Title 14: Aeronautics and Space
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PART 67—MEDICAL STANDARDS AND CERTIFICATION
Section Contents
Subpart A—General
§ 67.1 Applicability.
§ 67.3 Issue.
§ 67.4 Application.
§ 67.7 Access to the National Driver Register.
Subpart B—First-Class Airman Medical Certificate
§ 67.101 Eligibility.
§ 67.103 Eye.
§ 67.105 Ear, nose, throat, and equilibrium.
§ 67.107 Mental.
§ 67.109 Neurologic.
§ 67.111 Cardiovascular.
§ 67.113 General medical condition.
§ 67.115 Discretionary issuance.
Subpart C—Second-Class Airman Medical Certificate
§ 67.201 Eligibility.
§ 67.203 Eye.
§ 67.205 Ear, nose, throat, and equilibrium.
§ 67.207 Mental.
§ 67.209 Neurologic.
§ 67.211 Cardiovascular.
§ 67.213 General medical condition.
§ 67.215 Discretionary issuance.
Subpart D—Third-Class Airman Medical Certificate
§ 67.301 Eligibility.
§ 67.303 Eye.
§ 67.305 Ear, nose, throat, and equilibrium.
§ 67.307 Mental.
§ 67.309 Neurologic.
§ 67.311 Cardiovascular.
§ 67.313 General medical condition.
§ 67.315 Discretionary issuance.
Subpart E—Certification Procedures
§ 67.401 Special issuance of medical certificates.
§ 67.403 Applications,
certificates, logbooks, reports, and records: Falsification,
reproduction, or alteration; incorrect statements.
§ 67.405 Medical examinations: Who may perform?
§ 67.407 Delegation of authority.
§ 67.409 Denial of medical certificate.
§ 67.411 [Reserved]
§ 67.413 Medical records.
§ 67.415 Return of medical certificate after suspension or revocation.
Authority:
49 U.S.C. 106(g), 40113, 44701–44703, 44707, 44709–44711, 45102–45103, 45301–45303.
Source:
Docket No. 27940, 61 FR 11256, Mar. 19, 1996, unless otherwise noted.Subpart A—General
top§ 67.1 Applicability.
top
This part prescribes the medical standards and certification procedures
for issuing medical certificates for airmen and for remaining eligible
for a medical certificate.
§ 67.3 Issue.
top
A person who meets the medical standards prescribed in this part, based
on medical examination and evaluation of the person's history and
condition, is entitled to an appropriate medical certificate.
[Doc. No. FAA–2007–27812, 73 FR 43065, July 24, 2008]
§ 67.4 Application.
top An applicant for first-, second- and third-class medical certification must:
(a) Apply on a form and in a manner prescribed by the Administrator;
(b) Be examined by an aviation medical examiner designated in accordance
with part 183 of this chapter. An applicant may obtain a list of
aviation medical examiners from the FAA Office of Aerospace Medicine
homepage on the FAA Web site, from any FAA Regional Flight Surgeon, or
by contacting the Manager of the Aerospace Medical Education Division,
P.O. Box 26200, Oklahoma City, Oklahoma 73125.
(c) Show proof
of age and identity by presenting a government-issued photo
identification (such as a valid U.S. driver's license, identification
card issued by a driver's license authority, military identification,
or passport). If an applicant does not have government-issued
identification, he or she may use non-photo, government-issued
identification (such as a birth certificate or voter registration card)
in conjunction with photo identification (such as a work identification
card or a student identification card).
[Doc. No. FAA–2007–27812, 73 FR 43065, July 24, 2008]
§ 67.7 Access to the National Driver Register.
top
At the time of application for a certificate issued under this part,
each person who applies for a medical certificate shall execute an
express consent form authorizing the Administrator to request the chief
driver licensing official of any state designated by the Administrator
to transmit information contained in the National Driver Register about
the person to the Administrator. The Administrator shall make
information received from the National Driver Register, if any,
available on request to the person for review and written comment.
Subpart B—First-Class Airman Medical Certificate
top§ 67.101 Eligibility.
top
To be eligible for a first-class airman medical certificate, and to
remain eligible for a first-class airman medical certificate, a person
must meet the requirements of this subpart.
§ 67.103 Eye.
top Eye standards for a first-class airman medical certificate are:
(a) Distant visual acuity of 20/20 or better in each eye separately,
with or without corrective lenses. If corrective lenses (spectacles or
contact lenses) are necessary for 20/20 vision, the person may be
eligible only on the condition that corrective lenses are worn while
exercising the privileges of an airman certificate.
