Medical exam



The first step in the process is to contact us, so that we’ll be able to provide you with personal updates as the process goes on.

IAMC is specially approved medical facilities authorised to issue EASA medical certificates for pilots.

The examination and required tests take approximately half a day and appointments can be made directly through the IAMC. There are set charges for all examinations and tests.

What to take with you

If you wear glasses or contact lenses you must bring your most recent optician’s report along to the examination.

IAMC will be able to help you with any additional individual preparations you need to make before your appointment.

What to expect at your examination

You will need to complete the medical certificate application form. This is a signed declaration containing the following:

  • Facts about your medical history
  • Whether you have had a medical examination before, by whom and the result
  • Whether you have ever been assessed as unfit or had a medical certificate suspended or revoked

A medical examination may take from 3 to 4 hours.

The examination will include the following:

Medical history

These are a series of questions about medical history and any previous illness.  You will be asked about them, and if there is any major illness in your past, it is important to bring reports about it from your family doctor or treating specialist.  Appendicitis or a broken arm are not regarded as major illnesses.


Eyesight requirements are listed in the Class 1 Visual Standards guidance material.  If you wear glasses or contact lenses it is important to take your last optician's report along to the examination. An applicant may be assessed as fit with hypermetropia not exceeding +5.0 dioptres, myopia not exceeding -6.0 dioptres, astigmatism not exceeding 2.0 dioptres, and anisometropia not exceeding 2.0 dioptres, provided that optimal correction has been considered and no significant pathology is demonstrated.  Monocular visual acuities should be 6/6 or better. You will also need to pass an Ishihara test for the initial issue of a medical certificate. 

Physical examination

A general check that all is functioning correctly.  It will cover lungs, heart, blood pressure, stomach, limbs and nervous system

Electrocardiogram (ECG)

This measures the electrical impulses passing through your heart.  It can show disorders of the heart rhythm or of the conduction of the impulses, and sometimes it can show a lack of blood supplying the heart muscle.  Changes on an ECG require further investigation.  A report from a cardiologist and further tests (for example an exercise ECG) may need to be done.

Lung function test

This tests your ability to expel air rapidly from your lungs.  Abnormal lung function or respiratory problems, e.g. asthma will require reports by a specialist in respiratory disease (UK CAA Asthma guidance and Guidance for  Respiratory Reports).


A pure tone audiometry test will evaluate your hearing.  Applicants may not have a hearing loss of more than 35dB at any of the frequencies 500Hz, 1000Hz or 2000Hz, or more than 50dB at 3000Hz, in either ear separately.

Haemoglobin blood test

This is a finger prick blood test which measures the oxygen carrying capacity of the blood.  A low haemoglobin is called anaemia and will need further investigation.

Urine test

You will be asked to provide a sample of urine, so remember to attend for examination with a full bladder.  This tests for sugar (diabetes), protein or blood in the urine.


A finger prick blood test which is used in part to determine your risk of future heart and blood vessel disease.

Certificate issue

A medical certificate can be issued on the same day as the examination if all the standards are met.

Validity period

A Class 1 medical certificate is valid for 12 months, unless you are 40 or over and carry out single pilot commercial air transport operations carrying passengers; or you are over 60. In both cases, it is 6 months.



A medical certificate can be revalidated before it expires or renewed after it has expired.

Revalidation and renewal examinations should take less time than those required for initial issue and they may not require all the additional tests. This depends on when the last test was carried out, the type of certificate held and your age at examination.

You can take your revalidation examination up to 45 days before your certificate’s expiry date.

Expiry date for revalidated certificates

When you revalidate a medical certificate, the validity period following revalidation will be calculated from its original expiry date.


If you do not get your certificate revalidated in the 45 days leading up to its expiry date, you will need to have it renewed.

You can renew a Class 1 medical certificate by taking a renewal examination, subject to the following conditions:

  • If your certificate expired more than 2 years before your attempt to renew it, the examiner will need to assess your aero-medical records before carrying out the renewal examination
  • If your certificate expired more than 5 years before then you will have to follow the same process as for initial issue

Expiry date for renewed certificates

The expiry date is calculated from the date of your renewal examination.