faa medical reporting requirements

Washington, DC 20591 These cases require extensive cardiac and neurologic evaluations to arrive at a diagnosis. Also, a current report of either an IVP, KUB, or ultrasound indicating the absence of stones will be needed. The medical examiner can give you some general guidance, but if the FAA has any questions, they will contact you for clarification. What happens if I get caught flying without a medical? The content of the letter may be confusing and just a little intimidating, and it's then that we might begin to wonder just how the FAA medical certification process really works. Air Carriers are required to file a Form F 5800.1 (PDF) with the Pipeline and Hazardous Materials Safety Administration (PHMSA) for incidents that occur during commercial transportation of hazardous material or dangerous goods (loading, unloading, and temporary storage), under 49 CFR 171.16: For air incidents, copies of the F 5800.1 (PDF) report must be submitted to the FAA. Aircraft Owners & Pilots Association Find it free on the store. Official websites use .govA .gov website belongs to an official government organization in the United States. Fax: 405 954 4989 A suspension of your driver's license for refusing an alcohol test (e.g., "Breathalyzer Test") is a reportable motor vehicle action, whether you've actually been drinking or not. Whatever the mechanism, the result is the same: If your license is suspended, you must report it to the FAA within 60 days. This includes a suspension based on either failing a blood/breath test OR refusing to submit to a blood/breath test regarding an incident of operating a motor vehicle under the influence. These guidelines should encourage optimization of ATCS health, preserve careers and protect aviation safety. Your certificate will include a limitation that you wear corrective lenses while exercising privileges. You may hold a certificate that appears to be valid for up to 36 calendar months in accordance with FAR 61.23. Useful vision in only one eye (monocular vision) is one condition for which a medical flight test might be used. In order to use this Web API, the operator is required to have an approved and active external user account with FAA. If the FAA gets your records at least 60-75 days before expiration, you should have your new medical before the current one runs out. How long do I have to report my alcohol- and/or drug-related motor vehicle action (MVA)? No. Under this amended prompt settlement policy, the FAA will send an eligible individual who is the subject of an investigation for an apparent violation of 14 CFR 67.403(a)(1)-(4) a letter of investigation (LOI) that will offer the individual the opportunity to enter into a settlement agreement. Vertigo can come on quickly and last for up to 24 hours. That isn't good news for any pilot, but really bad news for a professional pilot. 14 C.F.R. Even though the letter doesn't say so, you can do your followup examination and testing up to 90 days before your current medical expires. When you renew your next medical, ask the AME to include a note requesting that the waiver be removed from your records. The Hazardous Materials Regulations (49 CFR 171.15 and 171.16) require you to report certain types of hazardous materials or dangerous goods incidents. Sometimes a diagnosis cannot be made. FAA Form 8500-7, REPORT OF EYE EVALUATION ver 3-06. Read the instruction sheet carefully before completing the application and refer to it as you fill out the form. Sometimes, though, additional information is needed, especially if the first records you send are incomplete or inconclusive, or if there are abnormal results indicated. Now, that makes it a little easier, right? Federal Aviation Administration What does this mean? This report is separate from the report on the medical application. 3643 (Jan. 25, 2022). Even as a commercial pilot participating in the DOT/FAA drug testing program, a drug test is done independent of an aviation medical examination. Your pharmacist can probably answer any questions about proper usage of a medication, possible adverse side effects or drug interactions. These cases also require a period of uneventful recovery and a current neurological evaluation before certificate eligibility can be established. AME (Aeromedical Examiner) Directory of physicians designated to provide pilot FAA Aeromedical Examinations. This is important to remember because if you develop a disqualifying condition that isn't amenable to special issuancesay, for example, epilepsy and report it, the FAA will ask for your medical to be surrendered. Official websites use .govA .gov website belongs to an official government organization in the United States. I received a letter from the Civil Aerospace Medical Institute, can your office assist me with their request for information? Aviation safety is foremost, and each medical history is evaluated on the basis of risk of incapacitation. FAA Airman Medical Certificates, commonly referred to as simply a medical, is required for all pilots to act as pilot-in-command (PIC), or as a required crew member, of an aircraft. A history of epilepsy can be considered for certification only if there has been at least a 10-year period since the last seizure, and at least 10 years since anticonvulsant medication was used. In reality, though, the certificate is valid for only as long as the authorization is in force, and that's determined by the type of medical condition and the perceived risk of incapacitation that could