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Guide for Aviation Medical Examiners

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Guide for Aviation Medical Examiners 2021 GUIDE FOR AVIATION MEDICAL EXAMINERS Welcome to the Guide for Aviation Medical Examiners. The format of this version of the Guide provides instant access to information regarding regulations, medical history, examination procedures, dispositions, and protocols necessary for completion of the FAA Form 8500-8, Application for Airman Medical Certificate. To navigate through the Guide PDF by Item number or subject matter, simply click on the “BOOKMARK” tab in the left column to search specific certification decision-making criteria. To expand any “BOOKMARK” files, click on the corresponding + button located in the front of the text. To collapse any of the expanded files, click on the + button again. The most current version of this guide may be found and downloaded at the following FAA site: http://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/ NOTE: Updates to the 2021 AME Guide are scheduled for the last Wednesday of each month, as indicated below. Please refer to the Archives section for a description of changes that are made. 2021 JANUARY 27 JULY 28 FEBRUARY 24 AUGUST 25 MARCH 31 SEPTEMBER 29 APRIL 28 OCTOBER 27 MAY 26 NOVEMBER 24 JUNE 30 DECEMBER – No updates LAST PUBLISHED: August 25, 2021 TABLE OF CONTENTS GENERAL INFORMATION .................................................................................. 5 1. Legal Responsibilities of Designated Aviation Medical Examiners ............... 6 2. Authority of Aviation Medical Examiners ....................................................... 7 3. Equipment Requirements .............................................................................. 7 4. Medical Certification Decision Making ........................................................ 11 5. Authorization for Special Issuance and AME Assisted Special Issuance (AASI) ............................................................................................................. 12 6. Privacy of Medical Information .................................................................... 15 7. Release of Information ................................................................................ 16 8. No "Alternate" Examiners Designated......................................................... 16 9. Who May Be Certified ................................................................................. 16 10. Classes of Medical Certificates ................................................................. 17 11. Operations Not Requiring a Medical Certificate ........................................ 17 12. Medical Certificates – AME Completion .................................................... 18 13. Validity of Medical Certificates .................................................................. 19 14. Title 14 CFR § 61.53, Prohibition on Operations During Medical Deficiency ........................................................................................................................ 20 15. Reexamination of an Airman ..................................................................... 20 16. Examination Fees ..................................................................................... 20 17. Replacement of Medical Certificates ......................................................... 21 18. Disposition of Applications and Medical Examinations ............................. 21 19. Protection and Destruction of Forms ......................................................... 22 20. Questions or Requests for Assistance ...................................................... 22 21. Airman Appeals ......................................................................................... 23 22. Medical Certificates Requested for any Situation or Job Other than a Pilot or Air Traffic Controller. ................................................................................... 26 APPLICATION FOR MEDICAL CERTIFICATION ............................................. 28 I. AME Guidance for Positive Identification of Airmen and Application Procedures ...................................................................................................... 29 II. Prior to the Examination .............................................................................. 29 (Updated 02/28/2018) ..................................................................................... 29 ITEMS 3-10. Identification .............................................................................. 31 ITEMS 11-12. Occupation; Employer ............................................................. 32 ITEM 13. Has Your FAA Airman Medical Certificate Ever Been Denied, Suspended, or Revoked?................................................................................ 32 ITEMS 14-15. Total Pilot Time ....................................................................... 33 ITEM 16. Date of Last FAA Medical Application ............................................ 33 ITEM 17.a. Do You Currently Use Any Medication (Prescription or NON prescription)? .................................................................................................. 33 ITEM 17.b. Do You Ever Use Near Vision Contact Lens(es) While Flying? ... 34 ITEM 18. Medical History ............................................................................... 34 ITEM 19. Visits to Health Professional Within Last 3 Years ............................ 39 ITEM 20. Applicant's National Driver Register and Certifying Declaration ...... 40 ITEMS 21-22. Height and Weight .................................................................. 42 Guide for Aviation Medical Examiners ____________________________________________________________________ ITEMS 23-24. Statement of Demonstrated Ability (SODA); SODA Serial Number ........................................................................................................... 44 AME PHYSICAL EXAMINATION INFORMATION ............................................ 45 ITEMS 25-30. Ear, Nose and Throat (ENT) ................................................... 46 ITEMS 31-34. Eye .......................................................................................... 55 ITEM 35. Lungs and Chest ............................................................................. 67 ITEM 36. Heart ................................................................................................ 74 ITEM 37. Vascular System.............................................................................. 98 ITEM 38. Abdomen and Viscera ................................................................... 101 ITEM 39. Anus .............................................................................................. 112 ITEM 40. Skin ............................................................................................... 113 ITEM 41. G-U System ................................................................................... 117 ITEMS 42-43. Musculoskeletal ..................................................................... 135 ITEM 44. Identifying Body Marks, Scars, Tattoos ......................................... 145 ITEM 45. Lymphatics .................................................................................... 146 ITEM 46. Neurologic ..................................................................................... 148 ITEM 47. Psychiatric ..................................................................................... 166 ITEM 48. General Systemic .......................................................................... 191 AME OFFICE-REQUIRED ANCILLARY TESTING ......................................... 212 ITEM 49. Hearing ......................................................................................... 213 ITEMS 50-54. Vision Testing (Updated 05/29/2019) ..................................... 217 ITEM 50. Distant Vision ................................................................................ 217 ITEM 51.a. Near Vision ................................................................................ 220 ITEM 51.b. Intermediate Vision .................................................................... 220 ITEM 52. Color Vision ................................................................................... 223 ITEM 53. Field of Vision ................................................................................ 230 ITEM 54. Heterophoria ................................................................................. 231 ITEM 55. Blood Pressure .............................................................................. 233 ITEM 56. Pulse ............................................................................................. 235 ITEM 57. Urine Test/Urinalysis ..................................................................... 235 ITEM 58. ECG ............................................................................................... 236 APPLICATION REVIEW .................................................................................. 241 ITEM 59. Other Tests Given ........................................................................ 242 ITEM 60. Comments on History and Findings.............................................. 243 ITEM 61. Applicant's Name .......................................................................... 244 ITEM 62. Has Been Issued .......................................................................... 244 ITEM 63. Disqualifying Defects .................................................................... 245 ITEM 64. Medical Examiner's
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