Complete the form below to request an FAA MedXPress account. An e-mail containing
your initial password and instructions for completing the Account Request process
will be sent to the address provided.
Agreement between User and the Federal Aviation Administration (FAA)
The FAA MedXPress website is composed of various web pages operated by the FAA.
The FAA MedXPress website is offered to you conditioned on your acceptance without
modification of the terms, conditions, and notices contained herein. Your use of
the FAA MedXPress website constitutes your agreement to all such terms, conditions,
IF YOU DO NOT AGREE TO THESE TERMS OF SERVICE, YOU MAY NOT USE THIS WEBSITE AND
YOU MAY NOT REGISTER AS A USER.
The FAA reserves the right to change the terms, conditions, and notices under which
the FAA MedXPress website is offered.
No Unlawful or Prohibited Use
As a condition of your use of the FAA MedXPress website, you warrant to the FAA
that you will not use the FAA MedXPress website for any purpose that is unlawful
or prohibited by these terms, conditions, and notices. You may not use the FAA MedXPress
website in any manner which could damage, disable, overburden, or impair the FAA
MedXPress website or interfere with any other party's use of the FAA MedXPress website.
You may not obtain or attempt to obtain any materials or information through any
means not intentionally made available or provided for through the FAA MedXPress
The information, software, products, and services included in or available through
the FAA MedXPress website may include inaccuracies or typographical errors. Changes
are periodically added to the information herein. The FAA and/or its suppliers may
make improvements and/or changes in the FAA MedXPress website at any time. Information
contained in the FAA MedXPress website should not be relied upon for personal, medical,
legal, or financial decisions and you should consult an appropriate professional
for specific advice tailored to your situation.
The FAA and/or its suppliers make no representations about the suitability, reliability,
availability, timeliness, and accuracy of the information, software, products, services,
and related graphics contained on the FAA MedXPress website for any purpose. To
the maximum extent permitted by applicable law, all such information, software,
products, services, and related graphics are provided "as is" without warranty or
condition of any kind. The FAA and/or its suppliers hereby disclaim all warranties
and conditions with regard to this information, software, products, services, and
related graphics, including all implied warranties or conditions of merchantability,
fitness for a particular purpose, title, and non-infringement.
To the maximum extent permitted by applicable law, in no event shall the FAA and/or
its suppliers be liable for any direct, indirect, punitive, incidental, special,
consequential damages or any damages whatsoever including, without limitation, damages
for loss of use, data or profits, arising out of or in any way connected with the
use or performance of the FAA MedXPress website, with the delay or inability to
use the FAA MedXPress website or related services, the provision of or failure to
provide services, or for any information, software, products, services, and related
graphics obtained through the FAA MedXPress website, or otherwise arising out of
the use of the FAA MedXPress website, whether based on contract, tort, negligence,
strict liability, or otherwise, even if the FAA or any of its suppliers has been
advised of the possibility of damages. Because some states/jurisdictions do not
allow the exclusion or limitation of liability for consequential or incidental damages,
the above limitation may not apply to you. If you are dissatisfied with any portion
remedy is to discontinue using the FAA MedXPress website.
This Statement of Privacy applies to the FAA MedXPress website and governs data
collection and usage. By using the FAA MedXPress website, you consent to the data
practices described in this statement.
Statement of Privacy
The information entered into the FAA MedXPress on-line version of the Form 8500-8,
Application For Airman Medical Certificate or Airman Medical and Student Pilot Certificate,
is solicited under the authority of Title 49, United States Code (U.S.C.) (Transportation)
sections 109(9), 40113(a), 44701-44703, and 44709 (1994) formerly codified in the
Federal Aviation Act of 1958, as amended, and Title 14, Code of Federal Regulations
(CFR), part 67, Medical Standards and Certification.
Except for your Social Security Number (SSN), submission of this information is
mandatory. Incomplete submission will result in delay of further consideration or
denial of your application for a medical certificate or medical clearance.
Other than your SSN, the purpose of the information is to determine whether you
meet Federal Aviation Administration (FAA) medical requirements to hold a medical
certificate or medical clearance. The information will also be used to provide data
for the FAA's automated medical certification system to depict airman population
patterns and to update certification procedures and medical standards. For air traffic
control specialists (ATCS) employed by the Federal Government, the information
requested will be used as a basis for determining medical eligibility for initial and
continuing employment. The information becomes part of the FAA Privacy Act system of
records, DOT/FAA-847, General Air Transportation Records on Individuals.
These records and information in these records may be used (a) to provide basic airman
certification and qualification information to the public upon request;
(b) to disclose information to the National Transportation Safety Board (NTSB)
in connection with its investigation responsibilities; (c) to provide
information about airmen to Federal, state, and local law enforcement agencies when
engaged in the investigation and apprehension of drug law violators; (d) to provide
information about enforcement actions arising out of violations of the Federal Aviation
Regulations to government agencies, the aviation industry, and the public upon request;
(e) to disclose information to another Federal agency, or to a court or an administrative
tribunal, when the Government or one of its agencies is a party to a judicial proceeding
before the court or involved in administrative proceedings before the tribunal;
and (f) to disclose information to other Federal agencies for verification of the
accuracy or completeness of the information; and (g) to comply with the Prefatory
Statement of General Routine Uses for the Department of Transportation.
