title-14-part-68

641

Federal Aviation Administration, DOT

§ 68.3

withdrawn the application for a med-
ical certificate.

(b) The denial of a medical certifi-

cate—

(1) By an aviation medical examiner

is not a denial by the Administrator
under 49 U.S.C. 44703.

(2) By the Federal Air Surgeon is

considered to be a denial by the Admin-
istrator under 49 U.S.C. 44703.

(3) By the Manager, Aeromedical Cer-

tification Division, or a Regional
Flight Surgeon is considered to be a de-
nial by the Administrator under 49
U.S.C. 44703 except where the person
does not meet the standards of
§§ 67.107(b)(3) and (c), 67.109(b), or
67.113(b) and (c); 67.207(b)(3) and (c),
67.209(b), or 67.213(b) and (c); or
67.307(b)(3) and (c), 67.309(b), or 67.313(b)
and (c).

that wholly or partly reverses the issue
of a medical certificate by an aviation
medical examiner is the denial of a
medical certificate under paragraph (b)
of this section.

(d) If the issue of a medical certifi-

cate is wholly or partly reversed by the
Federal Air Surgeon; the Manager,
Aeromedical Certification Division; or
a Regional Flight Surgeon, the person
holding that certificate shall surrender
it, upon request of the FAA.

[Docket No. 27940, 61 FR 11256, Mar. 19, 1996,
as amended by Docket No. FAA–2022–1355,
Amdt. No. 67–22, 87 FR 75845, Dec. 9, 2022

§ 67.411

[Reserved]

§ 67.413

Medical records.

(a) Whenever the Administrator finds

that additional medical information or
history is necessary to determine
whether you meet the medical stand-
ards required to hold a medical certifi-
cate, you must:

(1) Furnish that information to the

FAA; or

(2) Authorize any clinic, hospital,

physician, or other person to release to
the FAA all available information or
records concerning that history.

(b) If you fail to provide the re-

quested medical information or history
or to authorize its release, the FAA
may suspend, modify, or revoke your
medical certificate or, in the case of an

applicant, deny the application for a
medical certificate.

pended, modified, or revoked under
paragraph (b) of this section, that sus-
pension or modification remains in ef-
fect until you provide the requested in-
formation, history, or authorization to
the FAA and until the FAA determines
that you meet the medical standards
set forth in this part.

[Doc. No. FAA–2007–27812, 73 FR 43066, July
24, 2008]

§ 67.415

Return of medical certificate

after suspension or revocation.

The holder of any medical certificate

issued under this part that is sus-
pended or revoked shall, upon the Ad-
ministrator’s request, return it to the
Administrator.

PART 68—REQUIREMENTS FOR OP-

ERATING CERTAIN SMALL AIR-
CRAFT WITHOUT A MEDICAL
CERTIFICATE

Sec.
68.1

Applicability.

68.3

Medical education course requirements.

68.5

Comprehensive medical examination.

68.7

Comprehensive medical examination

checklist.

68.9

Special Issuance process.

68.11

Authority to require additional infor-

mation.

UTHORITY

: 49 U.S.C. 106(f), 44701–44703, sec.

2307 of Pub. L. 114–190, 130 Stat. 615 (49 U.S.C.
44703 note).

OURCE

: Docket FAA–2016–9157, Amdt. 68–1,

82 FR 3165, Jan. 11, 2017, unless otherwise
noted.

§ 68.1

Applicability.

This part prescribes the medical edu-

cation and examination requirements
for operating an aircraft under
§ 61.113(i) of this chapter without hold-
ing a medical certificate issued under
part 67 of this chapter.

§ 68.3

Medical education course re-

quirements.

(a) The medical education course re-

quired to act as pilot in command or
serve as a required flightcrew member
in an operation under § 61.113(i) of this
chapter must—

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14 CFR Ch. I (1–1–24 Edition)

§ 68.5

(1) Educate pilots on conducting med-

ical self-assessments;

(2) Advise pilots on identifying warn-

ing signs of potential serious medical
conditions;

(3) Identify risk mitigation strategies

for medical conditions;

(4) Increase awareness of the impacts

of potentially impairing over-the-
counter and prescription drug medica-
tions;

(5) Encourage regular medical exami-

nations and consultations with pri-
mary care physicians;

(6) Inform pilots of the regulations

pertaining to the prohibition on oper-
ations during medical deficiency and
medically disqualifying conditions; and

(7) Provide the checklist developed

by the FAA in accordance with § 68.7.

