Page Contents
Subtitle
Application Process for Medical Certification
FAA Form 8500-8 Entry Number
3
(Item Number on MedXPress Medical Application)
Description
The applicant's legal last, first, and middle name (or initial if appropriate) must be provided. Positive identification is required.
FlightPhysical.com Abbreviated Briefing
  • Don't forget your photo id when you get your flight physical.
  • Name should match this block
Content

Item 3 Full Name

-- Text box to enter Last Name

-- Text box to enter First Name

-- Text box to enter Middle Name

-- Dropdown list to select Suffix

NOTE that your last, first, and middle name is populated exactly as it appears in the Account -> My Account screen. Edits to your name must be made on the

My Account screen.

Additional Instruction:

Enter your legal name. If your name changed for any reason since the date of your most recent medical examination, list your current legal name in the General Explanations Pertaining to Medical History comment box (in the Medical History See 14 CFR §61.25 for the requirements for a change of name.

FlightPhysical's Staff Take Home Message
If necessary, review the section about positive identification. Applicants must show proof of age and identity, and Government-issued photo ID is preferred details...
Sources
MedXPress User Guide | Version 5.5 | June 2025