(b) Near
vision of 20/40 or better, Snellen equivalent, at 16 inches in each eye
separately, with or without corrective lenses. If age 50 or older, near
vision of 20/40 or better, Snellen equivalent, at both 16 inches and 32
inches in each eye separately, with or without corrective lenses.
(c) Ability to perceive those colors necessary for the safe performance of airman duties.
(d) Normal fields of vision.
(e) No acute or chronic pathological condition of either eye or adnexa
that interferes with the proper function of an eye, that may reasonably
be expected to progress to that degree, or that may reasonably be
expected to be aggravated by flying.
(f) Bifoveal fixation and
vergence-phoria relationship sufficient to prevent a break in fusion
under conditions that may reasonably be expected to occur in performing
airman duties. Tests for the factors named in this paragraph are not
required except for persons found to have more than 1 prism diopter of
hyperphoria, 6 prism diopters of esophoria, or 6 prism diopters of
exophoria. If any of these values are exceeded, the Federal Air Surgeon
may require the person to be examined by a qualified eye specialist to
determine if there is bifoveal fixation and an adequate vergence-phoria
relationship. However, if otherwise eligible, the person is issued a
medical certificate pending the results of the examination.
§ 67.105 Ear, nose, throat, and equilibrium.
top Ear, nose, throat, and equilibrium standards for a first-class airman medical certificate are:
(a) The person shall demonstrate acceptable hearing by at least one of the following tests:
(1) Demonstrate an ability to hear an average conversational voice in a
quiet room, using both ears, at a distance of 6 feet from the examiner,
with the back turned to the examiner.
(2) Demonstrate an
acceptable understanding of speech as determined by audiometric speech
discrimination testing to a score of at least 70 percent obtained in
one ear or in a sound field environment.
(3) Provide acceptable
results of pure tone audiometric testing of unaided hearing acuity
according to the following table of worst acceptable thresholds, using
the calibration standards of the American National Standards Institute,
1969 (11 West 42d Street, New York, NY 10036):
| Frequency (Hz) | 500 Hz | 1000 Hz | 2000 Hz | 3000 Hz |
|---|
| Better ear (Db) | 35 | 30 | 30 | 40 |
| Poorer ear (Db) | 35 | 50 | 50 | 60 |
(b) No disease or condition of the middle or internal ear, nose, oral cavity, pharynx, or larynx that—
(1) Interferes with, or is aggravated by, flying or may reasonably be expected to do so; or
(2) Interferes with, or may reasonably be expected to interfere with, clear and effective speech communication.
(c) No disease or condition manifested by, or that may reasonably be
expected to be manifested by, vertigo or a disturbance of equilibrium.
§ 67.107 Mental.
top Mental standards for a first-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.
(2) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which:
(i) The individual has manifested delusions, hallucinations, grossly
bizarre or disorganized behavior, or other commonly accepted symptoms
of this condition; or
(ii) The individual may reasonably be
expected to manifest delusions, hallucinations, grossly bizarre or
disorganized behavior, or other commonly accepted symptoms of this
condition.
(3) A bipolar disorder.
(4) Substance
dependence, except where there is established clinical evidence,
satisfactory to the Federal Air Surgeon, of recovery, including
sustained total abstinence from the substance(s) for not less than the
preceding 2 years. As used in this section—
(i) “Substance”
includes: Alcohol; other sedatives and hypnotics; anxiolytics; opioids;
central nervous system stimulants such as cocaine, amphetamines, and
similarly acting sympathomimetics; hallucinogens; phencyclidine or
similarly acting arylcyclohexylamines; cannabis; inhalants; and other
psychoactive drugs and chemicals; and
(ii) “Substance
dependence” means a condition in which a person is dependent on a
substance, other than tobacco or ordinary xanthine-containing (e.g.,
caffeine) beverages, as evidenced by—
(A) Increased tolerance;
(B) Manifestation of withdrawal symptoms;
(C) Impaired control of use; or
(D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.
(b) No substance abuse within the preceding 2 years defined as:
(1) Use of a substance in a situation in which that use was physically
hazardous, if there has been at any other time an instance of the use
of a substance also in a situation in which that use was physically
hazardous;
(2) A verified positive drug test result, an alcohol
test result of 0.04 or greater alcohol concentration, or a refusal to
submit to a drug or alcohol test required by the U.S. Department of
Transportation or an agency of the U.S. Department of Transportation; or
(3) Misuse of a substance that the Federal Air Surgeon, based on case
history and appropriate, qualified medical judgment relating to the
substance involved, finds—
(i) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(ii) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
(c) No other personality
disorder, neurosis, or other mental condition that the Federal Air
Surgeon, based on the case history and appropriate, qualified medical
judgment relating to the condition involved, finds—
(1) Makes
the person unable to safely perform the duties or exercise the
privileges of the airman certificate applied for or held; or
(2) May reasonably be expected, for the maximum duration of the airman
medical certificate applied for or held, to make the person unable to
perform those duties or exercise those privileges.
