Document
14 CFR Ch. I (1–1–25 Edition) § 67.415 paragraph (b) of this section, that sus- (2) Advise pilots on identifying warn- pension or modification remains in ef- ing signs of potential serious medical fect until you provide the requested in- conditions; formation, history, or authorization to (3) Identify risk mitigation strategies the FAA and until the FAA determines for medical conditions; (4) Increase awareness of the impacts that you meet the medical standards of potentially impairing over-the- set forth in this part.
counter and prescription drug medica- [Docket FAA–2007–27812, 73 FR 43066, July 24, tions; 2008] (5) Encourage regular medical exami- nations and consultations with pri- § 67.415 Return of medical certificate mary care physicians; after suspension or revocation.
(6) Inform pilots of the regulations The holder of any medical certificate pertaining to the prohibition on oper- issued under this part that is sus- ations during medical deficiency and pended or revoked shall, upon the Ad- medically disqualifying conditions; and ministrator’s request, return it to the (7) Provide the checklist developed Administrator.
by the FAA in accordance with § 68.7.
(b) Upon successful completion of the PART 68—REQUIREMENTS FOR OP- medical education course, the fol- lowing items must be electronically ERATING CERTAIN SMALL AIR- provided to the individual seeking to CRAFT WITHOUT A MEDICAL act as pilot in command or serve as a CERTIFICATE required flightcrew member under the conditions and limitations of § 61.113(i) Sec.
of this chapter and transmitted to the 68.1 Applicability.
FAA— 68.3 Medical education course requirements.
(1) A certification of completion of 68.5 Comprehensive medical examination.
the medical education course, which 68.7 Comprehensive medical examination shall be retained in the individual’s checklist.
logbook and made available upon re- 68.9 Special Issuance process.
quest, and shall contain the individ- 68.11 Authority to require additional infor- ual’s name, address, and airman certifi- mation.
cate number; A UTHORITY : 49 U.S.C. 106(f), 44701–44703, sec.
(2) A release authorizing single ac- 2307 of Pub. L. 114–190, 130 Stat. 615 (49 U.S.C.
cess to the National Driver Register 44703 note); sec. 828 of Pub. L. 118–63, 138 through a designated State Depart- Stat. 1330 (49 U.S.C. 44703).
ment of Motor Vehicles to furnish to S OURCE : Docket FAA–2016–9157, Amdt. 68–1, the FAA information pertaining to the 82 FR 3165, Jan. 11, 2017, unless otherwise individual’s driving record; noted.
(3) A certification by the individual that the individual is under the care § 68.1 Applicability.
and treatment of a physician if the in- This part prescribes the medical edu- dividual has been diagnosed with any cation and examination requirements medical condition that may impact the for operating an aircraft under ability of the individual to fly, as re- § 61.113(i) of this chapter without hold- quired under § 61.23(c)(3) of this chap- ing a medical certificate issued under ter; part 67 of this chapter.
(4) A form that includes— (i) The name, address, telephone § 68.3 Medical education course re- number, and airman certificate number quirements.
of the individual; (a) The medical education course re- (ii) The name, address, telephone quired to act as pilot in command or number, and State medical license serve as a required flightcrew member number of the physician performing in an operation under § 61.113(i) of this the comprehensive medical examina- chapter must— tion; (1) Educate pilots on conducting med- (iii) The date of the comprehensive ical self-assessments; medical examination; and Federal Aviation Administration, DOT § 68.7 (iv) A certification by the individual (ii) The individual understands that that the checklist described in § 68.7 he or she is prohibited under FAA regu- was followed and signed by the physi- lations from acting as pilot in com- cian during the medical examination mand, or any other capacity as a re- required by this section; and quired flight crew member, if he or she (5) A statement, which shall be knows or has reason to know of any signed by the individual certifying that medical deficiency or medically dis- the individual understands the existing qualifying condition that would make prohibition on operations during med- the individual unable to operate the ical deficiency by stating: ‘‘I under- aircraft in a safe manner; and stand that I cannot act as pilot in com- (iii) The individual is aware of the mand, or any other capacity as a re- regulations pertaining to the prohibi- quired flight crew member, if I know or tion on operations during medical defi- have reason to know of any medical ciency and has no medically disquali- condition that would make me unable fying conditions in accordance with ap- to operate the aircraft in a safe man- plicable law; ner.’’.
