Aviation Medicals

June 25, 2021
Category: Popular

When first starting out in aviation, students are very overwhelmed with the amount of information they are required to absorb, a new way of learning, and of course the endless amount of tasks they have to worry about when they go home. From studying their Flight Training Manuals to getting ready for their ROC-A Exam; then there is talk of this PSTAR exam and the dreaded aviation medical.

So let’s get into it and look at what is required from you as a new pilot entering aviation. There are four categories of medical that Transport Canada, the governing body of aviation in Canada, has:

  • Category 1 Medical: Mostly used by Airline Pilots and Commercial Pilots
  • Category 2 Medical: Used only by Air Traffic Controllers
  • Category 3 Medical: Mostly used by Private Pilots and Recreational Pilots.
  • Category 4 Medical: Used by Recreational Pilot Permit Holders and student pilots.

As you become more of an impact to the public, your medical requirements will increase. The highest category of medical is the Category 1 Medical. Airline and commercial pilots flying the paying public must meet very stringent medical standards in order to safely fly. However, student pilots just learning how to fly only require a Category 4 Medical, or a medical declaration; the standards are much lower than a Category 1 medical.


I’m a Student, Which Medical do I Need?

As a student pilot, you at minimum require a Category 4 Medical. We’ll get to that a little bit later. If you are wanting to obtain a private license or become a commercial pilot, you should complete your Category 1 or 3 Medical now to verify you meet the proper standards. It is uncommon but it can happen where student pilots begin flight training only to find out from Transport Canada that they are unable to hold the required medical certificate. Find out now.


Where can I do my Aviation Medical?

Aviation medicals can only be done by Civil Aviation Medical Examiners. Just like your family doctor can’t perform heart surgery on you (although yours might), not all family doctors are qualified to conduct aviation medicals. To find a medical examiner near you, visit the Transport Canada website here.

It will cost money, and this is normal. For a category 1 medical, you will be required to do an ECG and a hearing test at your own cost.


The Category 4 Medical

Category 4 Medical Form Picture
Picture of a Category 4 Medical Form

If you are a relatively healthy person and are confident that you can hold a medical, we highly suggest you work right now on your category 4 medical. This is also known as a Medical Declaration. Essentially, fill out Part A of the form, print it and visit your family doctor. Better yet, if you have known them for a long time and they know your medical history, you might be able to fax/e-mail to them and have them fill it out.

All the doctor is doing is declaring that to the best of their knowledge, you have never met any of the conditions in Part 2. This should not require an exam, a hearing test or anything. It is a declaration. It is paperwork. This should be free, although some doctor’s offices may charge you for completing paperwork.

Once the form is completed and your family doctor has signed Part C, it is time to mail it in or scan and send via e-mail to your local Transport Canada office. Normally we would make the e-mails accessible to you by listing them here, but they change at the whim of a new Minister of Transport and our page would never be up to date. So instead, visit https://tc.canada.ca/en/aviation/civil-aviation-contacts-offices and find the e-mail of your regional Medical Office AND Regional Service Center. We recommend e-mail the same form to BOTH e-mails although we have been told to only send them to the Regional Service Centers.


What’s the advantage of a Category 4 Medical Form?

Completing a Category 1 or 3 Medical can take some time. By the time the appointment gets booked, you get your ECG/Audiogram done if required, it is sent to Transport Medicine, processed and sent back to you, it could be up to 6 months or more. With the Covid related pandemic, 6 months was what lucky people dealt with in some parts of the country. So the main advantage? Time.

As a student pilot, you can complete ALL of your training towards your Private Pilot License, including your exam and flight test with a Category 4 Medical. However, you cannot actually be issued a license until you hold a valid Category 3 or 1 medical. This means that while you wait for the paperwork to be processed for your Category 1 or 3 medical, you won’t be held up at your first solo or at any part of your flight training. Once you obtain a Category 4 Medical, you will get a license number from Transport Canada which will be used on your Student Pilot Permit. This 6 digit number will also be used to on all of your government paperwork including your letter of recommendations and exam.


Final Note

Our final note to end this post on medicals related to honesty. Doctors have taken an oath to help humanity get healthier. Although it may be tempting to hide medical conditions in favour of flying, it doesn’t actually help anyone. Most importantly, it does not help you, the person suffering from whatever condition it is that you are hiding. Medical examiners will examine you, your eyesight, your colour blindness, hearing etc,. Yes, they have a duty to report. But their primary duty is to help you become a healthier person.

Don’t hide anything and be honest. Doctors are there to help you achieve your goal.