[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67–19, 71 FR 35764, June 21, 2006]
§ 67.109 Neurologic.
top Neurologic standards for a first-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) Epilepsy;
(2) A disturbance of consciousness without satisfactory medical explanation of the cause; or
(3) A transient loss of control of nervous system function(s) without satisfactory medical explanation of the cause.
(b) No other seizure disorder, disturbance of consciousness, or
neurologic condition that the Federal Air Surgeon, based on the case
history and appropriate, qualified medical judgment relating to the
condition involved, finds—
(1) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
§ 67.111 Cardiovascular.
top Cardiovascular standards for a first-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) Myocardial infarction;
(2) Angina pectoris;
(3) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant;
(4) Cardiac valve replacement;
(5) Permanent cardiac pacemaker implantation; or
(6) Heart replacement;
(b) A person applying for first-class medical certification must
demonstrate an absence of myocardial infarction and other clinically
significant abnormality on electrocardiographic examination:
(1) At the first application after reaching the 35th birthday; and
(2) On an annual basis after reaching the 40th birthday.
(c) An electrocardiogram will satisfy a requirement of paragraph (b) of
this section if it is dated no earlier than 60 days before the date of
the application it is to accompany and was performed and transmitted
according to acceptable standards and techniques.
§ 67.113 General medical condition.
top The general medical standards for a first-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of diabetes
mellitus that requires insulin or any other hypoglycemic drug for
control.
(b) No other organic, functional, or structural
disease, defect, or limitation that the Federal Air Surgeon, based on
the case history and appropriate, qualified medical judgment relating
to the condition involved, finds—
(1) Makes the person unable
to safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
(c) No medication or other
treatment that the Federal Air Surgeon, based on the case history and
appropriate, qualified medical judgment relating to the medication or
other treatment involved, finds—
(1) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
§ 67.115 Discretionary issuance.
top
A person who does not meet the provisions of §§67.103 through 67.113 may
apply for the discretionary issuance of a certificate under §67.401.
Subpart C—Second-Class Airman Medical Certificate
top§ 67.201 Eligibility.
top
To be eligible for a second-class airman medical certificate, and to
remain eligible for a second-class airman medical certificate, a person
must meet the requirements of this subpart.
§ 67.203 Eye.
top Eye standards for a second-class airman medical certificate are:
(a) Distant visual acuity of 20/20 or better in each eye separately,
with or without corrective lenses. If corrective lenses (spectacles or
contact lenses) are necessary for 20/20 vision, the person may be
eligible only on the condition that corrective lenses are worn while
exercising the privileges of an airman certificate.
(b) Near
vision of 20/40 or better, Snellen equivalent, at 16 inches in each eye
separately, with or without corrective lenses. If age 50 or older, near
vision of 20/40 or better, Snellen equivalent, at both 16 inches and 32
inches in each eye separately, with or without corrective lenses.
(c) Ability to perceive those colors necessary for the safe performance of airman duties.
(d) Normal fields of vision.
(e) No acute or chronic pathological condition of either eye or adnexa
that interferes with the proper function of an eye, that may reasonably
be expected to progress to that degree, or that may reasonably be
expected to be aggravated by flying.
(f) Bifoveal fixation and
vergence-phoria relationship sufficient to prevent a break in fusion
under conditions that may reasonably be expected to occur in performing
airman duties. Tests for the factors named in this paragraph are not
required except for persons found to have more than 1 prism diopter of
hyperphoria, 6 prism diopters of esophoria, or 6 prism diopters of
exophoria. If any of these values are exceeded, the Federal Air Surgeon
may require the person to be examined by a qualified eye specialist to
determine if there is bifoveal fixation and an adequate vergence-phoria
relationship. However, if otherwise eligible, the person is issued a
medical certificate pending the results of the examination.
§ 67.205 Ear, nose, throat, and equilibrium.
top Ear, nose, throat, and equilibrium standards for a second-class airman medical certificate are:
(a) The person shall demonstrate acceptable hearing by at least one of the following tests:
(1) Demonstrate an ability to hear an average conversational voice in a
quiet room, using both ears, at a distance of 6 feet from the examiner,
with the back turned to the examiner.
(2) Demonstrate an
acceptable understanding of speech as determined by audiometric speech
discrimination testing to a score of at least 70 percent obtained in
one ear or in a sound field environment.
