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FAA Medical Exam

Aviation Medical Exams

Aviation Medical Examiner

Dr. Daniel Kogan

Dr. Daniel Kogan is an Aviation Medical Examiner (AME), providing professional and efficient FAA medical exams for airmen. 

Call us to schedule your exam and find out pricing information.

FAA Medical Exams We Offer

Second Class
Medical Certificate

Third Class
Medical Certificate

First Time Applicants

AME Consultation

Consider consulting an AME before your exam. New FAA policies may delay certification if you’re not fully prepared.

MedXPress Required

A MedXPress application is mandatory before your medical exam. 

Color Vision Update

Major changes to color vision testing take effect in 2025. Please review the FAQs below.

Frequently Asked Questions (FAQ)

As of January 1, 2025, the FAA has updated its color vision screening requirements for new applicants at all medical certificate levels. This change was driven by several factors, including the increased use of color displays, concerns that current tests may not be adequate for today’s and future color-rich environments, inconsistencies in test administration, incorrect testing by some Aviation Medical Examiners (AMEs), and an NTSB safety recommendation for commercial pilots. Advances in testing technology and the completion of evaluations at the Civil Aerospace Medical Institute also contributed to the decision.

For pilots currently holding a first, second, or third-class medical certificate who have previously passed a color vision test or have a Statement of Demonstrated Ability (SODA), additional color vision testing will not be required unless they develop a medical condition or take medication that could affect color vision. However, third-class pilots upgrading to a first or second-class certificate must undergo FAA-mandated color vision testing. If a pilot does not pass the approved screening, the AME will issue a medical certificate with the restriction: “Valid for day visual flight rules [VFR] only.”

Dr. Kogan does not perform exams under BasicMed. BasicMed is governed by 14 CFR part 68, whereas Aviation Medical Examiners (AMEs) conduct exams under 14 CFR part 67. Under BasicMed, a pilot’s treating physician, who is familiar with their medical history, can complete a Comprehensive Medical Examination Checklist (CMEC).

It is the pilot’s responsibility to understand the requirements of BasicMed, and the physician completing the CMEC must certify that they are familiar with FAA medical certification standards. For more details, visit: FAA BasicMed Information.

First Class

  • If under 40 years old, the certificate is valid for one year.
  • If 40 or older, it is valid for six months.
  • Requires 20/20 distant vision in each eye with correction, 20/40 intermediate vision (if over 50), and 20/40 near vision acuity.
  • Applicants over 35 must have an EKG at the initial exam and then annually after age 40.
  • Must demonstrate adequate depth perception, pass a minimum conversational voice test, and pass a color vision test.

Second Class

  • The certificate is valid for one year, regardless of age.
  • Requires 20/20 distant vision in each eye with correction, 20/40 intermediate vision (if over 50), and 20/40 near vision acuity.
  • Must demonstrate adequate depth perception, pass a minimum conversational voice test, and pass a color vision test.

Third Class

  • If under 40 years old, the certificate is valid for five years.
  • If 40 or older, it is valid for two years.
  • Requires 20/40 vision in both eyes with correction for distant and near vision.
  • Must pass a minimum conversational voice test and a color vision test.

At Medex, all applicants receive a professional vision screening as part of the examination.

FAA examinations are considered third-party requested exams and are not covered by medical insurance. However, some pilots have successfully used a Health Savings Account (HSA) to pay for their exam.

At Medex, this would not apply, as the practice is limited to FAA medical examinations. An Aviation Medical Examiner (AME) is a designee of the FAA, responsible for determining whether a medical certificate can be safely granted for aviation duties.

Since the AME does not act as a personal physician, no doctor-patient relationship exists, and there is no duty of confidentiality. Any medical information provided by the applicant must be disclosed to the FAA as required.

We are not permitted to make copies of medical certificates. Pilots must contact the FAA to request a duplicate medical certificate.

The FAA medical exam is a straightforward physical assessment designed to evaluate a pilot’s health history and overall fitness for flight. Most individuals in good health will pass, provided they do not have a disqualifying condition—primarily those affecting the heart, nervous system, mental stability, or involving substance abuse.

If you have a known health condition that may impact your ability to pass, consider contacting an AME before scheduling your exam. Obtaining any required tests or consultations in advance can save time.

To prepare for your exam:

  • If you take medications, provide the brand or generic name, dosage, and frequency of use. The FAA does not approve medications that affect mental status.
  • Be ready to provide the name, address, and dates of all physician visits in the past three years.
  • Pilot logbooks are not required; an estimate of total flight time is acceptable.
  • Complete your MedXpress application online before your appointment, as this information will be reviewed during your examination.

