The 8500 8 is the faa s medical history and physical examination form. Is that at any time, or within a certain time frame. My dui was over 30 years ago when i was 16 years old 1986. Completes form 85008, application for airman medical certificate, by using the. Fill out the application for airman medical certificate online and print it out for free. To navigate through the guide pdf by item number or subject matter, simply click on the bookmark tab in the left column to search specific certification decisionmaking criteria. This section contains guidance for items on the medical history and general information page of faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate. Medical certification federal aviation administration. Legal responsibilities of designated aviation medical examiners title 49, united states code u. The following numbered instructions apply to the numbered headings on the application form that follows this page. Nearv the fastest, most trusted aeromedical faa service. There are several changes to faa form 8500 8, the application for a medical certificate you complete at the ames office. Faa form 8500 8 pdf the faa medxpress system allows anyone requesting an faa medical clearance or medical certificate to electronically complete an application.
Total cholesterol, hdl, ldl, and triglycerides after 12 to 16hour fast. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete the faa form 8500 8. Faa form 8500 19 04072006 supersedes previous edition. The records may be expunged, or not even available. Faa form 8500 19 110402 supersedes previous edition v.
Aam fillable fill online, printable, fillable, blank. To navigate through the guide pdf by item number or subject matter, simply click on. Hello, i have a few questions about the faa eye evaluation form 8500 7 and the statement of demonstrated ability process. To navigate through the guide pdf by item number or subject matter, simply click. Applicant must fill in completely numbers 1 through 20 of the application. Internal substance abuse branch aam210, will decide if the attendant. Faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate. Illumination should be 1025 foot candles f4 at 115 sec asa 100, but no more than f6. If not previously furnished to the faa, a copy of pertinent hospital records as well as out patient. The advanced tools of the editor will lead you through the editable pdf template. Instructions for completion of the application for airman. Pilots need only a valid email address to create a medxpress account to use faa medxpress. Welcome to the guide for aviation medical examiners.
Faa form 8500 14, ophthalmological evaluation for glaucoma. This is in response to a situation that arose recently. What exactly is the purpose of having the completed 8500 7 form to give to the ame. Faa form 8500 20, medical exemption petition operational questionnaire the following guidelines may also be useful in medical certification. The information on the attached faa form 85008, application for airman. Medxpress instruction federal aviation administration. Navaids alternative browsing for the ame guide pdf. Blood chemistries values and normal ranges of the laboratory. I would like to make you aware of two additions to the flight physical application faa form 8500 8. Discussion in medical topics started by darkstar, mar 5, 20.
Achieve accuracy in completing faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate. The ame reports the results of the medical examination, makes any comments and signs on the back side of the form page 4. The 8500 1 card provides sloan letters from 2020 to 20200 at 40 cm plus various aeronautical chart symbols and gures. Assist the applicant in the completion of the applicants history component of the faa form 8500 8 and check for errors or omissions. The way to complete the online faa form 8500 14 pdf on the internet. Department of transportation federal aviation administration, business, united states federal legal forms and united states legal forms. The faa medxpress system allows anyone requesting an faa medical clearance or medical certificate to electronically complete an application. Faa form 85008 download printable pdf or fill online. The ames office then inputs the applicants responses on the front of the form and its findings on the back of the. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot. Accident investigation and prevention avp210 provided a.
Use this stepbystep guideline to fill out the faa form 8500 14 promptly and with ideal precision. The following numbered instructions apply to the numbered headings on the 8500 8 application form. A medical certificate must never be issued to an applicant who refuses to answer item, page 26. Effects of training school type and examiner type on. What you need to know about question 18v on the faa 85008. Form 8500 8 form 8500 8 requires the pilot to complete and sign the front side of the form page 3. Form 85008 gathered during pilot medical recertification. Please note that the faa s official forms page can be found by clicking this hyperlink. Faa medxpress federal aviation administration pilot. Form 85008 application for airman medical certificate or.
