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]

Diabetes report [PDF 332 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]

How to contact the Medical Unit

If you have any questions about this topic, use our contact form, or email med@caa.govt.nz