Guide for Aviation Medical ExaminersVersion 09/30/2026
Section 20
AMCS SUPPORT DESK
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o It is not possible for a medical department or any other physician to transmit a current ECG directly to the FAA 8500-8 exam.
o If an ECG was done outside the AME’s office, the AME must verify that the ECG belongs to the airman, it is less than 60 days old, and is of suitable quality before it is attached to the 8500-8.
o The image must be of good quality. Stress test or ECG images that have been faxed do not have enough clarity/definition for adequate review. In most cases, they will not be acceptable.
Applicant refuses ECG - If an ECG is due and the airman refuses, the AME will be unable to transmit the exam. The AME should call the AMCS Support Desk at (405) 954-3238 AND note in Block 60 that the airman refused the required ECG.
No ECG submitted - When an ECG is due but is not submitted, the FAA will not affirm the applicant's eligibility for medical certification until the requested ECG has been received and interpreted as being within normal limits. Failure to respond to FAA requests for a required current ECG will result in denial of certification.
F. After the ECG is transmitted to the FAA:
All first-class ECGs are reviewed by AMCD’s ECG department, staff physicians, or consultant cardiologists. If abnormalities are identified, additional work up or information may be requested. For additional help transmitting the exam or attaching the ECG contact:
(405) 954-3238