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Do this before you spend a single euro or dollar on training. If something comes up in your medical, you want to find out now, not after your PPL.

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Which medical do you need?

EASA (Europe) FAA (US)
For an airline career Class 1 First-class
Where An AeMC or a Class 1-approved AME (initial Class 1 is usually done at an AeMC) An FAA AME. Fill in MedXPress online first.
Validity (under 40) 12 months 12 months (first-class)
If there's a condition Referral or limitation, assessed case by case Possible Special Issuance (SI), assessed case by case

Step 1: Book it

Step 2: Bring this

Step 3: The days before

Step 4: On the day