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Medical Certificate - Class Sought

FAA Airmen Medical Exam Items 1-2

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

Applicant History
Items 1-2. Application For, Class of Medical Certificate
Applied For

The applicant indicates whether the application is for an Airman Medical Certificate (white) or an Airman Medical and Student Pilot Certificate (yellow), and the class of medical certificate desired.

The class of medical certificate sought by the applicant is needed so that the appropriate medical standards may be applied. The class of certificate issued must correspond with that for which the applicant has applied.

The applicant may ask for a medical certificate of a higher class than needed for the type of flying or duties currently performed. For example, a student pilot may ask for a first-class medical certificate to see if he or she qualifies medically before entry into an aviation career.

The Examiner applies the standards appropriate to the class sought, not to the airman's duties - either performed or anticipated. The Examiner should never issue more than one certificate based on the same examination.

Other Portions of Applicant History:

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
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