To obtain an FAA First Class Medical Certificate, follow these steps:
The FAA First Class Medical Certificate is required for airline transport pilots. It has the strictest standards, particularly regarding vision, hearing, and cardiovascular health. Ensure you meet these requirements before scheduling an appointment:
Vision: Distant vision must be 20/20 in each eye (with or without correction). Near and intermediate vision requirements vary with age.
Hearing: You must be able to hear a normal conversation from 6 feet away, with or without hearing aids.
Cardiovascular: For applicants over 40, periodic ECGs are required.
Find a local AME using the FAA's online directory:
FAA AME Locator
Visit FAA MedXPress to create an account and complete your application. You'll need:
Personal information (e.g., name, address, contact details).
Medical history (previous surgeries, medications, conditions).
Save the confirmation number once you submit the application.
Contact the AME’s office and book an appointment. Provide your MedXPress confirmation number during scheduling.
During your exam:
Bring your government-issued ID and any relevant medical documents (e.g., prescriptions, medical history summaries).
Expect checks for vision, hearing, heart health, and general physical condition.
If there are any conditions requiring further evaluation, you might need to provide additional documentation or undergo further testing.
If you meet all requirements, the AME will issue the First Class Medical Certificate on the spot. If further review is needed, the FAA will contact you.
Under 40 years old: Valid for 12 months.
40 years or older: Valid for 6 months (downgrades to a second-class certificate afterward for a specific period).
If you have concerns about meeting specific requirements, consider consulting an AME in advance to discuss your eligibility.