The Civil Aviation Act 2023 came into force on 5 April 2025. We have a new set of forms for use after this date.
Application for a medical certificate [PDF 2.2 MB]
Medical examination report [PDF 83 KB]
Medical assessment report [PDF 1.6 MB]
General direction submission form [DOC 73 KB]
Electrocardiograph request [DOCX 34 KB]
Audiometry report [PDF 220 KB]
In flight hearing assessment report [PDF 115 KB]
Special eye report [PDF 2.5 MB]
Operational colour vision assessment - Word version [DOCX 39 KB]
Respiratory examination report [DOCX 39 KB]
Blood pressure examination report [DOCX 43 KB]
Headache/migraine investigation report [PDF 410 KB]
Ageing pilot report [PDF 148 KB]
Accredited medical conclusion – request for identification of experts - PDF version [PDF 1.6 MB]
Accredited medical conclusion – request for identification of experts - Word version [DOCX 39 KB]
Suspension of certificate - PDF version [PDF 1.4 MB]
Suspension of certificate - PDF version [DOCX 46 KB]
Restriction of certificate [DOCX 44 KB]
Withdrawal of conditions, restrictions and endorsements [DOCX 81 KB]
Cancellation of suspension of certificate [DOCX 41 KB]
Extension of suspension of certificate [DOCX 42 KB]
Extension of restriction of certificate [DOCX 42 KB]
Application for replacement of a medical certificate - PDF version [PDF 285 KB]
Application for replacement of a medical certificate - Word version [DOCX 293 KB]
Fit and proper person questionnaire – Medical Examiner designation [PDF 136 KB]
If you have any questions about this topic, use our contact form, or email med@caa.govt.nz