14 CFR Part 67




                 PART 67--MEDICAL STANDARDS AND CERTIFICATION

                              Subpart A--General

 Sec.
 67.1  Applicability.
 67.3  Access to National Driver Register.
 67.11  Issue.
 67.12  Certification of foreign airmen.
 67.13  First-class medical certificate.
 67.15  Second-class medical certificate.
 67.17  Third-class medical certificate.
 67.19  Special issue of medical certificates.
 67.20  Applications, certificates, logbooks, reports, and records:
     Falsification, reproduction, or alteration.

                      Subpart B--Certification Procedures

 67.21  Applicability.
 67.23  Medical examinations: Who may give.
 67.25  Delegation of authority.
 67.27  Denial of medical certificate.
 67.29  Medical certificates by senior flight surgeons of armed forces.
 67.31  Medical records.

   Authority: 49 U.S.C. App. 1354(a), 1355, 1421, and 1427; 49 U.S.C. 106(g)
 (Revised, Pub. L. 97-449, January 12, 1983).

   Source: Docket No. 1179, 27 FR 7980, Aug. 10, 1962, unless otherwise noted.

   Editorial Note: For nomenclature changes to Part 67, see 30 FR 12025, Sept.
 21, 1965.






                              Subpart A--General






 Sec. 67.1   Applicability.

   This subpart prescribes the medical standards for issuing medical
 certificates for airmen.






 Sec. 67.3  Access to the National Driver Register.

   At the time of application for a certificate issued under this part, each
 person who applies for a medical certificate shall execute an express consent
 form authorizing the Administrator to request the chief driver licensing
 official of any state designated by the Administrator to transmit information
 contained in the National Driver Register about the person to the
 Administrator. The Administrator shall make information received from the
 National Driver Register, if any, available on request to the person for
 review and written comment.

 [Docket No. 25905, Amdt 67-14, 55 FR 31309, Aug. 1, 1990]



 Sec. 67.11  Issue.

   Except as provided in Sec. 67.12, an applicant who meets the medical
 standards prescribed in this part, based on medical examination and
 evaluation of his history and condition, is entitled to an appropriate
 medical certificate.

 (Secs. 313, 601, 602, Federal Aviation Act of 1958, as amended (49 U.S.C.
 1354, 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C.
 1655(c)); Title V, Independent Offices Appropriations Act of 1952 (31 U.S.C.
 483(a)); sec. 28, International Air Transportation Competition Act of 1979
 (49 U.S.C. 1159(b)))

 [Amdt. 67-12, 47 FR 35693, Aug. 16, 1982]


 Sec. 67.12  Certification of foreign airmen.

   A person who is neither a United States citizen nor a resident alien is
 issued a certificate under this part, outside the United States, only when
 the Administrator finds that the certificate is needed for operation of a
 U.S.-registered civil aircraft.

 (Secs. 313, 601, 602, Federal Aviation Act of 1958, as amended (49 U.S.C.
 1354, 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C.
 1655(c)); Title V, Independent Offices Appropriations Act of 1952 (31 U.S.C.
 483(a)); sec. 28, International Air Transportation Competition Act of 1979
 (49 U.S.C. 1159(b)))

 [Amdt. 67-12, 47 FR 35694, Aug. 16, 1982]


 Sec. 67.13   First-class medical certificate.

   (a) To be eligible for a first-class medical certificate, an applicant must
 meet the requirements of paragraphs (b) through (f) of this section.
   (b) Eye: (1) Distant visual acuity of 20/20 or better in each eye
 separately, without correction; or of at least 20/100 in each eye separately
 corrected to 20/20 or better with corrective lenses (glasses or contact
 lenses) in which case the applicant may be qualified only on the condition
 that he wears those corrective lenses while exercising the privileges of his
 airman certificate.
   (2) Near vision of at least v=1.00 at 18 inches with each eye separately,
 with or without corrective glasses.
   (3) Normal color vision.
   (4) Normal fields of vision.
   (5) No acute or chronic pathological condition of either eye or adenexae
 that might interfere with its proper function, might progress to that degree,
 or might be aggravated by flying.
   (6) Bifoveal fixation and vergencephoria relationship sufficient to prevent
 a break in fusion under conditions that may reasonably occur in performing
 airman duties.

