FAA MEDICAL CERTIFICATION

FAA Medical Exams

Understand your FAA medical options, prepare for your appointment, and choose the certificate that fits the way you fly.

YOUR PREFLIGHT CHECKLIST

Prepare for a smooth appointment.

Have these essentials ready before your FAA medical exam.

STEP 01

Complete MedXPress

Complete your FAA medical application in MedXPress before your appointment.

STEP 02

Save your confirmation number

Bring your MedXPress confirmation number so your AME can access your application.

STEP 03

Bring the essentials

Bring a government-issued photo ID, plus your glasses or contact lenses if you use them.

STEP 04

Bring relevant medical records

If applicable, bring requested medical records, medication information, specialist reports, or FAA correspondence.

Have a medical condition, take a medication, or have questions about your certification? A consultation before your exam can help you understand what documentation may be needed and what to expect. Book a consultation →

FIND YOUR FLIGHT PATH

Compare FAA medical classes.

Find the FAA medical class that matches the type of flying you plan to do.

Airline / ATP

First Class

Airline transport pilot operations requiring a First Class medical.

How long this is valid*

Under age 4012 months

Age 40 and over6 months

ECG / EKG

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 color vision screening

First-time FAA medical applicants must complete an FAA-approved, in-person computerized color vision test. Returning pilots who previously passed an approved FAA color vision test generally do not need to repeat it.

Commercial flying

Second Class

Commercial pilot operations requiring a Second Class medical.

How long this is valid*

Under age 4012 months

Age 40 and over12 months

ECG / EKG

Not routinely required for this class.

First-time color vision screening

Private / recreational

Third Class

Private and recreational flying when a medical certificate is required.

How long this is valid*

Under age 4060 months

Age 40 and over24 months

ECG / EKG

Not routinely required for this class.

First-time color vision screening

*Age is measured on the exam date. FAA validity guidance ↗ · FAA class guidance ↗

Color vision: first-time vs. returning pilots

Since January 1, 2025, the FAA has required approved computerized color vision screening for first-time medical applicants. Pilots who previously passed an FAA-approved color vision test generally do not need routine retesting, including when upgrading medical class

FAA sources: ECG requirements ↗ · Color vision screening & exceptions ↗ · Approved tests ↗

NOT SURE WHICH PATH TO TAKE?

Start with a pilot consultation.

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?

Get Clear on Your FAA Medical Before the Exam

If you have a condition, medication, prior deferral, or other certification concern, review the knowledge library.

FAA Medical Exams

Prepare for a smooth appointment.

Complete MedXPress

Save your confirmation number

Bring the essentials

Bring relevant medical records

Compare FAA medical classes.

First Class

ECG / EKG

First-time color vision screening

Second Class

ECG / EKG

First-time color vision screening

Third Class

ECG / EKG

First-time color vision screening

Color vision: first-time vs. returning pilots

Start with a pilot consultation.

Get Clear on Your FAA Medical Before the Exam

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