(3) Provide acceptable
results of pure tone audiometric testing of unaided hearing acuity
according to the following table of worst acceptable thresholds, using
the calibration standards of the American National Standards Institute,
1969:
| Frequency (Hz) | 500 Hz | 1000 Hz | 2000 Hz | 3000 Hz |
|---|
| Better ear (Db) | 35 | 30 | 30 | 40 |
| Poorer ear (Db) | 35 | 50 | 50 | 60 |
(b) No disease or condition of the middle or internal ear, nose, oral cavity, pharynx, or larynx that—
(1) Interferes with, or is aggravated by, flying or may reasonably be expected to do so; or
(2) Interferes with, or may reasonably be expected to interfere with, clear and effective speech communication.
(c) No disease or condition manifested by, or that may reasonably be
expected to be manifested by, vertigo or a disturbance of equilibrium.
§ 67.207 Mental.
top Mental standards for a second-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.
(2) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which:
(i) The individual has manifested delusions, hallucinations, grossly
bizarre or disorganized behavior, or other commonly accepted symptoms
of this condition; or
(ii) The individual may reasonably be
expected to manifest delusions, hallucinations, grossly bizarre or
disorganized behavior, or other commonly accepted symptoms of this
condition.
(3) A bipolar disorder.
(4) Substance
dependence, except where there is established clinical evidence,
satisfactory to the Federal Air Surgeon, of recovery, including
sustained total abstinence from the substance(s) for not less than the
preceding 2 years. As used in this section—
(i) “Substance”
includes: Alcohol; other sedatives and hypnotics; anxiolytics; opioids;
central nervous system stimulants such as cocaine, amphetamines, and
similarly acting sympathomimetics; hallucinogens; phencyclidine or
similarly acting arylcyclohexylamines; cannabis; inhalants; and other
psychoactive drugs and chemicals; and
(ii) “Substance
dependence” means a condition in which a person is dependent on a
substance, other than tobacco or ordinary xanthine-containing (e.g.,
caffeine) beverages, as evidenced by—
(A) Increased tolerance;
(B) Manifestation of withdrawal symptoms;
(C) Impaired control of use; or
(D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.
(b) No substance abuse within the preceding 2 years defined as:
(1) Use of a substance in a situation in which that use was physically
hazardous, if there has been at any other time an instance of the use
of a substance also in a situation in which that use was physically
hazardous;
(2) A verified positive drug test result, an alcohol
test result of 0.04 or greater alcohol concentration, or a refusal to
submit to a drug or alcohol test required by the U.S. Department of
Transportation or an agency of the U.S. Department of Transportation; or
(3) Misuse of a substance that the Federal Air Surgeon, based on case
history and appropriate, qualified medical judgment relating to the
substance involved, finds—
(i) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(ii) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
(c) No other personality
disorder, neurosis, or other mental condition that the Federal Air
Surgeon, based on the case history and appropriate, qualified medical
judgment relating to the condition involved, finds—
(1) Makes
the person unable to safely perform the duties or exercise the
privileges of the airman certificate applied for or held; or
(2) May reasonably be expected, for the maximum duration of the airman
medical certificate applied for or held, to make the person unable to
perform those duties or exercise those privileges.
[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67–19, 71 FR 35764, June 21, 2006]
§ 67.209 Neurologic.
top Neurologic standards for a second-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) Epilepsy;
(2) A disturbance of consciousness without satisfactory medical explanation of the cause; or
(3) A transient loss of control of nervous system function(s) without satisfactory medical explanation of the cause;
(b) No other seizure disorder, disturbance of consciousness, or
neurologic condition that the Federal Air Surgeon, based on the case
history and appropriate, qualified medical judgment relating to the
condition involved, finds—
(1) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
§ 67.211 Cardiovascular.
top
Cardiovascular standards for a second-class medical certificate are no
established medical history or clinical diagnosis of any of the
following:
(a) Myocardial infarction;
(b) Angina pectoris;
(c) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant;
(d) Cardiac valve replacement;
(e) Permanent cardiac pacemaker implantation; or
(f) Heart replacement.
§ 67.213 General medical condition.
top The general medical standards for a second-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of diabetes
mellitus that requires insulin or any other hypoglycemic drug for
control.
(b) No other organic, functional, or structural
disease, defect, or limitation that the Federal Air Surgeon, based on
the case history and appropriate, qualified medical judgment relating
to the condition involved, finds—
(1) Makes the person unable
to safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
(c) No medication or other
treatment that the Federal Air Surgeon, based on the case history and
appropriate, qualified medical judgment relating to the medication or
other treatment involved, finds—
(1) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
§ 67.215 Discretionary issuance.
top
A person who does not meet the provisions of §§67.203 through 67.213 may
apply for the discretionary issuance of a certificate under §67.401.