 Tests for the factors named in paragraph (b)(6) of this section are not
 required except for applicants found to have more than one prism diopter of
 hyperphoria, six prism diopters of esophoria, or six prism diopters of
 exophoria. If these values are exceeded, the Federal Air Surgeon may require
 the applicant to be examined by a qualified eye specialist to determine if
 there is bifoveal fixation and adequate vergencephoria relationship. However,
 if the applicant is otherwise qualified, he is entitled to a medical
 certificate pending the results of the examination.
   (c) Ear, nose, throat, and equilibrium:
   (1) Ability to--
   (i) Hear the whispered voice at a distance of at least 20 feet with each
 ear separately; or
   (ii) Demonstrate a hearing acuity of at least 50 percent of normal in each
 ear throughout the effective speech and radio range as shown by a standard
 audiometer.
   (2) No acute or chronic disease of the middle or internal ear.
   (3) No disease of the mastoid.
   (4) No unhealed (unclosed) perforation of the eardrum.
   (5) No disease or malformation of the nose or throat that might interfere
 with, or be aggravated by, flying.
   (6) No disturbance in equilibrium.
   (d) Mental and neurologic--(1) Mental. (i) No established medical history
 or clinical diagnosis of any of the following:
   (a) A personality disorder that is severe enough to have repeatedly
 manifested itself by overt acts.
   (b) A psychosis.
   (c) Alcoholism, unless there is established clinical evidence, satisfactory
 to the Federal Air Surgeon, of recovery, including sustained total abstinence
 from alcohol for not less than the preceding 2 years. As used in this
 section, "alcoholism" means a condition in which a person's intake of alcohol
 is great enough to damage physical health or personal or social functioning,
 or when alcohol has become a prerequisite to normal functioning.
   (d) Drug dependence. As used in this section, "drug dependence" means a
 condition in which a person is addicted to or dependent on drugs other than
 alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by
 habitual use or a clear sense of need for the drug.
   (ii) No other personality disorder, neurosis, or mental condition that the
 Federal Air Surgeon finds--
   (a) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (b) May reasonably be expected, within 2 years after the finding, to make
 him unable to perform those duties or exercise those privileges;
   and the findings are based on the case history and appropriate, qualified,
 medical judgment relating to the condition involved.
   (2) Neurologic. (i) No established medical history or clinical diagnosis of
 either of the following:
   (a) Epilepsy.
   (b) A disturbance of consciousness without satisfactory medical explanation
 of the cause.
   (ii) No other convulsive disorder, disturbance of consciousness, or
 neurologic condition that the Federal Air Surgeon finds--
   (a) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (b) May reasonably be expected, within 2 years after the finding, to make
 him unable to perform those duties or exercise those privileges;
 and the findings are based on the case history and appropriate, qualified,
 medical judgment relating to the condition involved.
   (e) Cardiovascular. (1) No established medical history or clinical
 diagnosis of--
   (i) Myocardial infarction;
   (ii) Angina pectoris; or
   (iii) Coronary heart disease that has required treatment or, if untreated,
 that has been symptomatic or clinically significant.
   (2) If the applicant has passed his thirty-fifth birthday but not his
 fortieth, he must, on the first examination after his thirty-fifth birthday,
 show an absence of myocardial infarction on electrocardiographic examination.
   (3) If the applicant has passed his fortieth birthday, he must annually
 show an absence of myocardial infarction on electrocardiographic examination.
   (4) Unless the adjusted maximum readings apply, the applicant's reclining
 blood pressure may not be more than the maximum reading for his age group in
 the following table:

                          Maximum
                          readings
                         (reclining              Adjusted maximum
                           blood                readings (reclining
                          pressure               blood pressure in
                           in mm)                     mm) /1/

             Age group    Systolic   Diastolic  Systolic  Diastolic

            20-29               140         88
            30-39               145         92       155         98
            40-49               155         96       165        100
            50 and over         160         98       170        100

            /1/ For an applicant at least 30 years of age whose
            reclining blood pressure is more than the maximum
            reading for his age group and whose cardiac and kidney
            conditions, after complete cardiovascular examination,
            are found to be normal.

   (5) If the applicant is at least 40 years of age, he must show a degree of
 circulatory efficiency that is compatible with the safe operation of aircraft
 at high altitudes.

