FAA MEDICAL CERTIFICATION
Understand the exam types, prepare before your appointment, and choose the path that matches your flying privileges.
YOUR PREFLIGHT CHECKLIST
A few essentials to have ready before you arrive.
STEP 01
For your medical exam, complete the FAA application before your visit.
STEP 02
Bring your MedXPress confirmation number so your AME can locate the application.
STEP 03
Bring government-issued photo ID and glasses or contacts if you use them.
STEP 04
Bring requested medical reports, medication details, and relevant FAA correspondence.
Have a certification concern? A consultation can help you plan before beginning an exam or submitting MedXPress. Book a consultation →
FIND YOUR FLIGHT PATH
Find the FAA medical class that fits how you fly.
Airline / ATP
Airline transport pilot operations requiring a First Class medical.
Typical validity for this class*
Under 35: not routinely required. Ages 35–39: one baseline ECG at the first exam after reaching age 35. Age 40 and over: annually.
First-time FAA medical applicants need an FAA-approved, in-person computerized color vision test. See the returning-pilot exceptions below.
Commercial flying
Commercial pilot operations requiring a Second Class medical.
Typical validity for this class*
Not routinely required for this class. An AME may request an ECG when medical history or examination findings warrant it.
First-time FAA medical applicants need an FAA-approved, in-person computerized color vision test. See the returning-pilot exceptions below.
Private / recreational
Private and recreational flying when a medical certificate is required.
Typical validity for this class*
Not routinely required for this class. An AME may request an ECG when medical history or examination findings warrant it.
First-time FAA medical applicants need an FAA-approved, in-person computerized color vision test. See the returning-pilot exceptions below.
*Age is measured on the exam date. FAA validity guidance ↗ · FAA class guidance ↗
The computerized screening policy took effect January 1, 2025 and applies to all three medical classes. Returning pilots who previously passed an FAA-approved color vision test generally do not need routine retesting—including solely to upgrade a class. A first visit to this office is not the same as a first-ever FAA medical.
Prior color vision limitations, SODAs or Letters of Evidence have specific FAA pathways. Medical conditions or medications affecting color vision may require additional testing. Discuss your history with the AME. If screening cannot be completed or passed, FAA guidance may permit a restricted Third Class certificate rather than unrestricted certification.
An ECG can also be requested for any class when clinically indicated.
FAA sources: ECG requirements ↗ · Color vision screening & exceptions ↗ · Approved tests ↗
NOT SURE WHICH PATH TO TAKE?
Discuss a medical history, medication, prior deferral, or Special Issuance question before an examination. A consultation is guidance—not a medical certificate.
HAVE A MEDICAL QUESTION?
If you have a condition, medication, prior deferral, or other certification concern, review the knowledge library.
