Get Medical Assessment Form

Completing the Medical Assessment Form online can streamline your application process and ensure all necessary information is accurately submitted. Follow this guide to help you fill out the form correctly and efficiently.

Follow the steps to successfully complete your Medical Assessment Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the 'Applicant Details' section. Input your name, date of birth, and confirm if you have seen the last LAPL medical certificate. Also, provide the reference number if applicable, and indicate whether you are registered with a GP or practice.
3. Move to the 'Medical History Review' section. Confirm if your medical history has remained unchanged since your last LAPL medical certificate issue.
4. Next, complete the 'Examination Report' section as required. If this is your initial assessment, you are over 50 years old, or a clinical indication signals the need for examination, you will need to fill this out. Measure your height and weight and provide your uncorrected blood pressure reading.
5. In the clinical examination area, check each item including ears, eyes, lungs, heart, and abdomen. If there are any abnormalities, note them and indicate if a referral to an AME (Aviation Medical Examiner) is necessary.
6. Assess your visual acuity for distance and near vision. If correction is required to reach the standards, make sure to add the relevant limitation.
7. Provide details regarding your hearing and complete a urinalysis for glucose and protein. Check the applicable boxes.
8. In the 'GP Assessment and Declaration' section, indicate if you meet the medical standards and whether a limitation applies. If necessary, provide comments.
9. Finally, the GP must complete their declaration. Include the GP's name, signature, address, email, GMC number, date, and telephone number.
10. Once you have filled out the form, ensure all information is complete before saving changes, downloading a copy for your records, printing it, or sharing it as required.

Start filling out your Medical Assessment Form online today.