(b) A section with instructions for the individual to provide the completed [Docket FAA–2016–9157, Amdt. 68–1, 82 FR 3165, Jan. 11, 2017, as amended by Docket checklist to the State-licensed physi- FAA–2021–1040, Amdt. 61–152, 87 FR 71236, cian performing the comprehensive Nov. 22, 2022] medical examination required under § 68.5; and § 68.5 Comprehensive medical exam- (c) A section, for the physician to ination.
complete, that instructs the physi- (a) Prior to the medical examination cian— required by § 61.23(c)(3) of this chapter, (1) To perform a clinical examination an individual must— of— (1) Complete the individual’s section (i) Head, face, neck, and scalp; of the checklist described in § 68.7; and (ii) Nose, sinuses, mouth, and throat; (2) Provide the completed checklist (iii) Ears, general (internal and ex- to the State-licensed physician per- ternal canals), and eardrums (perfora- forming the medical examination.
tion); (b) The physician must— (1) Conduct the medical examination (iv) Eyes (general), ophthalmoscopic, in accordance with the checklist set pupils (equality and reaction), and ocu- forth in § 68.7, lar motility (associated parallel move- (2) Check each item specified during ment, nystagmus); the examination; and (v) Lungs and chest (not including (3) Address, as medically appropriate, breast examination); every medical condition listed and any (vi) Heart (precordial activity, medications the individual is taking.
rhythm, sounds, and murmurs); (vii) Vascular system (pulse, ampli- § 68.7 Comprehensive medical exam- tude, and character, and arms, legs, ination checklist.
and others); The comprehensive medical examina- (viii) Abdomen and viscera (including tion required to conduct operations hernia); under § 61.113(i) must include a check- (ix) Anus (not including digital ex- list containing the following: amination); (a) A section, for the individual to (x) Skin; complete that contains— (xi) G–U system (not including pelvic (1) Boxes 3 through 13 and boxes 16 examination); through 19 of the FAA Form 8500–8 (3– (xii) Upper and lower extremities 99), or any successor form; and (strength and range of motion); (2) A signature line for the individual (xiii) Spine and other musculo- to affirm that— skeletal; (i) The answers provided by the indi- (xiv) Identifying body marks, scars, vidual on that checklist, including the and tattoos (size and location); individual’s answers regarding medical history, are true and complete; (xv) Lymphatics; 14 CFR Ch. I (1–1–25 Edition) § 68.9 (xvi) Neurologic (tendon reflexes, Authorization for Special Issuance of a equilibrium, senses, cranial nerves, and Medical Certificate for each of the fol- coordination, etc.); lowing: (xvii) Psychiatric (appearance, be- (1) A mental health disorder, limited havior, mood, communication, and to an established medical history or memory); clinical diagnosis of— (xviii) General systemic; (i) A personality disorder that is se- (xix) Hearing; vere enough to have repeatedly mani- (xx) Vision (distant, near, and inter- fested itself by overt acts; mediate vision, field of vision, color vi- (ii) A psychosis, defined as a case in sion, and ocular alignment); which an individual— (xxi) Blood pressure and pulse; and (A) Has manifested delusions, hallu- (xxii) Anything else the physician, in cinations, grossly bizarre or disorga- his or her medical judgment, considers nized behavior, or other commonly ac- necessary; cepted symptoms of psychosis; or (2) To exercise medical discretion to (B) May reasonably be expected to address, as medically appropriate, any manifest delusions, hallucinations, medical conditions identified, and to grossly bizarre or disorganized behav- exercise medical discretion in deter- ior, or other commonly accepted symp- mining whether any medical tests are toms of psychosis; warranted as part of the comprehensive (iii) A bipolar disorder; or medical examination; (iv) A substance dependence within (3) To discuss all drugs the individual the previous 2 years, as defined in reports taking (prescription and non- § 67.307(a)(4) of this chapter.
prescription) and their potential to (2) A neurological disorder, limited interfere with the safe operation of an to an established medical history or aircraft or motor vehicle; clinical diagnosis of any of the fol- (4) To sign the checklist, stating: ‘‘I lowing: certify that I discussed all items on (i) Epilepsy; this checklist with the individual dur- (ii) Disturbance of consciousness ing my examination, discussed any without satisfactory medical expla- medications the individual is taking nation of the cause; or that could interfere with his or her (iii) A transient loss of control of ability to safely operate an aircraft or nervous system functions without sat- motor vehicle, and performed an exam- isfactory medical explanation of the ination that included all of the items cause.