The FAA medical exam is a straightforward physical assessment designed to evaluate a pilot’s health history and overall fitness for flight. Most individuals in good health will pass, provided they do not have a disqualifying condition—primarily those affecting the heart, nervous system, mental stability, or involving substance abuse.

If you have a known health condition that may impact your ability to pass, consider contacting an AME before scheduling your exam. Obtaining any required tests or consultations in advance can save time.

To prepare for your exam:

  • If you take medications, provide the brand or generic name, dosage, and frequency of use. The FAA does not approve medications that affect mental status.
  • Be ready to provide the name, address, and dates of all physician visits in the past three years.
  • Pilot logbooks are not required; an estimate of total flight time is acceptable.
  • Complete your MedXpress application online before your appointment, as this information will be reviewed during your examination.

The FAA medical exam is a straightforward physical assessment designed to evaluate a pilot’s health history and overall fitness for flight. Most individuals in good health will pass, provided they do not have a disqualifying condition—primarily those affecting the heart, nervous system, mental stability, or involving substance abuse.

If you have a known health condition that may impact your ability to pass, consider contacting an AME before scheduling your exam. Obtaining any required tests or consultations in advance can save time.

To prepare for your exam:

  • If you take medications, provide the brand or generic name, dosage, and frequency of use. The FAA does not approve medications that affect mental status.
  • Be ready to provide the name, address, and dates of all physician visits in the past three years.
  • Pilot logbooks are not required; an estimate of total flight time is acceptable.
  • Complete your MedXpress application online before your appointment, as this information will be reviewed during your examination.

The FAA medical exam is a straightforward physical assessment designed to evaluate a pilot’s health history and overall fitness for flight. Most individuals in good health will pass, provided they do not have a disqualifying condition—primarily those affecting the heart, nervous system, mental stability, or involving substance abuse.

If you have a known health condition that may impact your ability to pass, consider contacting an AME before scheduling your exam. Obtaining any required tests or consultations in advance can save time.

To prepare for your exam:

  • If you take medications, provide the brand or generic name, dosage, and frequency of use. The FAA does not approve medications that affect mental status.
  • Be ready to provide the name, address, and dates of all physician visits in the past three years.
  • Pilot logbooks are not required; an estimate of total flight time is acceptable.
  • Complete your MedXpress application online before your appointment, as this information will be reviewed during your examination.

The FAA medical exam is a straightforward physical assessment designed to evaluate a pilot’s health history and overall fitness for flight. Most individuals in good health will pass, provided they do not have a disqualifying condition—primarily those affecting the heart, nervous system, mental stability, or involving substance abuse.

If you have a known health condition that may impact your ability to pass, consider contacting an AME before scheduling your exam. Obtaining any required tests or consultations in advance can save time.

To prepare for your exam:

  • If you take medications, provide the brand or generic name, dosage, and frequency of use. The FAA does not approve medications that affect mental status.
  • Be ready to provide the name, address, and dates of all physician visits in the past three years.
  • Pilot logbooks are not required; an estimate of total flight time is acceptable.
  • Complete your MedXpress application online before your appointment, as this information will be reviewed during your examination.

The FAA medical exam is a straightforward physical assessment designed to evaluate a pilot’s health history and overall fitness for flight. Most individuals in good health will pass, provided they do not have a disqualifying condition—primarily those affecting the heart, nervous system, mental stability, or involving substance abuse.

If you have a known health condition that may impact your ability to pass, consider contacting an AME before scheduling your exam. Obtaining any required tests or consultations in advance can save time.

To prepare for your exam:

  • If you take medications, provide the brand or generic name, dosage, and frequency of use. The FAA does not approve medications that affect mental status.
  • Be ready to provide the name, address, and dates of all physician visits in the past three years.
  • Pilot logbooks are not required; an estimate of total flight time is acceptable.
  • Complete your MedXpress application online before your appointment, as this information will be reviewed during your examination.

The FAA medical exam is a straightforward physical assessment designed to evaluate a pilot’s health history and overall fitness for flight. Most individuals in good health will pass, provided they do not have a disqualifying condition—primarily those affecting the heart, nervous system, mental stability, or involving substance abuse.

If you have a known health condition that may impact your ability to pass, consider contacting an AME before scheduling your exam. Obtaining any required tests or consultations in advance can save time.