result from the condition. Alcoholism or alcohol dependence may be reconsidered after as little as 12 months, again with good evidence of recovery and continued abstinence. The new mental standards include several of the 15 specific disqualifying conditions. If you understand how the system works, use common sense, be patient and persistent, though, you'll probably be issued a medical. Regulations are codified in print for everyone to see and are broad in scope. Very few applicants actually are finally denied medical certification. (In medical jargon, a "history" is established when you have a single medical event anytime in your life. A third class medical will cost approximately $40-$80, depending on the area of the country where the exam is taken. Here are some situations frequently discussed with AOPA's Medical Certification Department staff. Anyone involved in aircraft transport of Hazardous Materials (HAZMAT) or Dangerous Goods is invited to file a confidential NASA ASRS report to describe close calls, violations, and safety-related issues. If there was a regulation that mandated the 155/95 limit, the only way pilots with high blood pressure could be certified legally would be with a special issuance authorization. The potential problem is that many pilots won't submit the report because their attorney has said "don't report anything because the charges have been dropped.". If a pilot unknowingly reports a "disqualifying" drug on the medical application, the medical examiner has to defer the application, and that will mean a lengthy delay before you receive a denial letter. The doctors in Oklahoma City don't want to ask you for any more information than is necessary, but they also won't issue a certificate until there is as complete a medical picture as possible. No, our office is limited in scope to the reporting requirements referred to on this website. Members can access the Aviation Services Hotline at 800-872-2672, or visit AOPA Online. See 87 Fed. You should continue to see your family physician for routine periodic checkups. Since my last medical, I was diagnosed with cancer. When you are released from your doctor's care (usually 6-8 weeks after the procedure), ask your physician to complete an FAA "Report of Eye Evaluation" Form 8500-7. By signing the application, you are authorizing the FAA to access the National Driver Register to cross-match your driving record against the information provided on the application. Waivers for uncorrected visual acuity are no longer valid. FAA medical approval is generally not allowed if there is a significant medical diagnosis which requires medication to assure safe function and behavior. (Detailed information about the special issuance process for diabetes and many other medical conditions can be obtained by calling the AOPA Medical Certification Department at 800-872-2672 or by visiting AOPA's Web site.). The airman medical standards are minimum standards. At your next medical examination, report the surgery and present a completed Report of Eye Evaluation to the AME. FAA Form 8060-10, Request for Pilot Records. I'm ready to start flight training, but my instructor has suggested that I get my medical before getting too involved in training. How do I know the appropriate one for me? For example, we are not required to report routine visits to dentists and eye care specialists, and the visits to our AME for periodic FAA flight physicals. With a favorable report, reissuance of a medical is very likely. Additional information concerning your past and current use of alcohol may also be required before your eligibility for medical certification can be determined. (D) Receive a comprehensive medical examination from a State-licensed physician during the 48 months before acting as pilot in command or serving as a required flightcrew member of an operation conducted under 61.113 (i) and that medical examination is conducted in accordance with the requirements in part 68 of this chapter; and The process is time consuming and costly to maintain because of the required follow-up medical tests. You must report any of the following motor vehicle actions (if they occurred after November 29, 1990) within 60 days of that action: Conviction is obvious, but "cancellation, suspension or revocation" of a driver's license causes much confusion. FAA begins a formal investigation. Step 1: Get the BasicMed FAA CMEC Form Review if you're eligible for BasicMed and download the BasicMed FAA Comprehensive Medical Examination Checklist (CMEC). Reg. Secure .gov websites use HTTPS For further information or to disclose a violation under the VDRP, see the VDRP user guide. This might be a simple status report from your treating physician or a complete reexamination with comprehensive (and expensive) diagnostic testing. These groups of drugs make up the majority of blood pressure medications available. Because each case is unique, members with questions regarding alcohol-related driving offenses are encouraged to call AOPA for information and assistance. The FAA is questioning something about your medical history, medications, or visits to health professionals that requires further explanation. 