Home » Services » Aviation Medical Exams / Flight Physical

Aviation Medical Exams / Flight Physical

Carbon Cub on Floats Photo courtesy of Matt Walsh, President and Chief Pilot, Elite Aircraft Services

Carbon Cub on Floats
Photo courtesy of
Matt Walsh,
President and Chief Pilot, Elite Aircraft Services


Dr. James E Fogartie is an FAA designated Senior Aviation Medical Examiner (AME). He is a private pilot who holds an instrument rating , seaplane rating (J3 Cub)  and  tailwheel endorsement  (Decathlon).  He is currently pursuing a commercial license . Dr. Fogartie is authorized to administer qualifying Air Traffic Controller Specialist (ATCS), Civilian Class 1, 2 and Class 3 physical examinations for professional, private, commercial and student pilots.


(to request exam on line, click above)

 Exams performed:

  1. Civilian Class 1
  2. Civilian Class 2
  3. Civilian Class 3
  4. Student Pilot Exams
  5. Air Traffic Controller Specialist (ATCS)

Exams NOT performed

  1. No Airline Transport Exams


Class 1:              $ 125.00 for exam.   Additional $75 if EKG required

 Class 2 and 3: $100.00 for exam

(cash, check, credit card) – INSURANCE NOT ACCEPTED


As a Special Issuance requires more time and frequently calls to the FAA, a $25  additional fee per Issuance will be required.

All pilots needing an FAA Medical Certificate or Student Pilot Medical Certificate are required to complete their Medical Form (FAA Form 8500-8) online.  Log onto https://medxpress.faa.gov, set up an account, fill out form 8500-8 and bring a copy of this form with you along with your confirmation number.  If you do not have your confirmation number at check in, your exam will be reshceduled.   Dr. Fogartie will review your medical history with you at the time of the examination.

Bring these items with you to the examination:

  1. Med XPress Confirmation number (log onto https://medxpress.faa.gov)
  2. Copy of FAA form 8500-8 – fill out these forms online, print and bring with you to the exam
  3. Picture ID (Drivers license/ Military ID card/ Passport)
  4. Your current FAA Medical Certificate (if you have one)
  5. Health documents
  • Copy of Special Issuance Authorization Letter (if one has been previously issued by the FAA)
  • List of medications / dosages
  • Glasses, hearing aids etc.
  • SODA (Statement of Demonstrated Ability) if one has been issued by the FAA

What to expect during your FAA physical:      

  • A review of you Medical History
  • Blood pressure and pulse check
  • Color, Distant and Near Vision testing
  • Urine check for sugar and protein (make sure to hydrate before your appointment)

Special Issuance:

An AME may not issue an Authorization for Special Issuance of a Medical Certificate, but may re-issue.  The airman must bring in the FAA Authorization letter and the attachments that specify the information that treating physicians must provide for the re-issuance determination.  The AME is not the treating physician.  If the airman does not have the required documentation, a Medical Certificate may NOT be re-issued.

As noted previously, a Special Issuance requires more time therefore additional fees per Issuance will be required.

The AME’s decision or determination is subject to review by the FAA.


Frequently asked questions (FAQ):

What Vision requirements are required to issue an Aviation Medical Certificate?

A First-Class Pilot requires 20/20 vision in each eye with or without correction (glasses) for DISTANT VISION and 20/40 vision in each eye with or without correction for NEAR VISION and INTERMEDIATE VISION.

A Second-Class, Third-Class, or Student pilot requires 20/40 vision in each eye with or without correction for  both DISTANT and NEAR VISION and INTERMEDIATE VISION.

What type of testing do you utilize for Color Vision testing?

Some 10 million American men—fully 7 percent of the male population—either cannot distinguish red from green, or see red and green differently from most people. This is the most common form of color blindness, but it affects only .4 percent of women. We offer both the 14 plate Ishihara color testing or the Keystone Telebinocular vision card test.

What if I have high blood pressure, diabetes, eye problems etc.?

I am frequently asked questions about various medical conditions and how they affect obtaining a medical certification.  If we do the process correctly, we can get very complex medical conditions approved.  The FAA has standards for specific  medical conditions.  The FAA website (see link below) is where I go for information. Type in the condition in the search bar at the top right, and a search of the FAA site will show you the response of the FAA.

Click on the link below for the Guide for Aviation Medical Examiners Disease Protocols (and the course of action that should be taken by the examiner as defined by aeromedical decision considerations)


Aerospace Medical Dispositions:

Click on any of the following Aerospace Medical Dispositions to access the most common conditions of aeromedical significance, and course of action that should be taken by the Examiner as defined by the protocol and disposition.


Head, Face, Neck, and Scalp Upper and Lower Extremities
Nose Spine and other Musculoskeletal
Sinuses Identifying Body Marks, Scars, Tattoos
Mouth and Throat Lymphatics
Ear Neurologic
Ear Drums Psychiatric Conditions
Eyes General Systemic
Ophthalmoscopic Hearing
Pupils Distant Vision
Ocular Motility Near and Intermediate Vision
Lungs and Chest Color Vision
Heart Field of Vision
Vascular System Heterophoria
Abdomen and Viscera Blood Pressure
Anus (No Disposition) Pulse
Skin Urinalysis
G-U System ECG (No Disposition)


For other medical issues, use the Search Guide Page:
Special Issuances:
Substance Dependence:
Medical Standards (vision, hearing  etc):
What about medications and FAA approval?
The pharmaceuticals link above provides good information. AOPA has a list, but you must be a member to use the site:
If you have any questions, please contact the office before your appointment.