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