Do not print this page.
Please complete the form below and then click Print Form at the bottom and then print the PDF. Only print the PDF that's generated for you. If you print this page, you will need to fill out a paper form at our office before your appointment.
A completed questionnaire and signed consent form are required for your aviation medical.
You can fill out the form online or you can download a PDF version. The consent form is page 3 of the document.
After completing the form below, you’ll be required to print or save the PDF. If you do not have access to a printer, you can email a copy to office@aviationdoc.com. We do not receive an electronic copy automatically.
Start by selecting if this is your first visit or if you’ve been to see us before.
If you prefer, you can download a PDF version and complete the questionnaire by hand.
If you prefer, you can download a PDF version and complete the questionnaire by hand.
Clicking Print Form will open a new window with the completed questionnaire as a PDF. You can bring a copy with you to your appointment, or save the PDF and email it to our office. We do not receive an electronic copy.