Aviation Medical Examiner

Dr Justin Carter

PREPARING FOR A CLASS 1 MEDICAL


The examination will usually take about an hour and the medical certificate will usually be issued at the time of the examination.

There are 
requirements particular to class 1 medicals so please spend time preparing for your medical to minimise problems on the day.
You can compare your current medical certificate with the 
requirements table to determine if you’ll need extra tests at the medical (such as an ECG, audiogram or lipid blood test) and hence what the total cost of the medical will be.

Please use this checklist to prepare for the medical:
Please see the Covid Page or the CAA website or your employer (if applicable) for guidance on wether you wish to have or require a medical exam. If you plan to attend for a medical examination, please review this questionnaire and follow the instructions at the top of the page. If you have answered 'Yes' to the initial questions, please email me a copy of the completed questionnaire before the medical appointment. If not, there is no need to email me a copy, I will simply ask you to sign a copy when you arrive for the medical.

Please remember you will need to wear a face covering whilst inside the hospital. Im happy to supply you with a mask when we meet but you'll need some covering to reach the Cardiology Day Unit from the entrance.


1. Bring your passport or other form of photo ID such as a new style driving licence or airside pass.

2. Bring a 
completed Medical certificate application form.
(Don’t sign it until the medical)

3. Bring any current or expired medical certificate.

4. This step is important OPTICIANS REPORTS:
If you need an opticians report you will need to bring one to the examination.
If you need one but don’t have one, I won’t be able to issue you with a certificate on the day.
If you need an opticians report, take this form to an optician, ask them to examine you, complete it and bring it with you.
You could help the optician by completing your own demographics (sections 1-13 and 302). The optician doesn’t need to complete section 310. Their sections are 303 to 323 and then name and address at the bottom.

Simple guide to work out if you need an opticians report:
a) If you don’t wear glasses or contacts (or if you do but               
have a ‘weak‘ prescription), you won’t need a report.
b) If you wear glasses / contacts and have a ‘medium          
strength’ prescription, you’ll need a report 5 yearly.
c) If you wear glasses / contacts and have a ‘high          
strength’ prescription, you’ll need a report 2 yearly.

What counts as ‘weak’, ‘medium’ or ‘high’ prescriptions are summarised in this 
requirements spreadsheet, but you’ll need to know how many dioptres your current lenses are to use the calculator, so I suggest using the simple a,b,c guide above.

If you use eye correction and are in any doubt, just have an eyetest done - they are usually cost free.

5. If you have glasses, bring them (even if you wear contact lenses - we’ll check your eyes with and without glasses).

6. If you have any medical conditions or are on any medication (particularly new diagnoses or treatments) email me beforehand with details. I want to help you prepare for the medical to minimise problems on the day. The CAA produces flow charts for many conditions and these are widely
 available on the CAA website. If you have any of these conditions, you’ll need to comply with their requirements. Often a summary or report will be required from whichever doctor is managing the condition (see the section on submitting reports).

7. All class 1 pilots will need a finger prick haemoglobin blood test. Whilst I’m taking that blood we could use a drop to check your lipid profile. For some this is mandatory but for most it’s optional. So consider if you would like your lipid profile checking at the medical.  I’ll use the information to calculate your stroke and heart attack risk over the next decade and discuss strategies to reduce elevated risk.

8. If you would like a chaperone to be present during the medical, either bring someone with you or let me know beforehand if you’d like me to make arrangements for one.

9. Bring some means of paying (see
fees and paying page) unless you work for a company with whom I have an arrangement (such as Cobham).