on this checklist. I certify that I am (3) A cardiovascular condition, lim- not aware of any medical condition ited to a one-time special issuance for that, as presently treated, could inter- each diagnosis of the following: fere with the individual’s ability to (i) Myocardial infarction; safely operate an aircraft.’’; and (ii) Coronary heart disease that has (5) To provide the date the com- required treatment; prehensive medical examination was (iii) Cardiac valve replacement; or completed, and the physician’s full (iv) Heart replacement.
name, address, telephone number, and (b) Special rule for cardiovascular con- State medical license number.
ditions. In the case of an individual with a cardiovascular condition, the [Docket FAA–2016–9157, Amdt. 68–1, 82 FR process for obtaining an Authorization 3165, Jan. 11, 2017, as amended by Docket FAA–2024–2580, Amdt. 68–3, 89 FR 90577, Nov. for Special Issuance of a Medical Cer- 18, 2024] tificate shall be satisfied with the suc- cessful completion of an appropriate § 68.9 Special Issuance process.
clinical evaluation without a manda- (a) General. An individual who has tory wait period.
met the qualifications to operate an (c) Special rule for mental health condi- aircraft under § 61.113(i) of this chapter tions. (1) In the case of an individual and is seeking to act as a pilot in com- with a clinically diagnosed mental mand or serve as a required flightcrew health condition, the ability to operate member under that section must have an aircraft under § 61.113(i) of this chap- completed the process for obtaining an ter shall not apply if— Federal Aviation Administration, DOT § 68.11 (i) In the judgment of the individual’s the duties or exercise the privileges re- State-licensed medical specialist, the quired to operate an aircraft under condition— § 61.113(i) of this chapter; or (A) Renders the individual unable to (ii) The individual’s driver’s license safely perform the duties or exercise is revoked by the issuing agency as a the airman privileges required to oper- result of a clinically diagnosed neuro- ate an aircraft under § 61.113(i) of this logical condition.
chapter; or (2) Subject to paragraph (d)(1) of this (B) May reasonably be expected to section, an individual clinically diag- make the individual unable to perform nosed with a neurological condition the duties or exercise the privileges re- shall certify every 2 years, in conjunc- quired to operate an aircraft under tion with the certification under § 61.113(i) of this chapter; or § 68.3(b)(3), that the individual is under the care of a State-licensed medical (ii) The individual’s driver’s license specialist for that neurological condi- is revoked by the issuing agency as a tion.
result of a clinically diagnosed mental health condition.
[Docket FAA–2016–9157, Amdt. 68–1, 82 FR (2) Subject to paragraph (c)(1) of this 3165, Jan. 11, 2017, as amended by Docket section, an individual clinically diag- FAA–2021–1040, Amdt. 61–152, 87 FR 71238, nosed with a mental health condition Nov. 22, 2022] shall certify every 2 years, in conjunc- § 68.11 Authority to require additional tion with the certification under information.
§ 68.3(b)(3), that the individual is under the care of a State-licensed medical (a) If the Administrator receives specialist for that mental health condi- credible or urgent information, includ- tion. ing from the National Driver Register (d) Special rule for neurological condi- or the Administrator’s Safety Hotline, tions. (1) In the case of an individual that reflects on an individual’s ability with a clinically diagnosed neuro- to safely operate an aircraft under logical condition, the ability to oper- § 61.113(i) of this chapter, the Adminis- ate an aircraft under § 61.113(i) of this trator may require the individual to chapter shall not apply if— provide additional information or his- (i) In the judgment of the individual’s tory so that the Administrator may de- State-licensed medical specialist, the termine whether the individual is safe condition— to continue operating under that sec- (A) Renders the individual unable to tion.
safely perform the duties or exercise (b) The Administrator may use cred- the airman privileges required to oper- ible or urgent information received ate an aircraft under § 61.113(i) of this under paragraph (a) to request an indi- chapter; or vidual to provide additional informa- tion or to take actions under 49 U.S.C.
(B) May reasonably be expected to 44709(b).
make the individual unable to perform