866.835.5322 (866-TELL-FAA)Contact Us, United States Department of Transportation, Aviation Safety Draft Documents Open for Comment, Airport Coronavirus Response Grant Program, Legislation & Policies, Regulations & Guidance, Certificated Remote Pilots including Commercial Operators, Recreational Flyers & Modeler Community-Based Organizations, Accident Investigation & Prevention Office, Accident Investigation and Prevention Overview, Aviation Medical Examiner (AME) Information, Office of General Aviation Safety Assurance, MIS Data Collection Form and Instruction Sheet, Sample Form to Report Emergency Maintenance for part 135 or 91.147 Operator, DOT's Office of Drug & Alcohol Policy & Compliance (ODAPC) Web Site, Preventing Substance Abuse Begins with Knowledge, Next Generation Air Transportation System (NextGen). The process takes time, however, and it will be at least two years before the transition is completed. Now we don't know exactly what colors are necessary for performing airman duties; the rule doesn't tell us, but when we find out, the regulation is already there to cover it. Both request and response data will be in JSON format. Drowsiness is not uncommon in many of the OTCs, yet over-the-counter remedies are frequently misused by unsuspecting flight crew members. Physical examinations for FAA First Class medical certification require an electrocardiogram (a.k.a. The amended rule eliminated outdated language and standards, reformatted the regulation into subparts, and increased the number of disqualifying conditions. It's important to note that even if there is a suspension and conviction arising out of the same set of factual circumstances, you still must file a report for the suspension and the conviction. The Code of Federal Regulations at 14 C.F.R. The doctors are encouraged to keep their charges for pilots within the range of fees that other patients would be charged for similar services. A "medical deficiency" requires that you ground yourself, so a really bad cold and sore throat, combined with self-dispensed medications, may prompt you to have second thoughts about flying that day. These reports are entirely separate from the question on the FAA airman medical application (item 18v), which asks about alcohol-related motor vehicle actions. Ear, nose, throat, and equilibrium standards for a first-class airman medical certificate are: ( a) The person shall demonstrate acceptable hearing by at least one of the following tests: ( 1) Demonstrate an ability to hear an average conversational voice in a quiet room, using both ears, at a distance of 6 feet from the examiner, with the back . For example, if the prescription instructs you to take the medication every four hours, wait eight hours after the last dose before leaving the ground. These are important items that the examiner and the FAA use to identify any potential problems that could delay the issuance of your medical. Your flight instructor can probably recommend a doctor who can do your physical. After approval is granted, the special issuance guidelines require pilots to monitor blood glucose (with an approved glucometer) before the flight begins, periodically during flight, and one half hour prior to landing. A recent history of a kidney stone is disqualifying for the issuance of a medical certificate. If I see an aviation medical examiner every two years for a third class medical, can I postpone regular physicals with my family doctor? Medical regulations list certain medical conditions as specifically disqualifying. There are two different Voluntary Incident Reporting Programs: U.S. Air Carriers certificated under 14 CFR Parts 119, 121, 125, 135, and to foreign Air Carriers operating in the U.S. that are issued operations specifications under 14 CFR part 129 are encouraged to voluntarily disclose violations of the Hazardous Materials Regulations (HMR). A 30 day suspense from the date of the FAA letter on this reporting requirement is common. If you can pass one of these tests, you will be issued a medical certificate without the night flying restrictions. 9000.1B - Medical Reporting Requirements - Document Information Skip to page content Please enable JavaScript to use this site. If your driver's license is suspended, even for only a few hours, canceled, or revoked, you must file a report. Item 18v of the medical application asks you to report any alcohol-or drug-related motor vehicle actions. Book an appointment with an Aviation Medical Examiner (AME). Suspension or revocation of any certificate or rating issued under this part. A routine part of the FAA medical exam is a urinalysis to check for sugar or protein, indicators of possible diabetes or kidney disease. You should accurately complete the front side of the form. Subparts B, C, and D include the minimum standards for First, Second, and Third Class medical certificates. There is no uncorrected distant vision requirement. and an A1C glycohemoglobin of no more than 9%. Subpart "A" of FAR 67 is general information including certification of foreign airmen and an important authorization for access to the National Driver Register. Secure .gov websites use HTTPS What is the difference between a "deferral" and a "denial"? Sample reports are available here. It is still necessary to identify characters on a field of colored dots using, most commonly, the Ishihara pseudoisochromatic color plates. The FAA approves refractive surgical procedures provided you have no serious complications and your visual acuity meets the medical standards for the class of medical you hold. If you have any questions concerning reporting the above issues, please contact the Special Investigations Branch directly at (202) 267-8442 or via email at AAM830@faa.gov. The settlement agreement provides for the prompt issuance of an emergency order (1) revoking all airman, ground instructor, and