Guide for Aviation Medical Examiners

Application Process for Medical Certification

Applicant History
Item 18. Medical History

Instructions for filling out Item 18 on the FAA Form 8500-8

 

Symptom/Condition Instructions
Letter Symptom/Condition
a Frequent or severe headaches
b Dizziness or fainting spells
c Unconsciousness for any reason
d Eye or vision trouble except glasses
e Hay fever or allergy
f Asthma or lung disease
g Heart or vascular trouble
h High or low blood pressure
i Stomach, liver, or intestinal trouble
j Kidney stone or blood in urine
k Diabetes
l Neurological disorders; epilepsy, seizures, stroke, paralysis, etc.
m Mental disorders of any sort; depression, anxiety, etc.
n Substance dependence; or failed a drug test ever; or substance abuse or use of illegal substance in the last 2 years
o Alcohol dependence or abuse
p Suicide attempt
q Motion sickness requiring medication
r Military medical discharge
s Medical rejection by military service
t Rejection for life or health insurance
u Admission to hospital
v History of Arrest(s), Conviction(s) and/or Administrative Action(s)
w History of nontraffic convictions
x Other illness, disability, or surgery
y Medical Disability Benefits

 

Last updated: Friday, June 20, 2014