Subpart D—Third-Class Airman Medical Certificate
top§ 67.301 Eligibility.
top
To be eligible for a third-class airman medical certificate, or to
remain eligible for a third-class airman medical certificate, a person
must meet the requirements of this subpart.
§ 67.303 Eye.
top Eye standards for a third-class airman medical certificate are:
(a) Distant visual acuity of 20/40 or better in each eye separately,
with or without corrective lenses. If corrective lenses (spectacles or
contact lenses) are necessary for 20/40 vision, the person may be
eligible only on the condition that corrective lenses are worn while
exercising the privileges of an airman certificate.
(b) Near
vision of 20/40 or better, Snellen equivalent, at 16 inches in each eye
separately, with or without corrective lenses.
(c) Ability to perceive those colors necessary for the safe performance of airman duties.
(d) No acute or chronic pathological condition of either eye or adnexa
that interferes with the proper function of an eye, that may reasonably
be expected to progress to that degree, or that may reasonably be
expected to be aggravated by flying.
§ 67.305 Ear, nose, throat, and equilibrium.
top Ear, nose, throat, and equilibrium standards for a third-class airman medical certificate are:
(a) The person shall demonstrate acceptable hearing by at least one of the following tests:
(1) Demonstrate an ability to hear an average conversational voice in a
quiet room, using both ears, at a distance of 6 feet from the examiner,
with the back turned to the examiner.
(2) Demonstrate an
acceptable understanding of speech as determined by audiometric speech
discrimination testing to a score of at least 70 percent obtained in
one ear or in a sound field environment.
(3) Provide acceptable
results of pure tone audiometric testing of unaided hearing acuity
according to the following table of worst acceptable thresholds, using
the calibration standards of the American National Standards Institute,
1969:
| Frequency (Hz) | 500 Hz | 1000 Hz | 2000 Hz | 3000 Hz |
|---|
| Better ear (Db) | 35 | 30 | 30 | 40 |
| Poorer ear (Db) | 35 | 50 | 50 | 60 |
(b) No disease or condition of the middle or internal ear, nose, oral cavity, pharynx, or larynx that—
(1) Interferes with, or is aggravated by, flying or may reasonably be expected to do so; or
(2) Interferes with clear and effective speech communication.
(c) No disease or condition manifested by, or that may reasonably be
expected to be manifested by, vertigo or a disturbance of equilibrium.
§ 67.307 Mental.
top Mental standards for a third-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.
(2) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which—
(i) The individual has manifested delusions, hallucinations, grossly
bizarre or disorganized behavior, or other commonly accepted symptoms
of this condition; or
(ii) The individual may reasonably be
expected to manifest delusions, hallucinations, grossly bizarre or
disorganized behavior, or other commonly accepted symptoms of this
condition.
(3) A bipolar disorder.
(4) Substance
dependence, except where there is established clinical evidence,
satisfactory to the Federal Air Surgeon, of recovery, including
sustained total abstinence from the substance(s) for not less than the
preceding 2 years. As used in this section—
(i) “Substance”
includes: alcohol; other sedatives and hypnotics; anxiolytics; opioids;
central nervous system stimulants such as cocaine, amphetamines, and
similarly acting sympathomimetics; hallucinogens; phencyclidine or
similarly acting arylcyclohexylamines; cannabis; inhalants; and other
psychoactive drugs and chemicals; and
(ii) “Substance
dependence” means a condition in which a person is dependent on a
substance, other than tobacco or ordinary xanthine-containing (e.g.,
caffeine) beverages, as evidenced by—
(A) Increased tolerance;
(B) Manifestation of withdrawal symptoms;
(C) Impaired control of use; or
(D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.
(b) No substance abuse within the preceding 2 years defined as:
(1) Use of a substance in a situation in which that use was physically
hazardous, if there has been at any other time an instance of the use
of a substance also in a situation in which that use was physically
hazardous;
(2) A verified positive drug test result, an alcohol
test result of 0.04 or greater alcohol concentration, or a refusal to
submit to a drug or alcohol test required by the U.S. Department of
Transportation or an agency of the U.S. Department of Transportation; or
(3) Misuse of a substance that the Federal Air Surgeon, based on case
history and appropriate, qualified medical judgment relating to the
substance involved, finds—
(i) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(ii) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
(c) No other personality
disorder, neurosis, or other mental condition that the Federal Air
Surgeon, based on the case history and appropriate, qualified medical
judgment relating to the condition involved, finds—
(1) Makes
the person unable to safely perform the duties or exercise the
privileges of the airman certificate applied for or held; or
(2) May reasonably be expected, for the maximum duration of the airman
medical certificate applied for or held, to make the person unable to
perform those duties or exercise those privileges.