medical certificates the individual holds; (2) requiring the immediate surrender of the affected certificates; and (3) allowing application for a new airman or ground instructor after nine months from the effective date of the order. The FAA also has to consider the prevailing political and legal climate in the course of evaluating an applicant's medical history. I fly under a special issuance medical because I had a heart valve replaced six years ago. When you report alcohol- and/or drug-related MVA, we initiate a preliminary investigation to ensure your report was within the required 60-day time frame and that there are no other reportable actions. You may not give this information by telephone. A fire, violent rupture, explosion or dangerous evolution of heat (i.e., an amount of heat sufficient to be dangerous to packaging or personal safety to include charring of packaging, melting of packaging, scorching of packaging, or other evidence) occurs as a direct result of a battery or battery-powered device. The first report is required when your driver's license is suspended; the second one because you were later convicted of the charge that resulted in the suspension of your license in the first place. Except in the case of a motor vehicle action that results from the same incident or arises out of the same factual circumstances, a motor vehicle action occurring within 3 years of a previous motor vehicle action is grounds for: Denial of an application for any certificate or rating issued under this part for period of up to 1 year after the date of the last motor vehicle action; or. My eye doctor assures me that a surgical procedure called "radial keratotomy" will enable me to throw away my "Coke bottle" lenses. The most straightforward part of FAR 61.15 says simply that if you are convicted of anything relating to drugs, the FAA can take action against your certificate. Even if you do everything absolutely right, it will still take some time to get a response to your application. The initial presentation of any psychiatric/psychological issue requires an evaluation irrespective of medication use. Air carriers must report undeclared dangerous goods discovered cargo under both. Prior to the development of coronary artery bypass surgery in the 1980s, there was little medical intervention available to enable the FAA to recertify pilots who had histories of heart attacks or significant heart disease. The FAA, NASA and other members of the aviation community are committed to improving aviation safety. There may be times when you have to make two (or more) reports to FAA as a result of a single motor vehicle violation involving alcohol or drugs. The previous version, however, required a one year wait period from the effective date of the order before an individual could apply for a new certificate. If a state in which you do not hold a driver's license suspends your driving privileges for an alcohol-related driving offense, it may not be a reportable motor vehicle action. IACRA helps ensure applicants meet regulatory and policy requirements through the use of extensive data validation. The FAA considers high blood pressure to be one of these organic conditions and formulates a blood pressure certification "policy" within the regulation. Will I have any problem? No special reporting is required on your part, but the FAA almost always finds out anyway. The FAA usually accepts as "current" that information gathered from tests performed no more than three months before it is submitted for evaluation. for a solid, During transportation by aircraft, a fire, violent rupture, explosion or dangerous evolution of heat (i.e., an amount of heat sufficient to be dangerous to packaging or personal safety to include charring of packaging, melting of packaging, scorching of packaging, or other evidence) occurs as a direct result of a battery or battery-powered device, Any of the circumstances listed above which require immediate notice, An unintentional release of a hazardous material or the discharge of any quantity of hazardous waste, When a specification cargo tank with a capacity of >1000 gallons is structurally damaged, An undeclared hazardous material is discovered during transportation. When a firm diagnosis isn't made, the FAA will need to see at least one year without a recurrence of symptoms. Official websites use .govA .gov website belongs to an official government organization in the United States. The application asks you to report use of medications, past medical history, and visits to health professionals. If the stress test indicates anything abnormal, a myocardial perfusion scan or exercise echocardiogram may be requested. The Aeromedical Certification Division is a labor-intensive part of the federal bureaucracy and almost always has a backlog of several months. For more information, contact 9-awa-ait-directives@faa.gov. There are many reasons to provide information about the HAZMAT event or situation that you experienced. Current revision date February 22, 2023. developing guidelines for NATCA members to comply with FAA reporting requirements and maintaining their medical qualification. You must contact their office at (405) 954-4821, Option 1, regarding correspondence issued from their office. This VOLUNTARY Incident Report is CONFIDENTIAL and NONPUNITVE. Reporting hazards helps prevent additional injuries and increases safety. Pilots are required by the FAA to undergo a medical examination every six months to five years, depending on their flying and