Note For Private Pilots

   BasicMed providers an alternative to the Class Three Medical.  These regulations went into effect May 1, 2017 and most private pilots can use this option if they wish.  Details of this alternative can be found on the Aircraft Owners and Pilots Association website. The conventional Class Three Medical continues to be available and remains unchanged. 


Your FAA Medial Exam with Dr. Elliott


To make your appointment as productive as possible the following recommendations are helpful

Schedule an appointment for early in the month that your certificate expires. This allows time for unexpected schedule changes or medical issues that need to be resolved. On rare occasions I cannot issue any certificates due to internet problems. When making an appointment tell us if you need an EKG so extra time can be allotted. EKGs are required only for Class One applicants at the time of their first exam after 35 years of age and annually after 40.

The FAA requires that the application for an airman medical certificate be completed online at The application requests the date of your last FAA Medical Exam and this information is at the FAA's Airman Inquiry Page. After the application is accepted you will receive a confirmation number, and bring this with you when you come in to my office. If you do not have this number, I cannot access your medical history or submit the exam. It is not necessary, but if convenient bring in a printed copy of your Medxpress form.

When you come in for the appointment you will need

       A government issued picture ID

      Your Confirmation number from Medxpress

      Bring in any glasses that you use, even if they are only for near vision.

  If you have correspondence from the FAA such as a Special Issuance (SI) Letter, bring that plus the medical reports referenced in your SI letter.

      I f you have a Statement of Demonstrated Ability (SODA) bring a copy of this document.

      Conditions AMEs Can Issue (CACIs) are a series of conditions which permit an AME to issue a regular certificate if the requirements of the CACI are met. Visit the CACI FAA page for the most current information. If you have one of these conditions download the pertinent CACI, print it out, and bring it to your physician for completion. If the requirements of the CACI are met and there are no other disqualifying concerns I can issue the certificate at the time of your exam.

  Disease Protocols currently cover 30 medical conditions. Some allow the AME to issue your certificate if specific guidelines are met, however protocols dealing with situations of greater medical import require deferring the decision to the FAA

If you have questions call (302) 331-9346. There is no charge for a telephone consultation

After the exam one of the following will occur

        1. Most applicants will receive their certificate at the time of the exam.  This is our goal and will be facilitated by being sure the above suggestions are followed.


        2.  My decision is held in abeyance at the time of the exam. This usually occurs when a new problem is found, or when an applicant does not bring in required updates for a medical condition that the FAA is aware of.  The FAA has a two-week time frame between when I see you and when I must transmit my findings to the FAA. Once I receive the medical information that the FAA requires for certification within the two weeks, I can issue your certificate if the FAA medical requirements are met.  If this does not occur, I must defer the decision to the FAA.

  The next step once you have all needed information is for you to e-mail me the files which must be in a .pdf., docx,. or doc format, and I can upload them directly to the FAA.  Include your name, date of birth, and the PI Number if the FAA has assigned you one.  The other option is for you to mail or FAX the information to the FAA, however this increases the time it will take them to make a decision.  Either way I recommend that you retain copies of your records. If you do not send anything or it is incomplete you will receive a letter from the FAA stipulating what information they need to make a decision. Once they have received everything, they will review it and either mail out your certificate, ask for further information, or issue a denial letter. When this procedure is followed most airman are able to be certified and most denial letters are due to the FAA not receiving the requested information.

  3. At the time of the exam I defer issuance of the certificate to the FAA This usually occurs when there are substantive findings made at the time of the exam, if you have a condition not covered by a CACI, or if you have not received a Special Issuance Authorization for your condition. After deferral you will receive a letter from the FAA stipulating what medical reports are required.   Bring this letter to your physician, and when you have all the information make copies and forward it to the FAA as described above. When these steps are followed most airman are able to be certified and most denial letters are due to the FAA not receiving the requested information. 

       4. At times I may call the FAA directly when there is an unusual situation or technicality, and may receive authorization to issue your certificate.

       5. A denial letter is issued by me.  This is exceedingly rare but can be done in a situation where no type of certification is possible by any stretch of the imagination, such as for an applicant with well documented, recurrent, ongoing seizures.



For all FAA services our office only accepts checks or cash and we do not accept credit cards. Dr. Elliott does not participate in Medicare or any insurance programs. Payment must be made at the time of service and a receipt will always be provided.


Class One with EKG $215

Class One $125

Class Two $120

Class Three $115

CACI fees are the exam plus $15

Assisted Special Issuance (AASI) the Exam plus $25

ASSI without the exam $50

HIMS fees are determined on a case-by-case basis


Last revision date: March 17, 2024