[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67–19, 71 FR 35764, June 21, 2006]
§ 67.309 Neurologic.
top Neurologic standards for a third-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) Epilepsy;
(2) A disturbance of consciousness without satisfactory medical explanation of the cause; or
(3) A transient loss of control of nervous system function(s) without satisfactory medical explanation of the cause.
(b) No other seizure disorder, disturbance of consciousness, or
neurologic condition that the Federal Air Surgeon, based on the case
history and appropriate, qualified medical judgment relating to the
condition involved, finds—
(1) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
§ 67.311 Cardiovascular.
top
Cardiovascular standards for a third-class airman medical certificate
are no established medical history or clinical diagnosis of any of the
following:
(a) Myocardial infarction;
(b) Angina pectoris;
(c) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant;
(d) Cardiac valve replacement;
(e) Permanent cardiac pacemaker implantation; or
(f) Heart replacement.
§ 67.313 General medical condition.
top The general medical standards for a third-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of diabetes
mellitus that requires insulin or any other hypoglycemic drug for
control.
(b) No other organic, functional, or structural
disease, defect, or limitation that the Federal Air Surgeon, based on
the case history and appropriate, qualified medical judgment relating
to the condition involved, finds—
(1) Makes the person unable
to safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
(c) No medication or other
treatment that the Federal Air Surgeon, based on the case history and
appropriate, qualified medical judgment relating to the medication or
other treatment involved, finds—
(1) Makes the person unable to
safely perform the duties or exercise the privileges of the airman
certificate applied for or held; or
(2) May reasonably be
expected, for the maximum duration of the airman medical certificate
applied for or held, to make the person unable to perform those duties
or exercise those privileges.
§ 67.315 Discretionary issuance.
top
A person who does not meet the provisions of §§67.303 through 67.313 may
apply for the discretionary issuance of a certificate under §67.401.
Subpart E—Certification Procedures
top§ 67.401 Special issuance of medical certificates.
top
(a) At the discretion of the Federal Air Surgeon, an Authorization for
Special Issuance of a Medical Certificate (Authorization), valid for a
specified period, may be granted to a person who does not meet the
provisions of subparts B, C, or D of this part if the person shows to
the satisfaction of the Federal Air Surgeon that the duties authorized
by the class of medical certificate applied for can be performed
without endangering public safety during the period in which the
Authorization would be in force. The Federal Air Surgeon may authorize
a special medical flight test, practical test, or medical evaluation
for this purpose. A medical certificate of the appropriate class may be
issued to a person who does not meet the provisions of subparts B, C,
or D of this part if that person possesses a valid Authorization and is
otherwise eligible. An airman medical certificate issued in accordance
with this section shall expire no later than the end of the validity
period or upon the withdrawal of the Authorization upon which it is
based. At the end of its specified validity period, for grant of a new
Authorization, the person must again show to the satisfaction of the
Federal Air Surgeon that the duties authorized by the class of medical
certificate applied for can be performed without endangering public
safety during the period in which the Authorization would be in force.
(b) At the discretion of the Federal Air Surgeon, a Statement of
Demonstrated Ability (SODA) may be granted, instead of an
Authorization, to a person whose disqualifying condition is static or
nonprogressive and who has been found capable of performing airman
duties without endangering public safety. A SODA does not expire and
authorizes a designated aviation medical examiner to issue a medical
certificate of a specified class if the examiner finds that the
condition described on its face has not adversely changed.
(c)
In granting an Authorization or SODA, the Federal Air Surgeon may
consider the person's operational experience and any medical facts that
may affect the ability of the person to perform airman duties including—
(1) The combined effect on the person of failure to meet more than one requirement of this part; and
(2) The prognosis derived from professional consideration of all available information regarding the person.
(d) In granting an Authorization or SODA under this section, the Federal
Air Surgeon specifies the class of medical certificate authorized to be
issued and may do any or all of the following:
(1) Limit the duration of an Authorization;
(2) Condition the granting of a new Authorization on the results of subsequent medical tests, examinations, or evaluations;
(3) State on the Authorization or SODA, and any medical certificate
based upon it, any operational limitation needed for safety; or
(4) Condition the continued effect of an Authorization or SODA, and any
second- or third-class medical certificate based upon it, on compliance
with a statement of functional limitations issued to the person in
coordination with the Director of Flight Standards or the Director's
designee.
