FAA Medical Certification

Aviation Medical Examiner (AME)

Dr. Brown wants you to pass your medical exam.  

I understand how important flying is to you because I am a also pilot and I own aircraft.  If you encounter any problems, the FAA, your personal physician and  I will work with you to resolve them and get you back in the air.  

As a physician and pilot based in Snohomish, I want you to be able to leave my office in with your FAA Medical Certificate in hand.  


Here are some recommendations that will facilitate your FAA medical exam.  

If you follow these suggestions, you will have the best chance of leaving my office with a current FAA Medical Certificate.

If you wear corrective lenses make sure you bring the most recent lenses to your appointment.

If you have a Special Issuance Medical Certificate, make sure you bring all the required medical reports AND the Special Issuance Letter to your appointment.

Visit MedXPress to Start

One of the first steps is to make sure you go to the FAA website and complete the FAA Form 8500-8.  

This form is no longer available in paper format and must be completed and submitted online prior to coming in for the medical exam.  It is very helpful if you can print out the form and bring it to your appointment with me.  

For more information visit the FAA Information page below:


Get a Confirmation Number!

You must have a Confirmation Number when you arrive for your Medical Exam.  Without this number little else can happen.  

You will receive a Confirmation Number when you "Submit" your 8500-8 Form.

The Confirmation Number will be automatically printed at the bottom of the 8500-8 Form when you print up the submitted form.


If you are taking any medication, make sure you call Dr. Brown before your exam.  

If you are taking an antidepressant such as an SSRI or medication for ADHD (for example, Adderal) , do not even start working on the FAA Form until you speak with Dr. Brown.  

(Call the Office number at 360-568-1541 #4 for his cell phone)

Medical Conditions

Check the CACI Worksheets if you have one of the 17 medical conditions listed below (or click on the link above to see the FAA site.

Make sure you meet the criteria set forth in the CACI Worksheets. 

Have your doctor look it over as well and help you determine whether or not you actually meet the criteria.

(Call the Office number at 360-568-1541 #4 for his cell phone)

Information for Pilots

Instructions for completion of Form 8500-8

  1. First you will need to go to the FAA's website:  MedXPress
  2. If you are already registered you may sign in.
  3. If you have never logged into this website, you will need to "Request an Account."
  4. This will take you to a page asking for your name, email address and other information.
  5. Once you enter this information and submit it, you will then have to go to your email and pick up the one-time password with which you will then re-enter the MedXPress site.
  6. Next, you will be asked to create a new password and login to the site to begin working on the FAA Form 8500-8.
  7. When you get to Item 19 you will be asked to add the physicians you've seen in the last 3 years.  Each physician only needs to be listed once; if there are multiple visits to one physician you can group them all in the "Remarks" section by way of explanation, i.e. "multiple visits for..."
  8. Once you've completed the form, you will need to "Submit" it after which you will be given a Confirmation Number, which is also printed at the bottom of the FAA Form 8500-8.

BasicMed Option (Not offered at this office)

This is a new program written by Congress that allows pilots to fly, with certain restrictions, without obtaining an FAA Medical Certificate.

The program began May 1, 2017, after which pilots may fly under BasicMed without an FAA Medical Certificate as long as they follow certain rules and restrictions.

The FAA summary page detailing BasicMed can be accessed by clicking the link:  BasicMed

Since BasicMed falls outside the purview of the FAA,  BasicMed IS NOT AVAILABLE  at this office.

I have included a link below to the FAA Advisory Circular (AC No. 68-1A) which authorizes BasicMed.

CACI - Conditions AME's Can Issue

These are currently 17 medical conditions whereby an AME may issue medical certificates that previously required an FAA decision.

All 17 CACI Worksheets are available for download below under "CACI Worksheets."  You can also find them on the FAA website:  CACI

If you have one of these conditions, you can look at the CACI Worksheet and have your doctor look it over to see if you meet the criteria set forth under each condition.  If you meet those conditions then you can have your doctor complete the "checklist" and sign the form so that you can bring it to the office at the time of your exam.

Medical Standards required for an FAA Medical Certificate

You can read about the synopsis of medical standards required by the FAA:  FAA Medical Standards

Medical Certificate Validity

You can review the FAA website for information on validity, or read the summary below:

First Class Medical:  Pilots under age 40:  Valid for one year; After 1 year Drops to 3rd Class, Valid for 4 additional years as a 3rd Class.

  • Pilots age 40 and older:  Valid for 6 months; After 6 months Class drops from 1st to 2nd Class for 6 months; After 1 year Drops to 3rd Class for 1 year

Second Class Medical:  Valid for one year for all ages.  After 1 year drops to 3rd Class for 4 years if under age 40; Age 40 or older after 1 year Drops to 3rd Class for one (1) year.

Third Class Medical:  Pilots under age 40:  Valid for 5 years (60 calendar months) from the date of the exam.

  • Pilots 40 yrs or older:  Valid for 2 years (24 calendar months) from the date of the exam.


  •  Unless otherwise directed by the FAA, the Examiner must deny or defer if  the applicant has a history of any of the conditions listed below.  
  • Some of these may be certified under the Special Issuance Program as long as certain conditions set by the FAA are met:

  1. Diabetes mellitus requiring  hypoglycemic medication; 
  2. Angina pectoris; 
  3. Coronary heart disease  that has been treated or, if untreated, that has been symptomatic or  clinically significant; 
  4. Myocardial infarction; 
  5. Cardiac valve  replacement; 
  6. Permanent cardiac pacemaker; 
  7. Heart replacement; 
  8. Psychosis; 
  9. Bipolar disorder; 
  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 and without satisfactory explanation of  cause, and 
  15. Transient loss of control of nervous system function(s)  without satisfactory explanation of cause.