 An electrocardiogram, made according to acceptable standards and techniques
 within the 90 days before an examination for a first-class certificate, is
 accepted at the time of the physical examination as meeting the requirements
 of paragraphs (e)(2) and (3) of this section.
   (f) General medical condition:
   (1) No established medical history or clinical diagnosis of diabetes
 mellitus that requires insulin or any other hypoglycemic drug for control.
   (2) No other organic, functional, or structural disease, defect, or
 limitation that the Federal Air Surgeon finds--
   (i) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (ii) May reasonably be expected, within two years after the finding, to
 make him unable to perform those duties or exercise those privileges;

 and the findings are based on the case history and appropriate, qualified
 medical judgment relating to the condition involved.
   (g) An applicant who does not meet the provisions of paragraphs (b) through
 (f) of this section may apply for the discretionary issuance of a certificate
 under Sec. 67.19.

 (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49
 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act
 (49 U.S.C. 1655(c)))

 [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-9, 37 FR
 4071, Feb. 26, 1972; Amdt. 67-10, 41 FR 46433, Oct. 21, 1976; Amdt. 67-11, 47
 FR 16308, Apr. 15, 1982]


 Sec. 67.15   Second-class medical certificate.

   (a) To be eligible for a second-class medical certificate, an applicant
 must meet the requirements of paragraphs (b) through (f) of this section.
   (b) Eye:
   (1) Distant visual acuity of 20/20 or better in each eye separately,
 without correction; or of at least 20/100 in each eye separately corrected to
 20/20 or better with corrective lenses (glasses or contact lenses), in which
 case the applicant may be qualified only on the condition that he wears those
 corrective lenses while exercising the privileges of his airman certificate.
   (2) Enough accommodation to pass a test prescribed by the Administrator
 based primarily on ability to read official aeronautical maps.
   (3) Normal fields of vision.
   (4) No pathology of the eye.
   (5) Ability to distinguish aviation signal red, aviation signal green, and
 white.
   (6) Bifoveal fixation and vergencephoria relationship sufficient to prevent
 a break in fusion under conditions that may reasonably occur in performing
 airman duties.

 Tests for the factors named in paragraph (b)(6) of this section are not
 required except for applicants found to have more than one prism diopter of
 hyperphoria, six prism diopters of esophoria, or six prism diopters of
 exophoria. If these values are exceeded, the Federal Air Surgeon may require
 the applicant to be examined by a qualified eye specialist to determine if
 there is bifoveal fixation and adequate vergencephoria relationship. However,
 if the applicant is otherwise qualified, he is entitled to a medical
 certificate pending the results of the examination.
   (c) Ear, nose, throat, and equilibrium:
   (1) Ability to hear the whispered voice at 8 feet with each ear separately.
   (2) No acute or chronic disease of the middle or internal ear.
   (3) No disease of the mastoid.
   (4) No unhealed (unclosed) perforation of the eardrum.
   (5) No disease or malformation of the nose or throat that might interfere
 with or be aggravated by, flying.
   (6) No disturbance in equilibrium.
   (d) Mental and neurologic--(1) Mental. (i) No established medical history
 or clinical diagnosis of any of the following:
   (a) A personality disorder that is severe enough to have repeatedly
 manifested itself by overt acts.
   (b) A psychosis.
   (c) Alcoholism, unless there is established clinical evidence, satisfactory
 to the Federal Air Surgeon, of recovery, including sustained total abstinence
 from alcohol for not less than the preceding 2 years. As used in this
 section, "alcoholism" means a condition in which a person's intake of alcohol
 is great enough to damage physical health or personal or social functioning,
 or when alcohol has become a prerequisite to normal functioning.
   (d) Drug dependence. As used in this section, "drug dependence" means a
 condition in which a person is addicted to or dependent on drugs other than
 alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by
 habitual use or a clear sense of need for the drug.
   (ii) No other personality disorder, neurosis, or mental condition that the
 Federal Air Surgeon finds--
   (a) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (b) May reasonably be expected, within two years after the finding, to make
 him unable to perform those duties or exercise those privileges;