Guide for aviation medical examiners version v february 2008. Electronically transmit the form after it is complete. Once the form is live, the ame and the faa can only approve or deny, there is no middle ground. Faa medxpress is a web application pilots must use to submit their certification applicant information items 1 through 20 of the faa form 8500 8. I was going to use that for making sure i reported. If you have received benefits, you will need to explain them in the explanation box. Federal aviation administration medxpress user guide. The ame reports the results of the medical examination, makes any comments, and signs on the back side of the form page 4. Tear off this cover sheet before submitting this form. Access to prior 85008s, and reporting prior doctor visits. They are adding a new item in the medical history, 18y. I had a carbon copy of my last 8500 8 which was paper, but i have since then misplaced it.
Administration faa medical requirements to hold a medical certificate or. Tips for reporting physician visits on the faa medical. Users guide for the federal aviation administration. Intentional falsification may also result in suspension or revocation of all airman, ground instructor, and medical. Instructions for completion of the application for airman medical certificate or airman medical and student pilot certificate, faa form 8500 8. Pilot certificate, faa form 8500 8 applicant must fill in completely numbers 1 through 20 of the application. Faa form 8500 8 accept what the agency is trying to doprotect everyones best faa form 8500 8 play by its lessthanperfect rules. Please consult an amas physician to determine if it might be appropriate to utilize one of the following. The application for an airman medical certificate faa form 8500 8 is used by the faa s office of aerospace medicine and their designated aviation medical examiners ames to record historical information provided by the pilot or controller applicant and. When i request a medical flight test from okc to receive my soda, do i. Review this history section carefully to understand the affirmations you must make. Faa 8500 7 title report of eye evaluation edition date march 01, 2006 orientation portrait unit of issue ea responsible office aam200 contact information shawna adkins shawna. The format of this version of the guide provides instant access to information regarding regulations, medical history, examination procedures, disposition, and protocols, necessary for completion of the faa form 8500 8, application for airman medical certificate or airman medical and.
Faa medical application 85008 pilot medical solutions. Department of justice doj for collection pursuant to 31 u. Faa form 85008, application for airman medical certificate or. The information entered into the faa medxpress online version of the form 8500 8, application for airman medical certificate or airman medical and student pilot certificate, is solicited under the authority of title 49, united states code u. If more space is required to respond to yes answers for numbers 17, 18, or 19. This is the question that asks for a yes or no response if the airman has a history of any arrests, convictions, and or administrative actions involving. The faa medxpress system allows anyone requiring an faa medical clearance or medical certificate to electronically complete the faa form 8500 8. Notice intentional falsification may result in federal criminal prosecution. Medical certificate to electronically complete the faa form 8500 8. The format of this version of the guide provides instant access to information regarding regulations, medical history, examination procedures, dispositions, and protocols necessary for completion of the faa form 8500 8, application for airman medical certificate.
Form 85008 application for airman medical certificate. Faa form 8500 8, application for airman medical certificate. Department of transportation federal aviation administration 800 independence avenue, sw washington, dc 20591 866 tell faa 866 8355322. Faa medxpress allows applicants to complete and submit their faa form 8500 8 online. Form 84208 application for pilot school certificate. Question 18v has caused airmen more aggravation than most other questions on the faa medical history. The current version of the pdf fillable inspection checklists are.
If the applicant answers yes, the examiner should counsel the applicant that. Faa form 8500 14 pdf fill out and sign printable pdf. Your signature at the bottom authorizes the faa to search the national drivers registry for violations involving alcohol or illegal drugs, for instance, so you may want to think twice about trying to conceal a. Faa form 8500 8 is often used in faa 8500 forms, u. Transportation sections 1099, 401a, 4470144703, and 44709 1994 formerly codified in.
Faa form 85008, application for airman medical certificate. I know on my 8500 8, i need to disclose the past 3 years of doctors visits. Form 8500 8 the form 8500 8 requires the controller to complete and sign the front side of the form page 3. I am going to create a new account and fill a new form. Download printable faa form 8500 8 in pdf the latest version applicable for 2020. Forred, im looking to reapply for a new first class medical this year.
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