Form Faa 8700-2 - Comprehensive Medical Examination Checklist
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9Comprehensive Medical Examination Checklist
SECTION 1 – Instructions to the Individual and State-Licensed Physician
This checklist is to be used by individuals seeking to operate certain small aircraft in accordance with
Title14 of Code of the Federal Regulations (14 CFR), § 61.113(i). This rule (BasicMed) allows pilots to
use this checklist, and other requirements, in lieu of holding a third-class FAA Airman Medical Certificate.
Under BasicMed, an individual may only act as pilot-in-command (PIC) of an aircraft that is authorized to
carry not more than 6 occupants, and that has a maximum certificated takeoff weight of not more than
6,000 pounds.
1. The individual must complete SECTION 2 of this checklist and provide the checklist in its entirety (including
the completed SECTION 2) to the state-licensed physician performing the medical examination.
2. The state-licensed physician must perform a comprehensive medical examination addressing all items in
SECTION 3 of this checklist. The physician completes the “Physician’s Signature and Declaration” if the
physician determines that he/she is not aware of any medical condition that, as presently treated, could
interfere with the individual’s ability to safely operate an aircraft.
3. The completed checklist shall be retained in the individual's logbook (in any legible paper or electronic
format) and made available on request.
4. In order to act as PIC under BasicMed, an individual must receive a comprehensive medical examination
by a state-licensed physician during the previous 48 months in accordance with 14 CFR 61.23(c)(3)(i).
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FAA 8700-2 Comprehensive Medical Examination Checklist (04-17)
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