 and the findings are based on the case history and appropriate, qualified,
 medical judgment relating to the condition involved.
   (2) Neurologic. (i) No established medical history or clinical diagnosis of
 either of the following:
   (a) Epilepsy.
   (b) A disturbance of consciousness without satisfactory medical explanation
 of the cause.
   (ii) No other convulsive disorder, disturbance of consciousness, or
 neurologic condition that the Federal Air Surgeon finds--
   (a) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (b) May reasonably be expected, within two years after the finding, to make
 him unable to perform those duties or exercise those privileges;

 and the findings are based on the case history and appropriate, qualified,
 medical judgment relating to the condition involved.
   (e) Cardiovascular. (1) No established medical history or clinical
 diagnosis of--
   (i) Myocardial infarction;
   (ii) Angina pectoris; or
   (iii) Coronary heart disease that has required treatment or, if untreated,
 that has been symptomatic or clinically significant.
   (f) General medical condition:
   (1) No established medical history or clinical diagnosis of diabetes
 mellitus that requires insulin or any other hypoglycemic drug for control.
   (2) No other organic, functional, or structural disease, defect, or
 limitation that the Federal Air Surgeon finds--
   (i) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (ii) May reasonably be expected, within two years after the finding to make
 him unable to perform those duties or exercise those privileges;

 and the findings are based on the case history and appropriate, qualified,
 medical judgment relating to the condition involved.
   (g) An applicant who does not meet the provisions of paragraphs (b) through
 (f) of this section may apply for the discretionary issuance of a certificate
 under Sec. 67.19.

 (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49
 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act
 (49 U.S.C. 1655(c)))

 [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-9, 37 FR
 4071, Feb. 26, 1972; Amdt. 67-10, 41 FR 46433, Oct. 21, 1976; Amdt. 67-11, 47
 FR 16308, Apr. 15, 1982]



 Sec. 67.17   Third-class medical certificate.

   (a) To be eligible for a third-class medical certificate, an applicant must
 meet the requirements of paragraphs (b) through (f) of this section.
   (b) Eye:
   (1) Distant visual acuity of 20/50 or better in each eye separately,
 without correction; or if the vision in either or both eyes is poorer than
 20/50 and is corrected to 20/30 or better in each eye with corrective lenses
 (glasses or contact lenses), the applicant may be qualified on the condition
 that he wears those corrective lenses while exercising the priviledges of his
 airman certificate.
   (2) No serious pathology of the eye.
   (3) Ability to distinguish aviation signal red, aviation signal green, and
 white.
   (c) Ears, nose, throat, and equilibrium:
   (1) Ability to hear the whispered voice at 3 feet.
   (2) No acute or chronic disease of the internal ear.
   (3) No disease or malformation of the nose or throat that might interfere
 with, or be aggravated by, flying.
   (4) No disturbance in equilibrium.
   (d) Mental and neurologic--(1) Mental. (i) No established medical history
 or clinical diagnosis of any of the following:
   (a) A personality disorder that is severe enough to have repeatedly
 manifested itself by overt acts.
   (b) A psychosis.
   (c) Alcoholism, unless there is established clinical evidence, satisfactory
 to the Federal Air Surgeon, of recovery, including sustained total abstinence
 from alcohol for not less than the preceding 2 years. As used in this
 section, "alcoholism" means a condition in which a person's intake of alcohol
 is great enough to damage physical health or personal or social functioning,
 or when alcohol has become a prerequisite to normal functioning.
   (d) Drug dependence. As used in this section, "drug dependence" means a
 condition in which a person is addicted to or dependent on drugs other than
 alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by
 habitual use or a clear sense of need for the drug.
   (ii) No other personality disorder, neurosis, or mental condition that the
 Federal Air Surgeon finds--
   (a) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (b) May reasonably be expected, within 2 years after the finding, to make
 him unable to perform those duties or exercise those privileges;

