)(c)(d)(e)(f)
• Third-Class: 14 CFR 67.311(a)(b)(c)(d)(e)(f)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 37. Vascular System

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item37/amd/">Aerospace Medical Dispositions

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 38. Abdomen and Viscera

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 39. Anus

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(a)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs
3. No Aerospace Medical Disposition exists

Guide for Aviation Medical Examiners
Application Process for Medical Certification

Exam Techniques and Criteria for Qualification
Item 40. Skin

1. Code of Federal Regulations
1. First-Class: 14 CFR 67.113(b)(c)
2. Second-Class: 14 CFR 67.213(b)(c)
3. Third-Class: 14 CFR 67.313(b)(c)
2. FAA Approved Examination Techniques Used by FAA Designated AMEs

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III. Aerospace Medical Dispositions

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

Exam Techniques and Criteria for Qualification

The AME must personally conduct the physical examination. This section provides guidance for completion of Items 21-58 of the Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate, FAA Form 8500-8.

The AME must carefully read the applicant's history page of FAA Form 8500-8 (Items 1-20) before conducting the physical examination and completing the Report of Medical Examination. This alerts the AME to possible pathological findings.

The AME must note in Item 60 of the FAA Form 8500-8 any condition found in the course of the examination. The AME must list the facts, such as dates, frequency, and severity of occurrence.

When a question arises, the Federal Air Surgeon encourages AMEs first to check this Guide for Aviation Medical Examiners and other FAA informational documents. If the question remains unresolved, the AME should seek advice from a RFS or the Manager of the AMCD.

After all routine evaluations and tests are completed, the AME should make a complete review of FAA Form 8500-8. If the form is complete and accurate, the AME should add final comments, make qualification decision statements, and sign the declaration. The medical history page of FAA Form 8500-8 must be completed in the handwriting of and signed and dated by the applicant. Upon completion of the physical examination, the entire FAA Form 8500-8, Items 1 through 64, must be electronically transmitted to the FAA.

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Go Find an AME

Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

25. Head, Face, Neck, and Scalp	42. Upper and Lower Extremities
26. Nose	43. Spine and other Musculoskeletal
27. Sinuses	44. Identifying Body Marks, Scars, Tattoos
28. Mouth and Throat	45. Lymphatics
29. Ear	46. Neurologic
30. Ear Drums	47. Psychiatric Conditions
31. Eyes	48. General Systemic
32. Ophthalmoscopic	49. Hearing
33. Pupils	50. Distant Vision
34. Ocular Motility	51. Near and Intermediate Vision
35. Lungs and Chest	52. Color Vision
36. Heart	53. Field of Vision
37. Vascular System	54. Heterophoria
38. Abdomen and Viscera	55. Blood Pressure
39. Anus (No Disposition)	56. Pulse
40. Skin	57. Urinalysis
41. G-U System	58. ECG (No Disposition)

Go Find an AME

Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

Go Find an AME