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Guide for Aviation Medical Examiners
  1. Front Matter
  2. Section 1: GENERAL INFORMATION
  3. Section 2: APPLICATION FOR MEDICAL CERTIFICATION
  4. Section 3: EXAMINATION TECHNIQUES
    1. ITEMS 21-22. Height and Weight
    2. ITEMS 23-24. Statement of Demonstrated Ability (SODA); SODA Serial Number
  5. Section 4: AME PHYSICAL EXAMINATION INFORMATION AND DISPOSITION TABLES
  6. Section 5: ITEMS 31-34. Eye
  7. Section 6: ITEM 35. Lungs and Chest
  8. Section 7: ITEM 36. Heart
  9. Section 8: ITEM 37. Vascular System
  10. Section 9: ITEM 38. Abdomen and Viscera
  11. Section 10: ITEM 39. Anus
  12. Section 11: ITEM 40. Skin
  13. Section 12: ITEM 41. G-U System
  14. Section 13: ITEMS 42-43. Musculoskeletal
  15. Section 14: ITEM 44. Identifying Body Marks, Scars, Tattoos
  16. Section 15: ITEM 45. Lymphatics
  17. Section 16: ITEM 46. Neurologic
  18. Section 17: ITEM 47. Psychiatric
  19. Section 18: ITEM 48. General Systemic
  20. Section 19: AME OFFICE-REQUIRED ANCILLARY TESTING
  21. Section 20: AMCS SUPPORT DESK
  22. Section 21: APPLICATION REVIEW
  23. Section 22: CACI CONDITIONS
  24. Section 23: DISEASE PROTOCOLS
  25. Section 24: PHARMACEUTICALS
  26. Section 25: AME ASSISTED SPECIAL ISSUANCES (AASI)
  27. Section 26: SUBSTANCES OF DEPENDENCE/ABUSE
  28. Section 27: Drug/Alcohol Monitoring Programs and HIMS
  29. Section 28: SYNOPSIS OF MEDICAL STANDARDS
  30. Section 29: Student Pilot Rule Change
  31. Section 30: GLOSSARY
  32. Section 31: ARCHIVES AND UPDATES

Guide for Aviation Medical Examiners|Version 09/30/2026

Section 03

EXAMINATION TECHNIQUES

4 pages|Pages 56–59

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Items 21-58 of FAA Form 8500-8

ITEMS 21- 58 of FAA Form 8500-8

The AME must personally conduct the physical examination. This section provides guidance for completion of Items 21-58 of the Application for Airman Medical Certificate, FAA Form 8500-8.

The AME must carefully read the applicant's history page of FAA Form 8500-8 (Items 1-20) before conducting the physical examination and completing the Report of Medical Examination. This alerts the AME to possible pathological findings.

The AME must note in Item 60 of the FAA Form 8500-8 any condition found in the course of the examination. The AME must list the facts, such as dates, frequency, and severity of occurrence.

When a question arises, the Federal Air Surgeon encourages AMEs first to check this Guide for Aviation Medical Examiners and other FAA informational documents. If the question remains unresolved, the AME should seek advice from a RFS or AMCD.

ITEMS 21-22. Height and Weight

ITEM 21. Height

Measure and record the applicant's height in inches. Although there are no medical standards for height, exceptionally short individuals may not be able to effectively reach all flight controls and must fly specially modified aircraft. If required, the FAA will place operational limitations on the pilot certificate.

ITEM 22. Weight

Measure and record the applicant's weight in pounds.

21.

Height (inches) 22. Weight (pounds)

Measurement UnitsBMI Formula and Calculation
Pounds and inchesFormula: weight (lb) / [height (in)]²x 703 Calculate BMI by dividing weight in pounds (lbs) by height in inches (in) squared and multiplying by a conversion factor of 703. Example: Weight = 150 lbs, Height = 5'5" (65") Calculation: [150 ÷ (65)²] x 703 = 24.96
Kilograms and meters (or centimeters)Formula: weight (kg) / [height (m)]2 With the metric system, the formula for BMI is weight in kilograms divided by height in meters squared. Since height is commonly measured in centimeters, divide height in centimeters by 100 to obtain height in meters.Example: Weight = 68 kg, Height = 165 cm (1.65 m) Calculation: 68 ÷ (1.65)2 = 24.98

BMI CHART AND FORMULA TABLE

ITEMS 23-24. Statement of Demonstrated Ability (SODA); SODA Serial Number

ITEM 23. Has a SODA ever been issued?

Ask the applicant if a SODA has ever been issued. If the answer is "yes," ask the applicant to show you the document. Then check the "yes" block and record the nature and degree of the defect.

SODA's are valid for an indefinite period or until an adverse change occurs that results in a level of defect worse than that stated on the face of the document.

The FAA issues SODA's for certain static defects, but not for disqualifying conditions or conditions that may be progressive. The extent of the functional loss that has been cleared by the FAA is stated on the face of the SODA. If the AME finds the condition has become worse, a medical certificate should not be issued even if the applicant is otherwise qualified. The AME should also defer issuance if it is unclear whether the applicant's present status represents an adverse change.

The AME must take special care not to issue a medical certificate of a higher class than that specified on the face of the SODA even if the applicant appears to be otherwise medically qualified. The AME may note in Item 60 the applicant's desire for a higher class.

ITEM 24. SODA Serial Number

Enter the assigned serial number in the space provided.

23.

Statement of Demonstrated Ability (SODA)

Yes No Defect Noted:

24.

SODA Serial Number

Previous SectionSection 2: APPLICATION FOR MEDICAL CERTIFICATIONNext Section Section 4: AME PHYSICAL EXAMINATION INFORMATION AND DISPOSITION TABLES

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ITEMS 21-22. Height and Weight

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