 and the findings are based on the case history and appropriate, qualified,
 medical judgment relating to the condition involved.
   (2) Neurologic. (i) No established medical history or clinical diagnosis of
 either of the following:
   (a) Epilepsy.
   (b) A disturbance of consciousness without satisfactory medical explanation
 of the cause.
   (ii) No other convulsive disorder, disturbance of consciousness, or
 neurologic condition that the Federal Air Surgeon finds--
   (a) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (b) May reasonably be expected, within 2 years after the finding, to make
 him unable to perform those duties or exercise those privileges; and the
 findings are based on the case history and appropriate, qualified, medical
 judgment relating to the condition involved.
   (e) Cardiovascular. (1) No established medical history or clinical
 diagnosis of--
   (i) Myocardial infarction;
   (ii) Angina pectoris; or
   (iii) Coronary heart disease that has required treatment or, if untreated,
 that has been symptomatic or clinically significant.
   (f) General medical condition:
   (1) No established medical history or clinical diagnosis of diabetes
 mellitus that requires insulin or any other hypoglycemic drug for control;
   (2) No other organic, functional or structural disease, defect, or
 limitation that the Federal Air Surgeon finds--
   (i) Makes the applicant unable to safely perform the duties or exercise the
 privileges of the airman certificate that he holds or for which he is
 applying; or
   (ii) May reasonably be expected, within two years after the finding, to
 make him unable to perform those duties or exercise those privileges;

 and the findings are based on the case history and appropriate, qualified,
 medical judgment relating to the condition involved.
   (g) An applicant who does not meet the provisions of paragraphs (b) through
 (f) of this section may apply for the discretionary issuance of a certificate
 under Sec. 67.19.

 (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49
 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act
 (49 U.S.C. 1655(c)))

 [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-9, 37 FR
 4072, Feb. 26, 1972; Amdt. 67-10, 41 FR 46433, Oct. 21, 1976; Amdt. 67-11, 47
 FR 16308, Apr. 15, 1982]


 Sec. 67.19  Special issue of medical certificates.

   (a) At the discretion of the Federal Air Surgeon, a medical certificate may
 be issued to an applicant who does not meet the applicable provisions of Sec.
 67.13, Sec. 67.15, or Sec. 67.17 if the applicant shows to the satisfaction
 of the Federal Air Surgeon that the duties authorized by the class of medical
 certificate applied for can be performed without endangering air commerce
 during the period in which the certificate would be in force. The Federal Air
 Surgeon may authorize a special medical flight test, practical test, or
 medical evaluation for this purpose.
   (b) The Federal Air Surgeon may consider the applicant's operational
 experience and any medical facts that may affect the ability of the applicant
 to perform airman duties including:
   (1) The combined effect on the applicant of failure to meet more than one
 requirement of this part; and
   (2) The prognosis derived from professional consideration of all available
 information regarding the airman.
   (c) In determining whether the special issuance of a third-class medical
 certificate should be made to an applicant, the Federal Air Surgeon considers
 the freedom of an airman, exercising the privileges of a private pilot
 certificate, to accept reasonable risks to his or her person and property
 that are not acceptable in the exercise of commercial or airline transport
 privileges, and, at the same time, considers the need to protect the public
 safety of persons and property in other aircraft and on the ground.
   (d) In issuing a medical certificate under this section, the Federal Air
 Surgeon may do any or all of the following:
   (1) Limit the duration of the certificate.
   (2) Condition the continued effect of the certificate on the results of
 subsequent medical tests, examinations, or evaluations.
   (3) Impose any operational limitation on the certificate needed for safety.
   (4) Condition the continued effect of a second- or third-class medical
 certificate on compliance with a statement of functional limitations issued
 to the applicant in coordination with the Director, Flight Standards Service
 or the Director's designee.
   (e) An applicant who has been issued a medical certificate under this
 section based on a special medical flight or practical test need not take the
 test again during later physical examinations unless the Federal Air Surgeon
 determines that the physical deficiency has become enough more pronounced to
 require another special medical flight or practical test.
   (f) The authority of the Federal Air Surgeon under this section is also
 exercised by the Manager, Aeromedical Certification Branch, Civil Aeromedical
 Institute, and each Regional Flight Surgeon.

 (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49
 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act
 (49 U.S.C. 1655(c)))

 [Amdt. 67-11, 47 FR 16308, Apr. 15, 1982, as amended by Amdt. 67-13, 54 FR
 39292, Sept. 25, 1989; 54 FR 52872, Dec. 22, 1989]


 Sec. 67.20   Applications, certificates, logbooks, reports, and records:
     Falsification, reproduction, or alteration.

