Comprehensive medical examination checklist.
CFR · 2024-01-01 · US · Title 14
The comprehensive medical examination required to conduct operations under § 61.113(i) must include a checklist containing the following: (a) A section, for the individual to complete that contains— (1) Boxes 3 through 13 and boxes 16 through 19 of the FAA Form 8500-8 (3-99); and (2) A signature line for the individual to affirm that— (i) The answers provided by the individual on that checklist, including the (ii) The individual understands that he or she is prohibited under FAA regulations from acting as pilot in command, or any other capacity as a required flight crew member, if he or she knows or has reason to know of any medical deficiency or medically disqualifying condition that would make the individual unable to operate the aircraft in a safe manner; and (iii) The individual is aware of the regulations pertaining to the prohibition on operations during medical deficiency and has no medically disqualifying conditions in accordance with applicable law; (b) A section with instructions for the individual to provide the completed checklist to the State-licensed physician performing the comprehensive medical examination required under § 68.5; and (c) A section, for the physician to complete, that instructs the physician— (1) To perform a clinical examination of— (i) Head, face, neck, and scalp; (ii) Nose, sinuses, mouth, and throat; (iii) Ears, general (internal and external canals), and eardrums (perforation); (iv) Eyes (general), ophthalmoscopic, pupils (equality and reac
official document · source cfr-2024 · id 14:§ 68.7