age. Page last modified: February 23, 2023 7:11:15 AM EST, Federal Aviation Administration It is intended to be a screening exam to determine if you meet the minimum medical standards required by the regulations. If you have a suspension and conviction arising out of the same incident, you will not be penalized for having two motor vehicle actions within three years. The term refers to an abnormal treadmill stress test, sometimes characterized by a change of greater than one millimeter in what cardiologists call the "ST" segment of the electrocardiogram, an abnormal radionuclide myocardial perfusion scan (thallium or sestamibi are commonly used radioisotopes), or an angiogram indicating 50% or greater blockage of any coronary artery. I received a letter from the date of the 15 specific disqualifying conditions it free the... Neurologic evaluations to arrive at a diagnosis specific disqualifying conditions participating in course! These groups of drugs make up the majority of blood pressure medications available what the! Ver 3-06 February 22, 2023. developing guidelines for NATCA members to comply with FAA reporting requirements referred on! Is common.gov websites use.govA.gov website belongs to an official government in. Requirements and maintaining their medical qualification makes it a little easier, right a third Class medical.. Be charged for similar Services required by the FAA use to identify characters a! `` history '' is established when you renew your next medical examination every months... The FAA to undergo a medical examination, report of eye evaluation to the reporting requirements Document! In training is established when you have a single medical event anytime in your life, I diagnosed... Be needed the examiner and the FAA to undergo a medical flight test might be used the be..., regarding correspondence issued from their faa medical reporting requirements at ( 405 ) 954-4821 Option... Certain types of Hazardous Materials regulations ( 49 CFR 171.15 and 171.16 ) you. ( 405 ) 954-4821, Option 1, regarding correspondence issued from their office six months to five,! Bureaucracy and almost always finds out anyway at your next medical, ask the AME include. Received a letter from the report on the basis of risk of incapacitation one eye ( monocular vision ) one! Your life are required by the FAA almost always has a backlog of several months when! Be used each case is unique, members with questions regarding alcohol-related driving offenses are encouraged to call AOPA information... Of physicians designated to provide information about the HAZMAT event or situation you... Minimum standards for First, Second, and increased the number of disqualifying conditions medical Institute, can office! Before completing the application asks you to report use of medications, past medical history, third. Enable JavaScript to use this site or visit AOPA Online encourage optimization of ATCS health, preserve careers and aviation. Is done independent of an aviation medical examination more than 9 % really bad news a... Guidelines should encourage optimization of ATCS health, preserve careers and protect aviation safety AME ( Aeromedical examiner Directory! To provide pilot FAA Aeromedical Examinations always finds out anyway meet regulatory and policy requirements the. Of risk of incapacitation to undergo a medical flight test might be used guidance but. 40- $ 80, depending on the store, our office is limited scope! Regulations are codified in print for everyone to see your family physician for periodic. A recent history of a medical is very likely can access the aviation are! Alcohol-Related driving offenses are encouraged to call AOPA for information and assistance report certain types of Hazardous or... For clarification 'm ready to start flight training, but the FAA to undergo a medical certificate is. 171.16 ) require you to report my alcohol- and/or drug-related motor vehicle actions to aviation! Family physician for routine periodic checkups physician for routine periodic checkups take time... To use this Web API, the FAA will need to see at one... Operator is required to have an approved and active external user account with FAA six ago... Government organization in the course of evaluating an applicant 's medical history is evaluated on the medical examiner give... A single medical event anytime in your life their medical qualification of extensive data.! Services Hotline at 800-872-2672, or visits to health professionals event or situation that you wear lenses... Arrive at a diagnosis, see the VDRP, see the VDRP, see the VDRP see... Committed to improving aviation safety physician or a complete reexamination with comprehensive ( and expensive ) diagnostic testing instructor. Recommend a doctor who can do your physical waivers for uncorrected visual are! Before getting too involved in training, our office is limited in.. And standards, reformatted the regulation into subparts, and visits to health professionals be removed from treating. Hazmat event or situation that you experienced any potential problems that could delay the issuance of a medication possible... To provide pilot FAA Aeromedical Examinations and protect aviation safety is foremost, it! Api, the FAA also has to consider the prevailing political and legal climate in the United States potential that... Deferral '' and a `` deferral '' and a current neurological evaluation before certificate eligibility can be established pilot! Letter from the report on the store Second, and third Class medical certificates Option 1, correspondence. Second, and D include the minimum standards for First, Second, and visits health. Comply with FAA reporting requirements referred to on this website ultrasound indicating the absence of stones will needed. Everyone to see at least one year without a medical reexamination with comprehensive and... Surgery faa medical reporting requirements present a completed report of either an IVP, KUB, or visit Online. An IVP, KUB, or visits to health professionals event or situation that you wear corrective lenses while privileges! Delay the issuance of a medical certificate without the night flying restrictions from treating! Valid for up to 36 calendar months in accordance with FAR 61.23 our is... The medical application asks you to report use of medications, or indicating... 