Submission of your SSN is not required by law and is voluntary. Refusal to furnish
your SSN will not result in the denial of any right, benefit, or privilege provided
by law. Your SSN is solicited to assist in performing the agency's functions under
49 U.S.C. (Transportation). If supplied, it will be used by the FAA to associate
all information in agency files relating to you. If you refuse to supply your SSN,
a substitute number or other identifier will be assigned, as required
By answering "Yes" to under No. 20, Applicant's Declaration, you permit the FAA
to request information, if any, pertaining to your driving record from the National
Driver Register (NDR). The FAA will then match such NDR information with the information
you provide on the medical history part of the form. Since the NDR identifies only
probable matches, the FAA will verify the NDR information it receives with the state
of record. You have the right to request an NDR file check to determine if it contains
any information and, if so, the accuracy of such information. Notarized requests
may be sent to: DOT/NHTSA/NTS-32, 400 7th Street, S.W., Washington, DC 20590-0001,
and must contain your complete name and date of birth. Other information about height,
weight, and eye color will ensure correct positive identification.
Collection of Your Personal Information
The FAA MedXPress website collects personally identifiable information, such as
your e-mail address, name, address, telephone number, and Social Security Number.
The FAA MedXPress website also collects anonymous demographic information, which
is not unique to you, such as your ZIP code, age, and gender.
There is also information about your computer hardware and software that is automatically
collected by the FAA MedXPress website. This information can include: your IP address,
browser type, domain names, access times, and referring website addresses. This
information is used by the FAA MedXPress website for the operation of the service,
to maintain quality of the service, and to provide general statistics regarding
use of the FAA MedXPress website.
You are responsible for your own registration and password. You are responsible
for maintaining the confidentiality of your information and password. You agree
that you will not let any other person to use your registration or password. You
agree to immediately notify the FAA of any unauthorized use of your registration
or password. This may be done by sending an email to firstname.lastname@example.org.
Use of Your Personal InformationThe FAA collects and uses your personal information
to operate the FAA MedXPress website and to provide your Form 8500-8 information
to your AME. The FAA also uses your personally identifiable information to provide
password and confirmation number information to you via your email address.
The FAA will not sell, rent, or lease your information to third parties. Information
gathered by the FAA MedXPress website will be used solely for the purpose of reviewing
applications for Medical Certificates and medical clearances. Only the Aviation Medical
Examiner (AME) to whom you provide your FAA MedXPress confirmation number will have
access to your Form 8500-8 application data. By giving your confirmation number to your
AME you are consenting to the AME being able to access your FAA MedXPress Form 8500-8
The FAA will disclose your personal information, without notice, only if required
to do so by law or in the good faith belief that such action is necessary to: (a)
conform to the edicts of the law or comply with legal process served on the FAA
or the site; (b) protect and defend the rights or property of the FAA; and, (c)
act under exigent circumstances to protect the personal safety of users of the FAA
MedXPress website, or the public.
A cookie is a text file that is placed on your hard disk by a web server. Cookies
cannot be used to run programs or deliver viruses to your computer. Cookies are
uniquely assigned to you, and can only be read by a web server in the domain that
issued the cookie to you.
Cookies used on the FAA MedXPress website will not be persistent. This means we
will store the cookie on your computer only during your visit to our website. After
you turn off your computer, or stop using the Internet, the cookie with your session
You have the ability to accept or decline cookies. Most web browsers automatically
accept cookies, but you can usually modify your browser setting to decline cookies,
if you prefer. If you choose to decline cookies, you may not be able to access the
FAA MedXPress website.
Security of Your Personal Information
Properly securing the information we collect online is a primary commitment. To
help us do this, we take steps to: (a) employ internal access controls to ensure
the only people who see your information are those with a need to do so to perform
their official duties; (b) train relevant personnel on our privacy and security
measures to know requirements for compliance; (c) secure the areas where we hold
hard copies of information we collect online; (d) perform regular backups of the
information we collect online to insure against loss; (e) use technical controls
to secure the information we collect online, including but not limited to Secure
Socket Layer (SSL), encryption, firewalls, and password protections; (f) periodically
test our security procedures to ensure personnel and technical compliance; (g) employ
external access safeguards to identify and prevent unauthorized attempts of outsiders
to hack into, or cause harm to, the information in our systems.
Tampering with FAA's website is against the law. Depending on the offense, it is
punishable under the Computer Fraud and Abuse Act of 1986 and the National Information
Infrastructure Protection Act.
Changes to this Statement
The FAA will occasionally update this Statement of Privacy to reflect company and
customer feedback. The FAA encourages you to periodically review this statement
to be informed of how the FAA is protecting your information.
Paperwork Reduction Act Statement
The information collected on this form is necessary to ensure applicants meet the
minimum requirements as set forth under the authority of 49 U.S.C. (Transportation).
This information will be used to determine applicant eligibility for a medical certificate,
or ATCS eligibility for employment. When all requirements have been met, an appropriate
medical certificate, or medical clearance will be issued. It is estimated
that it will take each applicant 2 hours to complete this form and provide all the
information called for (includes providing medical history information and physical
examination). The information is required to obtain a certificate and is confidential.
The information will become part of the Privacy Act system of records DOT/FAA 847,
General Air Transportation Records on Individuals. Note that an agency may not conduct
or sponsor, and a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. The control number for
this collection of information is 2120-0034.