A First Class medical certificate is required to exercise airline transport pilot (ATP) privileges. Only a Senior Aviation Medical Examiner can issue one, and Dr. Grazer holds that designation.
How long it lasts
- Under age 40 on the exam date: valid for First Class privileges for the rest of the month of issue plus 12 calendar months.
- Age 40 or older on the exam date: valid for First Class privileges for the rest of the month plus 6 calendar months.
- After the First Class period ends, the certificate continues to cover Second Class privileges for 12 calendar months and Third Class privileges for 24 or 60 calendar months, depending on your age at the exam.
What the exam includes
The First Class exam covers everything in a Second and Third Class exam, with stricter vision standards and cardiac screening:
- Distant vision of 20/20 or better in each eye separately, with or without correction
- Intermediate vision of 20/40 or better in each eye at age 50 and over, measured at 32 inches
- Near vision of 20/40 or better in each eye, measured at 16 inches
- Color vision, hearing, blood pressure, and a general physical exam
- An electrocardiogram (ECG) at your first First Class exam after age 35, and annually after age 40
Before your First Class exam
Complete your application in MedXPress, and if you have any history the FAA will ask about, gather records ahead of time using our medications and conditions guide. Airline and career pilots on tight timelines can call us to plan around upcoming training or checkrides.
Ready to book your exam?
Complete your MedXPress application, then request an appointment below or call us at 949-828-2889.