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How to Prepare for Your FAA Medical Exam: A Practical Checklist for Pilots

Writer: Jenna Kim MD
Jenna Kim MD
Sep 22
2 min read

Updated: 2 days ago

Your FAA medical exam should be straightforward, but a little preparation can make a big difference. As an Aviation Medical Examiner (AME), I encourage pilots to take a few simple steps before arriving for their appointment.


1. Make Sure You're in Good Health

If you're sick with an acute illness, such as a cold or the flu, consider rescheduling your appointment until you've recovered.

If you have a chronic medical condition, such as asthma, high blood pressure, Crohn's disease, or depression, make sure it's under good control and that you're receiving appropriate care from your healthcare provider. If your condition requires FAA documentation, having the necessary records ready can help prevent delays in certification.


2. Complete Your MedXPress Application

Before your appointment, complete the FAA MedXPress application at https://medxpress.faa.gov/.

Save your login information and password! You'll need them again for future medical applications.

Have your MedXPress confirmation number ready when you arrive. You can bring a printed copy or simply show it on your mobile device.


3. Bring Your FAA Letters and Medical Records

If you've received a letter from the FAA, particularly a Special Issuance Authorization, bring it to your appointment.

If you have medical records relevant to your certification, consider bringing a laptop or tablet so you can easily show the documents to your AME. Alternatively, you can email the records to your AME before your appointment.


4. Avoid Energy Drinks Before Your Exam

Energy drinks and excessive caffeine can temporarily elevate your blood pressure and heart rate. Avoid consuming them immediately before your medical exam. Similarly, leave plenty of time to travel to the appointment. Rushing to make the appointment on time and anticipating possibly delays can elevate your blood pressure for obvious reasons (psychological stress).


5. Dress Comfortably

Wear comfortable clothing that is easy to remove if necessary when taking blood pressure measurements, showing surgical scars, etc.

If you're applying for a First-Class Medical Certificate and are age 35 or older, you may need an electrocardiogram (EKG). Wearing clothing that allows easy access to your chest will make the process more convenient.


6. Bring Your Glasses or Contact Lenses

If you use corrective lenses, bring your glasses or wear your contact lenses. Your vision will be tested as part of the FAA medical examination.


7. Stay Hydrated

You'll need to provide a urine sample during your exam. Drink enough water beforehand so you're able to provide a sample without unnecessary delays.


A Little Preparation Goes a Long Way

My goal as your AME is to make the FAA medical certification process as smooth and efficient as possible. Coming to your appointment healthy, prepared, and with the necessary documentation allows me to focus on what matters: getting you medically certified and back in the air.



Ready for your FAA medical exam?



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