Get Comprehensive Medical Examination Checklist - Faa

This guide provides clear and supportive instructions for completing the Comprehensive Medical Examination Checklist - Faa online. By following these steps, individuals can ensure they have all necessary information ready for their medical examination.

Follow the steps to fill out the Comprehensive Medical Examination Checklist - Faa online

1. Use the ‘Get Form’ button to access the checklist and open it in your preferred online editor.
2. Carefully read SECTION 1, which outlines important information for both the individual and the state-licensed physician. Make sure you understand the requirements under BasicMed.
3. Complete SECTION 2, which requires personal information. Provide your full name, permanent address, date of birth, country of citizenship, hair color, eye color, and occupation. Additionally, indicate if your FAA Airman Medical Certificate has ever been denied or suspended.
4. Indicate your type of airman certificate(s) held and enter details about any medications you currently use. Answer all medical history questions honestly, selecting 'Yes' or 'No' as appropriate.
5. In the 'Additional comments or explanation' box, provide further information related to any ‘Yes’ responses in SECTION 2, particularly regarding medical conditions or prior convictions.
6. After completing SECTION 2, review your answers. Then, ensure you sign and date the document to affirm the accuracy of the information provided.
7. Once all sections (SECTION 1-3) are completed, provide the entire checklist to a state-licensed physician for the required comprehensive medical examination.
8. After the examination, the physician will complete SECTION 3. Save, download, and print a copy of the finalized checklist for your records.

Start filling out the Comprehensive Medical Examination Checklist online today to ensure you meet all BasicMed requirements!