(e) In determining whether an Authorization or SODA
should be granted to an applicant for a third-class medical
certificate, the Federal Air Surgeon considers the freedom of an
airman, exercising the privileges of a private pilot certificate, to
accept reasonable risks to his or her person and property that are not
acceptable in the exercise of commercial or airline transport pilot
privileges, and, at the same time, considers the need to protect the
safety of persons and property in other aircraft and on the ground.
(f) An Authorization or SODA granted under the provisions of this
section to a person who does not meet the applicable provisions of
subparts B, C, or D of this part may be withdrawn, at the discretion of
the Federal Air Surgeon, at any time if—
(1) There is adverse change in the holder's medical condition;
(2) The holder fails to comply with a statement of functional
limitations or operational limitations issued as a condition of
certification under this section;
(3) Public safety would be endangered by the holder's exercise of airman privileges;
(4) The holder fails to provide medical information reasonably needed by
the Federal Air Surgeon for certification under this section; or
(5) The holder makes or causes to be made a statement or entry that is
the basis for withdrawal of an Authorization or SODA under §67.403.
(g) A person who has been granted an Authorization or SODA under this
section based on a special medical flight or practical test need not
take the test again during later physical examinations unless the
Federal Air Surgeon determines or has reason to believe that the
physical deficiency has or may have degraded to a degree to require
another special medical flight test or practical test.
(h) The
authority of the Federal Air Surgeon under this section is also
exercised by the Manager, Aeromedical Certification Division, and each
Regional Flight Surgeon.
(i) If an Authorization or SODA is withdrawn under paragraph (f) of this section the following procedures apply:
(1) The holder of the Authorization or SODA will be served a letter of withdrawal, stating the reason for the action;
(2) By not later than 60 days after the service of the letter of
withdrawal, the holder of the Authorization or SODA may request, in
writing, that the Federal Air Surgeon provide for review of the
decision to withdraw. The request for review may be accompanied by
supporting medical evidence;
(3) Within 60 days of receipt of a
request for review, a written final decision either affirming or
reversing the decision to withdraw will be issued; and
(4) A
medical certificate rendered invalid pursuant to a withdrawal, in
accordance with paragraph (a) of this section, shall be surrendered to
the Administrator upon request.
(j) An Authorization or SODA
granted under the provisions of this section to a person who does not
meet the applicable provisions of subparts B, C, or D of this part must
be in that person's physical possession or readily accessible in the
aircraft.
[Docket No. 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67–20, 73 FR 43066, July 24, 2008]
§ 67.403 Applications,
certificates, logbooks, reports, and records: Falsification,
reproduction, or alteration; incorrect statements.
top (a) No person may make or cause to be made—
(1) A fraudulent or intentionally false statement on any application for
a medical certificate or on a request for any Authorization for Special
Issuance of a Medical Certificate (Authorization) or Statement of
Demonstrated Ability (SODA) under this part;
(2) A fraudulent
or intentionally false entry in any logbook, record, or report that is
kept, made, or used, to show compliance with any requirement for any
medical certificate or for any Authorization or SODA under this part;
(3) A reproduction, for fraudulent purposes, of any medical certificate under this part; or
(4) An alteration of any medical certificate under this part.
(b) The commission by any person of an act prohibited under paragraph (a) of this section is a basis for—
(1) Suspending or revoking all airman, ground instructor, and medical certificates and ratings held by that person;
(2) Withdrawing all Authorizations or SODA's held by that person; and
(3) Denying all applications for medical certification and requests for Authorizations or SODA's.
(c) The following may serve as a basis for suspending or revoking a
medical certificate; withdrawing an Authorization or SODA; or denying
an application for a medical certificate or request for an
authorization or SODA:
(1) An incorrect statement, upon which
the FAA relied, made in support of an application for a medical
certificate or request for an Authorization or SODA.
(2) An
incorrect entry, upon which the FAA relied, made in any logbook,
record, or report that is kept, made, or used to show compliance with
any requirement for a medical certificate or an Authorization or SODA.
§ 67.405 Medical examinations: Who may perform?
top (a) First-class. Any
aviation medical examiner who is specifically designated for the
purpose may perform examinations for the first-class medical
certificate.
(b) Second- and third-class. Any aviation medical examiner may perform examinations for the second-or third-class medical certificate.
[Doc. No. FAA–2007–27812, 73 FR 43066, July 24, 2008]
§ 67.407 Delegation of authority.
top
(a) The authority of the Administrator under 49 U.S.C. 44703 to issue or
deny medical certificates is delegated to the Federal Air Surgeon to
the extent necessary to—
(1) Examine applicants for and holders
of medical certificates to determine whether they meet applicable
medical standards; and
(2) Issue, renew, and deny medical
certificates, and issue, renew, deny, and withdraw Authorizations for
Special Issuance of a Medical Certificate and Statements of
Demonstrated Ability to a person based upon meeting or failing to meet
applicable medical standards.
