Upon review of your application and completion of your
examination, your AME has three alternative courses of action available:
(1) if you appear qualified, issue the medical certificate;
(2) if your qualifications are in question, defer the
certification decision to FAA superiors, who review the question and decide
whether to issue or deny your certificate; or
(3) if you appear disqualified, deny your application.
If your AME defers issuance, the review process begins
automatically without further action on your part, but if your AME denies you a
medical certificate, you must request that he issue you a denial slip and
forward your application to the FAA Aeromedical Certification Branch in
Oklahoma City for reconsideration of the denial. If this step is not taken, you
are considered to have withdrawn your application for a medical certificate.
If the Oklahoma City office also denies your application, it
may be necessary for you to request further reconsideration by the Federal Air
Surgeon in Washington, D.C., in order to preserve your appeal rights.
According to the U.S. Government Accountability Office
(GAO), each year about 400,000 candidates apply for an FAA airman medical
certificate and complete the medical exam to determine whether they meet FAA medical
standards. On average, about 90 percent are certified by their AME or regional
flight surgeon. Of the remaining applicants, about 8.5 percent receive a
special issuance medical certificate, while only about 1.2 percent are not
medically certified as fit to fly.
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