Pilot Medical Solutions inducted into the International Academy Aviation Space Medicine MemberPilot Medical Solutions was inducted into the International Academy of Aviation and Space Medicine. As a corporate member Pilot Medical Solutions will co-sponsor important work to establish international civilian and military space fitness requirements, medical standards and safety initiatives.

FAA Civilian Space Flight Medical Fitness Standards

The following information provides general guidance for passengers and operators of manned commercial aerospace flights. These standards have been developed by the FAA and other aerospace medical professionals.  These space travel medical standards are designed to identify those who have medical conditions which may result in an in-flight medical emergency, in-flight death, or may otherwise compromise the health and safety of spacecraft occupants.

The spaceflight environment is more hazardous than what is experienced in airline travel or general aviation.  The absence of fitness or the existence of certain medical conditions increases the risk to flights outside of the normal aviation envelope.  This includes, but is not limited to, suborbital and orbital missions.

Aerospace Physiology    FAA Aerospace Guidance


FAA Passenger Medical Standards for Civilian Space
DISTANT VISION 20/20 or better in each eye separately, with or without correction.
NEAR VISION 20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches.
20/40 or better in each eye separately (Snellen equivalent), with or without correction at age 50 and over, as measured at 32 inches.
COLOR VISION Ability to perceive those colors necessary for safe performance of airmen duties.
HEARING Demonstrate hearing of an average conversational voice in a quiet room, using both ears at 6 feet, with the back turned to the examiner OR pass one of the audiometric tests below or:
PULSE Not disqualifying per se. Used to determine cardiac system status and responsiveness.
BLOOD PRESSURE No specified values stated in the standards. Current guideline maximum is 155/95.
AUDIOLOGY Audiometric speech discrimination test: (Score at least 70% discrimination in one ear) or:

Pure tone audiometric test: Unaided, with thresholds no worse than:
500Hz 1,000Hz 2,000Hz 3,000Hz 
Better Ear         35Db     30Db     30Db     40Db
Worst Ear         35Db     50Db     50Db     60Db

EAR, NOSE, THROAT No ear disease or condition manifested by, or that may reasonably be expected to be manifested by, vertigo or a disturbance of speech or equilibrium.
ELECTRO-CARDIOGRAM At age 35 & annually after age 40.
MENTAL No diagnosis of psychosis, or bipolar disorder, or severe personality disorders.
SUBSTANCE DEPENDENCE & SUBSTANCE ABUSE A diagnosis or medical history of substance dependence is disqualifying unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. A history of substance abuse within the preceding 2 years is disqualifying. Substance includes alcohol and other drugs (i.e., PCP, sedatives and hynoptics, anxiolytics, marijuana, cocaine, opioids, amphetamines, hallucinogens, and other psychoactive drugs or chemicals).
CONDITIONSAirman with these conditions may still be eligible for “Special Issuance” of a medical certificate.
Unless otherwise directed by the FAA, the Examiner must deny or defer if the applicant has a history of: (1) Diabetes mellitus requiring hypoglycemic medication; (2) Angina pectoris; (3) Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant; (4) Myocardial infarction; (5) Cardiac valve replacement; (6) Permanent cardiac pacemaker; (7) Heart replacement; (8) Psychosis; (9) Bipolar disorder; (10) Personality disorder that is severe enough to have repeatedly manifested itself by overt acts; (11) Substance dependence; (12) Substance abuse; (13) Epilepsy; (14) Disturbance of consciousness and without satisfactory explanation of cause, and (15) Transient loss of control of nervous system function(s) without satisfactory explanation of cause.

Waivers  |  Aerospace Physiology and FAA Spaceflight Guidance



The medical forms below provide general guidance in the category listed.

These forms may not be appropriate for your specific condition or situation.

Contact Pilot Medical Solutions at 800-699-4457 for expert guidance and accelerated FAA medical certification.

Some forms require Adobe Acrobat Reader.

Or Microsoft Word

8500-8 Airman Medical Application    HTML Version
8500-11 Neurological Evaluation Specifications
8500-14 Glaucoma Evaluation
8500-19 Cardiovascular Evaluation Specifications Revised 11/4/02
CHD Coronary Heart Disease Revised 11/4/02
Pacer Pacemaker Insertion Revised 11/4/02
Valve Heart Valve Replacement Revised 11/4/02
Stent Heart Stent Implantation Revised 11/4/02
MFT Medical Flight Test
HIV HIV Protocol
IDDM Insulin Dependant Diabetes Mellitus
NIDDM Non-Insulin Dependant Diabetes Mellitus
HTN Hypertension
NASA NASA Space Fitness Program
Psychiatric Psychiatric / Psychological Specifications
Eye Surgery Laser Eye Surgery (FAA CAMI)
RK/LASIK RK and Laser Surgery (Federal Air Surgeon Bulletin)
Sleep Sleep Disorders
Standards FAA Medical Standards Outline
Substance Substance Abuse Protocol
AME- ADD Additional Information / Attaching Records to Exam
Stress Test FAA Treadmill Stress Testing Protocol
acrobat document 8500-7 Vision Evaluation
8500-2 Aviation Medical Examiner Application
Chg. ADD Change of Address
8710-10 Designated Pilot Examiner Application
Change ID Change Airman Identification Number
Chg. Name Change Airman Name
7480-1 Landing Area Proposal Notice
Pilots NASA’s Aviation Safety Reporting System
Controllers NASA’s Aviation Safety Reporting System
Mechanics NASA’s Aviation Safety Reporting System
html document NOTAM’s Current Notices To Airmen
word document Security FAA Security Statement Form
SELCAL Selective Calling Application / Aeronautical Radio, Inc.
word document Waiver#1 FAA Flight Waiver Form 1
word document Waiver#2 FAA Flight Waiver Form 2
7162A FAA Experimental Petition Form 7162A

Contact Pilot Medical Solutions today for expert guidance and accelerated FAA medical certification.

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