To prepare for your exam:

  • If you take medications, provide the brand or generic name, dosage, and frequency of use. The FAA does not approve medications that affect mental status.
  • Be ready to provide the name, address, and dates of all physician visits in the past three years.
  • Pilot logbooks are not required; an estimate of total flight time is acceptable.
  • Complete your MedXpress application online before your appointment, as this information will be reviewed during your examination.

The FAA takes substance abuse and dependence very seriously. FAA systems have access to national databases containing public records, so these incidents cannot be concealed.

  • If a pilot is arrested for a DUI, they must report it to the FAA Security Division within 60 days of a conviction.
  • Any arrest (even without a conviction) must also be reported on the next flight physical application.
  • The AME is required to assess whether the pilot may have alcohol-related issues or a pattern of legal trouble. This includes reviewing arrest and court records from the jurisdiction where the incident occurred.

When can the AME issue a medical certificate?

If the incident is isolated and medical evidence supports it, the AME may issue the medical certificate—unless any of the following apply:

  1. Blood alcohol concentration (BAC) of 0.15 or higher
  2. Two DUI arrests within 10 years
  3. Three or more DUI arrests in a lifetime

What happens if these criteria are met?

The FAA will require the applicant to undergo a comprehensive Substance Abuse Evaluation before further consideration.

If you have concerns regarding a DUI or other legal issue, please email us so we can provide guidance and assist in navigating the FAA’s requirements, even if it requires deferral for FAA review.

If the ADD diagnosis occurred during childhood, and the applicant no longer takes medication and has no current symptoms, then the answer may be “yes.” However, the FAA requires documentation and a thorough explanation from the treating physician, confirming that the condition is no longer present and that ADD medications have not been used for a long time.

If the diagnosis is ongoing, the applicant must:

  1. Discontinue all ADD medications
  2. Undergo a rigorous cognitive evaluation by a board-certified clinical neuropsychologist

Before undergoing this evaluation, consult with an AME to ensure the testing follows FAA standards.

The FAA has updated its policies on depression, distinguishing between situational depression and ongoing depressive disorders requiring treatment.

Situational Depression (New Policy – May 2022)

  • AMEs can issue medical certificates if the depression was resolved more than five years ago, treatment lasted less than six months, and there is no history of self-harm, psychiatric hospitalization, or lingering symptoms.
  • If the episode occurred within the last five years, the AME must review detailed clinical records from the treating provider before issuing a certificate.

Depression Treated with SSRIs (Policy Effective April 5, 2010)

  • The FAA allows Special Issuance for mild to moderate depressive disorders, including major depressive disorder (mild to moderate), dysthymic disorder, and adjustment disorder with depressed mood.
  • Only single-agent SSRI medications are permitted: Fluoxetine (Prozac), Sertraline (Zoloft), Citalopram (Celexa), and Escitalopram (Lexapro).
  • Disqualifying conditions include psychosis, suicidal ideation, history of electroconvulsive therapy (ECT), use of multiple antidepressants, or prior multi-drug psychiatric treatment.

Certification Requirements

To qualify for Special Issuance, the applicant must:

  • Be symptom-free and stable for at least 12 months.
  • Be on a consistent medication dosage for at least 6 months.
  • Have no significant side effects affecting aeromedical fitness.

Required Reports for Initial Certification

  • Status report from treating psychiatrist confirming diagnosis, treatment duration, and side effects.
  • Personal statement from the pilot.
  • Letter from airline management (for first- and second-class certificate holders under FAR Parts 121 or 135).
  • Neurocognitive testing results, including assessments such as COGSCREEN AE, Stroop Test, Trails A/B, and Wisconsin Card Sorting Test.
  • HIMS-trained AME evaluation of psychiatric status and treatment.

Special Issuance Process

  • First-time Special Issuance applications are reviewed by the Chief Psychiatrist at the FAA Aerospace Medical Certification Division (AMCD) in Washington, D.C.
  • Approved pilots receive a time-limited certificate (6 or 12 months), with renewal managed by HIMS-trained AMEs.

Follow-up Evaluations

  • Status report from the treating physician required at each Special Issuance renewal.
  • Psychiatric consultation every 6 months for all certificate holders.
  • Letter from airline management every 3 months for first- and second-class holders under FAR Parts 121 or 135.
  • Annual psychometric testing for first- and second-class holders under FAR Parts 121 or 135; biennial testing for third-class holders.

For detailed FAA guidelines, consult an AME or HIMS-trained examiner before applying.

Schedule Your FAA Medical Exam with Dr. Daniel Kogan

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