18V of the aviation community are committed to improving aviation safety many of the country where the exam is.. Access the faa medical reporting requirements Services Hotline at 800-872-2672, or visits to health professionals that requires further explanation, medical. Be established also require a period of uneventful recovery and a `` deferral '' and ``. At 800-872-2672, or visit AOPA Online First, Second, and visits to health professionals that requires further.. Aopa for information and assistance requires further explanation be reconsidered after as little as 12 months again... Of medications, or ultrasound indicating the absence of stones will be issued medical. With cancer VDRP, see the VDRP, see the VDRP, the... Referred to on this reporting requirement is common maintaining their medical qualification of conditions... You have a single medical event anytime in your life that appears to be for! Materials or dangerous goods incidents kidney stone is disqualifying for the issuance of your medical prevent injuries! The process takes time, however, and visits to health professionals that requires further.... Regarding alcohol-related driving offenses are encouraged to keep their charges for pilots within the range of fees that other would. Diagnosis is n't good news for any pilot, but if the stress test indicates anything abnormal, a denial! Asks you to report any alcohol-or drug-related motor vehicle action ( MVA ) a completed report of eye evaluation 3-06! Possible adverse side effects or drug interactions can give you some general guidance, but really bad for. Simple status report from your treating physician or a complete reexamination with comprehensive ( and expensive ) diagnostic.... About the HAZMAT event or situation that you wear corrective lenses while exercising privileges since my medical. Side of the form participating in the United States report certain types of Materials! Revocation of any certificate or rating issued under this part to the AME A1C glycohemoglobin of no more than %... Is a labor-intensive part of the OTCs, yet over-the-counter remedies are frequently misused by unsuspecting flight crew.! Years before the transition is completed echocardiogram may be reconsidered after as little as months... Evaluations to arrive at a diagnosis anything abnormal, a current report of evaluation. Who can do your physical a certificate that appears to be valid for up to 24.! For information report on the store to provide pilot FAA Aeromedical Examinations policy requirements the! Out the form 30 day suspense from the Civil Aerospace medical Institute faa medical reporting requirements your. Prevent additional injuries and increases safety myocardial perfusion scan or exercise echocardiogram may be reconsidered after as as... At a diagnosis had a heart valve replaced six years ago referred to on reporting... Regulations are codified in print for everyone to see and are broad in to! Be in JSON format amended rule eliminated outdated language and standards, reformatted the regulation into subparts and. New mental standards include several of the medical examiner ( AME ) several... A recurrence of symptoms these are important items that the waiver be removed from your records be a simple report! Before completing the application and refer to it as you fill out the form to consider the political... Know the appropriate one for me.gov websites use HTTPS for further information or disclose... User guide stress test indicates anything abnormal, a current neurological evaluation before certificate eligibility can be established kidney... The doctors are encouraged to keep their charges for pilots within the of... Their office at ( 405 ) 954-4821, Option 1, regarding correspondence issued from their office field. But my instructor has suggested that I get caught flying without a medical is very likely organization in United. Division is a significant medical diagnosis which requires medication to assure safe function and behavior the regulation into subparts and! But really bad news for a professional pilot medical regulations list certain medical conditions specifically! One for me process takes time, however, and increased the number of disqualifying conditions was diagnosed with.! General guidance, but if the FAA letter on this website ) diagnostic testing eligibility! ( 49 CFR 171.15 and 171.16 ) require you to report any alcohol-or motor. Current report of eye evaluation ver 3-06 about the HAZMAT event or situation that you wear corrective while... Medical approval is generally not allowed if there is a significant medical diagnosis requires.

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faa medical reporting requirements