(b) Subject to limitations in
this chapter, the delegated functions of the Federal Air Surgeon to
examine applicants for and holders of medical certificates for
compliance with applicable medical standards and to issue, renew, and
deny medical certificates are also delegated to aviation medical
examiners and to authorized representatives of the Federal Air Surgeon
within the FAA.
(c) The authority of the Administrator under 49
U.S.C. 44702, to reconsider the action of an aviation medical examiner
is delegated to the Federal Air Surgeon; the Manager, Aeromedical
Certification Division; and each Regional Flight Surgeon. Where the
person does not meet the standards of §§67.107(b)(3) and (c),
67.109(b), 67.113(b) and (c), 67.207(b)(3) and (c), 67.209(b),
67.213(b) and (c), 67.307(b)(3) and (c), 67.309(b), or 67.313(b) and
(c), any action taken under this paragraph other than by the Federal
Air Surgeon is subject to reconsideration by the Federal Air Surgeon. A
certificate issued by an aviation medical examiner is considered to be
affirmed as issued unless an FAA official named in this paragraph
(authorized official) reverses that issuance within 60 days after the
date of issuance. However, if within 60 days after the date of issuance
an authorized official requests the certificate holder to submit
additional medical information, an authorized official may reverse the
issuance within 60 days after receipt of the requested information.
(d) The authority of the Administrator under 49 U.S.C. 44709 to
re-examine any civil airman to the extent necessary to determine an
airman's qualification to continue to hold an airman medical
certificate, is delegated to the Federal Air Surgeon and his or her
authorized representatives within the FAA.
§ 67.409 Denial of medical certificate.
top
(a) Any person who is denied a medical certificate by an aviation
medical examiner may, within 30 days after the date of the denial,
apply in writing and in duplicate to the Federal Air Surgeon,
Attention: Manager, Aeromedical Certification Division, AAM–300,
Federal Aviation Administration, P.O. Box 26080, Oklahoma City,
Oklahoma 73126, for reconsideration of that denial. If the person does
not ask for reconsideration during the 30-day period after the date of
the denial, he or she is considered to have withdrawn the application
for a medical certificate.
(b) The denial of a medical certificate—
(1) By an aviation medical examiner is not a denial by the Administrator under 49 U.S.C. 44703.
(2) By the Federal Air Surgeon is considered to be a denial by the Administrator under 49 U.S.C. 44703.
(3) By the Manager, Aeromedical Certification Division, or a Regional
Flight Surgeon is considered to be a denial by the Administrator under
49 U.S.C. 44703 except where the person does not meet the standards of
§§67.107(b)(3) and (c), 67.109(b), or 67.113(b) and (c); 67.207(b)(3)
and (c), 67.209(b), or 67.213(b) and (c); or 67.307(b)(3) and (c),
67.309(b), or 67.313(b) and (c).
(c) Any action taken under
§67.407(c) that wholly or partly reverses the issue of a medical
certificate by an aviation medical examiner is the denial of a medical
certificate under paragraph (b) of this section.
(d) If the
issue of a medical certificate is wholly or partly reversed by the
Federal Air Surgeon; the Manager, Aeromedical Certification Division;
or a Regional Flight Surgeon, the person holding that certificate shall
surrender it, upon request of the FAA.
§ 67.411 [Reserved]
top§ 67.413 Medical records.
top
(a) Whenever the Administrator finds that additional medical information
or history is necessary to determine whether you meet the medical
standards required to hold a medical certificate, you must:
(1) Furnish that information to the FAA; or
(2) Authorize any clinic, hospital, physician, or other person to
release to the FAA all available information or records concerning that
history.
(b) If you fail to provide the requested medical
information or history or to authorize its release, the FAA may
suspend, modify, or revoke your medical certificate or, in the case of
an applicant, deny the application for a medical certificate.
(c) If your medical certificate is suspended, modified, or revoked under
paragraph (b) of this section, that suspension or modification remains
in effect until you provide the requested information, history, or
authorization to the FAA and until the FAA determines that you meet the
medical standards set forth in this part.
[Doc. No. FAA–2007–27812, 73 FR 43066, July 24, 2008]
§ 67.415 Return of medical certificate after suspension or revocation.
top
The holder of any medical certificate issued under this part that is
suspended or revoked shall, upon the Administrator's request, return it
to the Administrator.
