Aviation Medical Examination History

This aviation medical history form meets FAA requirements for airman medical certification examinations conducted by Aviation Medical Examiners (AMEs). The form systematically documents conditions that may disqualify or require special issuance including cardiac disease, diabetes requiring medication, seizure disorders, mental health conditions, substance abuse history, and vision or hearing deficiencies. It captures detailed information about hospitalizations, surgeries, medications, and any previous FAA denials or deferrals that impact flight safety determinations.

Tailored for Aviation Medical Examiners, flight surgeons, and occupational medicine specialists, this template aligns with FAA Form 8500-8 requirements while providing digital efficiency. The form includes sections on alcohol and drug use, traffic violations, DUI history, and sleep disorders like obstructive sleep apnea that require special protocols. It documents current medications including psychoactive substances, supplements, and over-the-counter drugs that may affect pilot performance. The comprehensive questionnaire ensures accurate reporting for first class (airline transport pilots), second class (commercial pilots), and third class (private pilots) medical certification processes.