This test is designed to identify areas which may jeopardize LIFT student’s FAA medical certification or that will require extensive documentation prior to approval. It is a Pre-Certification screening tool and is not intended as a substitute for a physician’s examination or advice. Once you complete this form Pilot Medical Solutions will contact you to advise you of your FAA medical certification eligibility and offer support. Your information is confidential and will not be provided to LIFT Academy or anyone else without your consent.

(Skip if you have no prior application)

Medications

Dosages

Conditions Treated

Contact us at 1-800-699-4457 or by email here
to confidentially discuss your FAA medical issues.