Applicants Name: Item 61 - Pilot Medical Issues

Excerpts from Guide for Aviation Medical Examiners
Application Process for Medical Certification

Application Review
Item 61. Applicant's Name

The applicant's name should be typed. See section on positive identification of airman applicant.

This section provides guidance for the completion of Items 61 of FAA Form 8500-8. The Examiner is responsible for conducting the examination. However, he or she may delegate to a qualified physician's assistant, nurse, aide, or laboratory assistant the testing required for Items 49-58. Regardless of who performs the tests, the AME is responsible for the accuracy of the findings, and this responsibility may not be delegated.

After all routine evaluations and tests are completed, the Examiner should make a complete review of FAA Form 8500-8. If the form is complete and accurate, the Examiner should add final comments, make qualification decision statements, and sign the declaration. The medical history page of FAA Form 8500-8 must be completed in the handwriting of and signed and dated by the applicant. Upon completion of the physical examination, the entire FAA Form 8500-8, Items 1 through 64, must be electronically transmitted to the FAA vis the AMCS.

Application Review Items:

59. Other Tests Given	62. Has Been Issued
60. Comments on History and Findings	63. Disqualifying Defects
61. Applicant's Name	64. Medical Examiner's Declaration

Name: Application Review

AME Guide to FAA Medical Exam Item 61

Application Review
Item 61. Applicant's Name

Name: Application Review

AME Guide to FAA Medical Exam Item 61

Application ReviewItem 61. Applicant's Name

Application Review
Item 61. Applicant's Name