   (a) No person may make or cause to be made--
   (1) Any fraudulent or intentionally false statement on any application for
 a medical certificate under this part;
   (2) Any fraudulent or intentionally false entry in any logbook, record, or
 report that is required to be kept, made, or used, to show compliance with
 any requirement for any medical certificate under this part;
   (3) Any reproduction, for fraudulent purpose, of any medical certificate
 under this part;
   (4) Any alteration of any medical certificate under this part.
   (b) The commission by any person of an act prohibited under paragraph (a)
 of this section is a basis for suspending or revoking any airman, ground
 instructor, or medical certificate or rating held by that person.

 [Amdt. 67-1, 30 FR 2197, Feb. 18, 1965]



                      Subpart B--Certification Procedures



 Sec. 67.21   Applicability.

   This subpart prescribes the general procedures that apply to the issue of
 medical certificates for airmen.



 Sec. 67.23   Medical examinations: Who may give.

   (a) First class. Any aviation medical examiner who is specifically
 designated for the purpose may give the examination for the first class
 certificate. Any interested person may obtain a list of these aviation
 medical examiners, in any area, from the FAA Regional Administrator of the
 region in which the areas is located.
   (b) Second class and third class. Any aviation medical examiner may give
 the examination for the second or third class certificate. Any interested
 person may obtain a list of aviation medical examiners, in any area, from the
 FAA Regional Administrator of the region in which the area is located.

 [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-8, 35 FR
 14075, Sept. 4, 1970; Amdt. 67-13, 54 FR 39292, Sept. 25, 1989]


 Sec. 67.25   Delegation of authority.

   (a) The authority of the Administrator, under section 602 of the Federal
 Aviation Act of 1958 (49 U.S.C. 1422), to issue or deny medical certificates
 is delegated to the Federal Air Surgeon, to the extent necessary to--
   (1) Examine applicants for and holders of medical certificates for
 compliance with applicable medical standards; and
   (2) Issue, renew, or deny medical certificates to applicants and holders
 based upon compliance or noncompliance with applicable medical standards.

 Subject to limitations in this chapter, the authority delegated in paragraphs
 (a)(1) and (2) of this section is also delegated to aviation medical
 examiners and to authorized representatives of the Federal Air Surgeon within
 the FAA.
   (b) The authority of the Administrator, under subsection 314(b) of the
 Federal Aviation Act of 1958 (49 U.S.C. 1355(b)), to reconsider the action of
 an aviation medical examiner is delegated to the Federal Air Surgeon, the
 Chief, Aeromedical Certification Division, and each Regional Flight Surgeon.
 Where the applicant does not meet the standards of Sec. 67.13(d)(1)(ii),
 (d)(2)(ii), or (f)(2), Sec. 67.15(d)(1)(ii), (d)(2)(ii), or (f)(2), or Sec.
 67.17(d)(1)(ii), (d)(2)(ii), or (f)(2), any action taken under this paragraph
 other than by the Federal Air Surgeon is subject to reconsideration by the
 Federal Air Surgeon. A certificate issued by an aviation medical examiner is
 considered to be affirmed as issued unless an FAA official named in this
 paragraph on his own initiative reverses that issuance within 60 days after
 the date of issuance. However, if within 60 days after the date of issuance
 that official requests the certificate holder to submit additional medical
 information, he may on his own initiative reverse the issuance within 60 days
 after he receives the requested information.
   (c) The authority of the Administrator, under section 609 of the Federal
 Aviation Act of 1958 (49 U.S.C. 1429), to re-examine any civil airman, to the
 extent necessary to determine an airman's qualification to continue to hold
 an airman medical certificate, is delegated to the Federal Air Surgeon and
 his authorized representatives within the FAA.

 (Sec. 303, 72 Stat. 747, 49 U.S.C. 1344; sec. 602, 72 Stat. 776, 49 U.S.C.
 1422; secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended
 (49 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation
 Act (49 U.S.C. 1655(c)))

 [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-5, 31 FR
 8356, June 15, 1966; Amdt. 67-7, 34 FR 248, Jan. 8, 1969; 34 FR 550, Jan. 15,
 1969; Amdt. 67-9, 37 FR 4072, Feb. 26, 1972; Amdt. 67-11, 47 FR 16309, Apr.
 15, 1982; Amdt. 67-13, 54 FR 39292, Sept. 25, 1989]


 Sec. 67.27   Denial of medical certificate.