(b) Upon successful completion of the

medical education course, the fol-
lowing items must be electronically
provided to the individual seeking to
act as pilot in command or serve as a
required flightcrew member under the
conditions and limitations of § 61.113(i)
of this chapter and transmitted to the
FAA—

(1) A certification of completion of

the medical education course, which
shall be retained in the individual’s
logbook and made available upon re-
quest, and shall contain the individ-
ual’s name, address, and airman certifi-
cate number;

(2) A release authorizing single ac-

cess to the National Driver Register
through a designated State Depart-
ment of Motor Vehicles to furnish to
the FAA information pertaining to the
individual’s driving record;

(3) A certification by the individual

that the individual is under the care
and treatment of a physician if the in-
dividual has been diagnosed with any
medical condition that may impact the
ability of the individual to fly, as re-
quired under § 61.23(c)(3) of this chap-
ter;

(4) A form that includes—
(i) The name, address, telephone

number, and airman certificate number
of the individual;

(ii) The name, address, telephone

number, and State medical license
number of the physician performing
the comprehensive medical examina-
tion;

(iii) The date of the comprehensive

medical examination; and

(iv) A certification by the individual

that the checklist described in § 68.7
was followed and signed by the physi-
cian during the medical examination
required by this section; and

(5) A statement, which shall be

signed by the individual certifying that
the individual understands the existing
prohibition on operations during med-
ical deficiency by stating: ‘‘I under-
stand that I cannot act as pilot in com-
mand, or any other capacity as a re-
quired flight crew member, if I know or
have reason to know of any medical
condition that would make me unable
to operate the aircraft in a safe man-
ner.’’.

[Docket FAA–2016–9157, Amdt. 68–1, 82 FR
3165, Jan. 11, 2017, as amended by Docket No.
FAA–2021–1040, Amdt. Nos. 61–152, 87 FR
71236, Nov. 22, 2022]

§ 68.5

Comprehensive medical exam-

ination.

(a) Prior to the medical examination

required by § 61.23(c)(3) of this chapter,
an individual must—

(1) Complete the individual’s section

of the checklist described in § 68.7; and

(2) Provide the completed checklist

to the State-licensed physician per-
forming the medical examination.

(b) The physician must—
(1) Conduct the medical examination

in accordance with the checklist set
forth in § 68.7,

(2) Check each item specified during

the examination; and

(3) Address, as medically appropriate,

every medical condition listed and any
medications the individual is taking.

§ 68.7

Comprehensive medical exam-

ination checklist.

The comprehensive medical examina-

tion required to conduct operations
under § 61.113(i) must include a check-
list 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 indi-

vidual on that checklist, including the

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Federal Aviation Administration, DOT

§ 68.9

individual’s answers regarding medical
history, are true and complete;

(ii) The individual understands that

he or she is prohibited under FAA regu-
lations from acting as pilot in com-
mand, or any other capacity as a re-
quired flight crew member, if he or she
knows or has reason to know of any
medical deficiency or medically dis-
qualifying 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 prohibi-
tion on operations during medical defi-
ciency and has no medically disquali-
fying conditions in accordance with ap-
plicable law;

(b) A section with instructions for

the individual to provide the completed
checklist to the State-licensed physi-
cian performing the comprehensive
medical examination required under
§ 68.5; and

complete, that instructs the physi-
cian—

(1) To perform a clinical examination

of—

(i) Head, face, neck, and scalp;
(ii) Nose, sinuses, mouth, and throat;
(iii) Ears, general (internal and ex-

ternal canals), and eardrums (perfora-
tion);

(iv) Eyes (general), ophthalmoscopic,

pupils (equality and reaction), and ocu-
lar motility (associated parallel move-
ment, nystagmus);

(v) Lungs and chest (not including

breast examination);

(vi) Heart (precordial activity,

rhythm, sounds, and murmurs);

(vii) Vascular system (pulse, ampli-

tude, and character, and arms, legs,
and others);

(viii) Abdomen and viscera (including

hernia);

(ix) Anus (not including digital ex-

amination);

(x) Skin;
(xi) G–U system (not including pelvic

examination);

(xii) Upper and lower extremities

(strength and range of motion);

(xiii) Spine and other musculo-

skeletal;

(xiv) Identifying body marks, scars,

and tattoos (size and location);

(xv) Lymphatics;

(xvi) Neurologic (tendon reflexes,

equilibrium, senses, cranial nerves, and
coordination, etc.);

(xvii) Psychiatric (appearance, be-

havior, mood, communication, and
memory);

(xviii) General systemic;
(xix) Hearing;
(xx) Vision (distant, near, and inter-

mediate vision, field of vision, color vi-
sion, and ocular alignment);

(xxi) Blood pressure and pulse; and
(xxii) Anything else the physician, in

his or her medical judgment, considers
necessary;

(2) To exercise medical discretion to

address, as medically appropriate, any
medical conditions identified, and to
exercise medical discretion in deter-
mining whether any medical tests are
warranted as part of the comprehensive
medical examination;

(3) To discuss all drugs the individual

reports taking (prescription and non-
prescription) and their potential to
interfere with the safe operation of an
aircraft or motor vehicle;

(4) To sign the checklist, stating: ‘‘I

certify that I discussed all items on
this checklist with the individual dur-
ing my examination, discussed any
medications the individual is taking
that could interfere with his or her
ability to safely operate an aircraft or
motor vehicle, and performed an exam-
ination that included all of the items
on this checklist. I certify that I am
not aware of any medical condition
that, as presently treated, could inter-
fere with the individual’s ability to
safely operate an aircraft.’’; and

(5) To provide the date the com-

prehensive medical examination was
completed, and the physician’s full
name, address, telephone number, and
State medical license number.

