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Guide for Aviation Medical Examiners

Application Process for Medical Certification

Application Review - Item 62. Has Been Issued

The Examiner must check the proper box to indicate if the Medical Certificate has been issued. The Examiner must indicate denial or deferral by checking one of the two lower boxes. If denied, a copy of the Examiner's Letter of Denial (PDF) should be forwarded to the AMCD.

  1. Applicant's Refusal. When advised by an Examiner that further examination and/or medical records are needed, the applicant may elect not to proceed. The Examiner should note this in Block 60. No certificate should be issued and the Examiner should forward the application form to the AMCD, even if the application is incomplete.
  2. Anticipated Delay. When the Examiner anticipates a delay of more than 14 days in obtaining records or reports concerning additional examinations, the exam should be transmitted to AMCD with a note in Block 60 stating that additional information is still needed. The exam should be transmitted deferred. No medical certificate should be issued.
  3. Issuance. When the Examiner receives all the supplemental information requested and finds that the applicant meets all the FAA medical standards for the class sought, the Examiner should issue a medical certificate.
  4. Deferral. If, upon receipt of the information, the Examiner finds there is a need for even more information or there is uncertainty about the significance of the findings, certification should be deferred. The Examiner's concerns should be noted in Block 60 and the application transmitted as deferred to the AMCD for further consideration.
  5. Denial. When the Examiner concludes that the applicant is clearly ineligible for certification, the applicant should be denied, using the AME Letter of Denial. Use of this form will provide the applicant with the reason for the denial and with appeal rights and procedures.
    (See Medical Certification Decision Making)

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