   (a) Any person who is denied a medical certificate by an aviation medical
 examiner may, within 30 days after the date of the denial, apply in writing
 and in duplicate to the Federal Air Surgeon, Attention: Manager, Aeromedical
 Certification Division, Federal Aviation Administration, Post Office Box
 25082, Oklahoma City, Okla. 73125, for reconsideration of that denial. If he
 does not apply for reconsideration during the 30-day period after the date of
 the denial, he is considered to have withdrawn his application for a medical
 certificate.
   (b) The denial of a medical certificate--
   (1) By an aviation medical examiner is not a denial by the Administrator
 under section 602 of the Federal Aviation Act of 1958 (49 U.S.C. 1422);
   (2) By the Federal Air Surgeon is considered to be a denial by the
 Administrator under that section of the Act; and
   (3) By the Manager, Aeromedical Certification Division, AAM-300, or a
 Regional Flight Surgeon is considered to be a denial by the Administrator
 under the Act except where the applicant does not meet the standards of Sec.
 67.13(d)(1)(ii), (d)(2)(ii), or (f)(2), Sec. 67.15(d)(1)(ii), (d)(2)(ii), or
 (f)(2), or Sec. 67.17(d)(1)(ii), (d)(2)(ii), or (f)(2).
   (c) Any action taken under Sec. 67.25(b) that wholly or partly reverses the
 issue of a medical certificate by an aviation medical examiner is the denial
 of a medical certificate under paragraph (b) of this section.
   (d) If the issue of a medical certificate is wholly or partly reversed upon
 reconsideration by the Federal Air Surgeon, the Manager, Aeromedical
 Certification Division, AAM-300, or a Regional Flight Surgeon, the person
 holding that certificate shall surrender it, upon request of the FAA.

 (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49
 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act
 (49 U.S.C. 1655(c)))

 [Doc. No. 7077, Amdt. 67-5, 31 FR 8357, June 15, 1966, as amended by Doc. No.
 8084, 32 FR 5769, Apr. 11, 1967; Amdt. 67-9, 37 FR 4072, Feb. 26, 1972; Amdt.
 67-11, 47 FR 16309, Apr. 15, 1982; Amdt. 67-13, 54 FR 39292, Sept. 25, 1989]


 Sec. 67.29   Medical certificates by senior flight surgeons of armed forces.

   (a) The FAA has designated senior flight surgeons of the armed forces on
 specified military posts, stations, and facilities, as aviation medical
 examiners.
   (b) An aviation medical examiner described in paragraph (a) of this section
 may give physical examinations to applicants for FAA medical certificates who
 are on active duty or who are, under Department of Defense medical programs,
 eligible for FAA medical certification as civil airmen. In addition, such an
 examiner may issue or deny an appropriate FAA medical certificate in
 accordance with the regulations of this chapter and the policies of the FAA.
   (c) Any interested person may obtain a list of the military posts,
 stations, and facilities at which a senior flight surgeon has been designated
 as an aviation medical examiner, from the Surgeon General of the armed force
 concerned or from the Manager, Aeromedical Certification Division, AAM-300,
 Department of Transportation, Federal Aviation Administration, Civil
 Aeromedical Institute, Post Office Box 25082, Oklahoma City, Okla. 73125.

 [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Doc. No. 8084, 32 FR
 5769, Apr. 11, 1967; Amdt. 67-8, 35 FR 14076, Sept. 4, 1970; Amdt. 67-13, 54
 FR 39292, Sept. 25, 1989]


 Sec. 67.31   Medical records.

   Whenever the Administrator finds that additional medical information or
 history is necessary to determine whether an applicant for or the holder of a
 medical certificate meets the medical standards for it, he requests that
 person to furnish that information or authorize any clinic, hospital, doctor,
 or other person to release to the Administrator any available information or
 records concerning that history. If the applicant, or holder, refuses to
 provide the requested medical information or history or to authorize the
 release so requested, the Administrator may suspend, modify, or revoke any
 medical certificate that he holds or may, in the case of an applicant, refuse
 to issue a medical certificate to him.

 (Secs. 303(d), 313(a), 314(b), 601, 602, 609, Federal Aviation Act of 1958
 (49 U.S.C. 1344, 1354, 1355(b), 1421, 1422, 1429))

 [Amdt. 67-5, 31 FR 8357, June 15, 1966]