§ 68.9

Special Issuance process.

(a)

General. An individual who has

met the qualifications to operate an
aircraft under § 61.113(i) of this chapter
and is seeking to act as a pilot in com-
mand or serve as a required flightcrew
member under that section must have
completed the process for obtaining an
Authorization for Special Issuance of a
Medical Certificate for each of the fol-
lowing:

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14 CFR Ch. I (1–1–24 Edition)

§ 68.9

(1) A mental health disorder, limited

to an established medical history or
clinical diagnosis of—

(i) A personality disorder that is se-

vere enough to have repeatedly mani-
fested itself by overt acts;

(ii) A psychosis, defined as a case in

which an individual—

(A) Has manifested delusions, hallu-

cinations, grossly bizarre or disorga-
nized behavior, or other commonly ac-
cepted symptoms of psychosis; or

(B) May reasonably be expected to

manifest delusions, hallucinations,
grossly bizarre or disorganized behav-
ior, or other commonly accepted symp-
toms of psychosis;

(iii) A bipolar disorder; or
(iv) A substance dependence within

the previous 2 years, as defined in
§ 67.307(a)(4) of this chapter.

(2) A neurological disorder, limited

to an established medical history or
clinical diagnosis of any of the fol-
lowing:

(i) Epilepsy;
(ii) Disturbance of consciousness

without satisfactory medical expla-
nation of the cause; or

(iii) A transient loss of control of

nervous system functions without sat-
isfactory medical explanation of the
cause.

(3) A cardiovascular condition, lim-

ited to a one-time special issuance for
each diagnosis of the following:

(i) Myocardial infarction;
(ii) Coronary heart disease that has

required treatment;

(iii) Cardiac valve replacement; or
(iv) Heart replacement.
(b)

Special rule for cardiovascular con-

ditions. In the case of an individual
with a cardiovascular condition, the
process for obtaining an Authorization
for Special Issuance of a Medical Cer-
tificate shall be satisfied with the suc-
cessful completion of an appropriate
clinical evaluation without a manda-
tory wait period.

(c)

Special rule for mental health condi-

tions. (1) In the case of an individual
with a clinically diagnosed mental
health condition, the ability to operate
an aircraft under § 61.113(i) of this chap-
ter shall not apply if—

(i) In the judgment of the individual’s

State-licensed medical specialist, the
condition—

(A) Renders the individual unable to

safely perform the duties or exercise
the airman privileges required to oper-
ate an aircraft under § 61.113(i) of this
chapter; or

(B) May reasonably be expected to

make the individual unable to perform
the duties or exercise the privileges re-
quired to operate an aircraft under
§ 61.113(i) of this chapter; or

(ii) The individual’s driver’s license

is revoked by the issuing agency as a
result of a clinically diagnosed mental
health condition.

(2) Subject to paragraph (c)(1) of this

section, an individual clinically diag-
nosed with a mental health condition
shall certify every 2 years, in conjunc-
tion with the certification under
§ 68.3(b)(3), that the individual is under
the care of a State-licensed medical
specialist for that mental health condi-
tion.

(d)

Special rule for neurological condi-

tions. (1) In the case of an individual
with a clinically diagnosed neuro-
logical condition, the ability to oper-
ate an aircraft under § 61.113(i) of this
chapter shall not apply if—

(i) In the judgment of the individual’s

State-licensed medical specialist, the
condition—

(A) Renders the individual unable to

safely perform the duties or exercise
the airman privileges required to oper-
ate an aircraft under § 61.113(i) of this
chapter; or

(B) May reasonably be expected to

make the individual unable to perform
the duties or exercise the privileges re-
quired to operate an aircraft under
§ 61.113(i) of this chapter; or

(ii) The individual’s driver’s license

is revoked by the issuing agency as a
result of a clinically diagnosed neuro-
logical condition.

(2) Subject to paragraph (d)(1) of this

section, an individual clinically diag-
nosed with a neurological condition
shall certify every 2 years, in conjunc-
tion with the certification under
§ 68.3(b)(3), that the individual is under
the care of a State-licensed medical
specialist for that neurological condi-
tion.

[Docket FAA–2016–9157, Amdt. 68–1, 82 FR
3165, Jan. 11, 2017, as amended by Docket No.
FAA–2021–1040, Amdt. Nos. 61–152, 87 FR
71238, Nov. 22, 2022]

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§ 68.11

Authority to require additional

information.

(a) If the Administrator receives

credible or urgent information, includ-
ing from the National Driver Register
or the Administrator’s Safety Hotline,
that reflects on an individual’s ability
to safely operate an aircraft under
§ 61.113(i) of this chapter, the Adminis-
trator may require the individual to

provide additional information or his-
tory so that the Administrator may de-
termine whether the individual is safe
to continue operating under that sec-
tion.

(b) The Administrator may use cred-

ible or urgent information received
under paragraph (a) to request an indi-
vidual to provide additional informa-
tion or to take actions under 49 U.S.C.
44709(b).

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