FAA Medical Standards, Protocols and Forms

Certificate Class

Pilot Type

First-Class

Airline Transport

Second-Class

Commercial

Third-Class

Private

DISTANT VISION 20/20 or better in each eye separately, with or without correction. 20/40 or better in each eye separately, with or without correction.
NEAR VISION 20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches.
INTERMEDIATE
VISION
20/40 or better in each eye separately (Snellen equivalent), with or without correction at age 50 and over, as measured at 32 inches. No requirement.
COLOR VISION Ability to perceive those colors necessary for safe performance of airmen duties.
HEARING Demonstrate hearing of an average conversational voice in a quiet room, using both ears at 6 feet, with the back turned to the examiner or pass one of the audiometric tests below.
AUDIOLOGY

Audiometric speech discrimination test: (Score at least 70% discrimination in one ear)
Pure tone audiometric test: Unaided, with thresholds no worse than:

                                             500Hz 1,000Hz 2,000Hz 3,000Hz
                      Better Ear         35Db     30Db     30Db     40Db
                      Worst Ear         35Db     50Db     50Db     60Db

EAR, NOSE, THROAT No ear disease or condition manifested by, or that may reasonably be expected to be manifested by, vertigo or a disturbance of speech or equilibrium.
BLOOD PRESSURE No specified values stated in the standards. 155/95 Maximum Allowed.
ELECTRO-CARDIOGRAM At age 35 & annually after age 40. Not routinely required.
MENTAL No diagnosis of psychosis, or bipolar disorder, or severe personality disorders.
SUBSTANCE DEPENDENCE & SUBSTANCE ABUSE A diagnosis or medical history of substance dependence is disqualifying unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. A history of substance abuse within the preceding 2 years is disqualifying. Substance includes alcohol and other drugs (i.e., PCP, sedatives and hypnotics, anxiolytics, marijuana, cocaine, opiods, amphetamines, hallucinogens, and other psychoactive drugs or chemicals.)
DISQUALIFYING
CONDITIONS

Airman with these conditions may still be eligible for "Special Issuance" of a medical certificate.

Examiner must disqualify if the applicant has a history of: (1) Diabetes mellitus requiring hypoglycemic medications; (2) Angina pectoris; (3) Coronary heart disease that has been treated or, if untreated, that has been symptomatic of clinically significant; (4) Myocardial infarction; (5) Cardiac valve replacement; (6) Permanent cardiac pacemaker; (7) Heart replacement; (8) Psychosis; (9) Bipolar disease; (10) Personality disorder that is severe enough to have repeatedly manifested itself by overt acts; (11) Substance dependence; (12) Substance abuse; (13) Epilepsy; (14) Disturbance of consciousness without satisfactory explanation of cause; and (15) Transient loss of control of nervous system function(s) without satisfactory explanation of cause.

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