Changes to Civil Aviation Medical Examination Procedures

Overview

Category 1,2,3, Medical certificate (MC) holders expired or expiring between 17 March, 2020 and 31 March 2021 (inclusive), with no change in medical condition and none of the limitations listed below can renew their Medical Certificate by Attestation.

Category 1,2,3 MC holders expired or expiring between 17 March, 2020 and 31 March 2021 (inclusive) who have had changes in medical condition or have one of the listed limitations are eligible for a telemedicine consult. This remote consult will determine fitness for civil aviation or the need for an in person examination.

Cat 1,2,3. Applicants expired prior to 17 March, 2020 will require an in person examination.

There is no change in process for any new applicants.

Civil Aviation Medicine will be restarting certification activities with some temporary changes which will minimize face-to-face contact between applicants and Civil Aviation Medical Examiners (CAMEs). These changes support public health measures to manage the COVID-19 pandemic while maintaining safety and security within civil aviation. These changes are aligned with guidance from the International Civil Aviation Organization (ICAO).

While seeking recertification, all persons holding a valid Transport Canada aviation Medical Certificate (MC) expiring between 17 March 2020 and 01 August 2020 may continue to exercise the privileges of their permits, licenses, or ratings until 1 August 2020 subject to the conditions listed in the Exemption NCR-071-2020 dated 21 May 2020.

View exemption notice NCR-071-2020 - Exemption from subsections 404.03(1) of the Canadian Aviation Regulations.

Pilots 40 years of age or older (but under 60) who normally require medical examination every 6 months in order to fly single-pilot operations with passengers in accordance with CARs 404.04 (6.2)(a) may fly single-pilot operations with passengers according to this Exemption notice as long as they continue to hold a valid category 1 medical certificate that would otherwise be valid for 12 months for two-pilot operations.

On this page

Overview of New Process

Overview of new process

Changes by Applicant Type

A. New Applicants:

1. Category 1, 2, 3 MCs (Cat 4 see B):

  • Holders of MCs that expired before 17 March 2020 will always require a full in person examination.
  • New Applicants and MCs that expired before 17 March 2020 are not eligible for telemedicine examinations. A full in-person medical assessment will always be required. The MC will be valid for the normal applicable time.

B. Category 4 MCs:

  • There is no change in the existing process.
  • Complete and submit the normal Category 4 declaration, signed by a physician if required.
  • The MC will be valid for the normal applicable time
  • Under no condition can Category 4 applicants use the attestation form, they are also ineligible for telemedicine.

C. Holders of Medical Certificates (MCs) expired before 17 March 2020

  • Holders of MCs that expired before 17 March 2020 will always require a full in person examination.
  • MCs that expired before 17 March 2020 are not eligible for telemedicine examinations. A full in-person medical assessment will always be required. The MC will be valid for the normal applicable time.

D. Holders of Medical Certificates expired or expiring between 17 March 2020 and 31 March 2021

1. Renewal by Attestation:

Attestation of Fitness for Civil Aviation for Exemption NCR-062-2020

  • Eligibility
    1. Cat 1,2, and 3 MCs (Cat 4s will never use the attestation form)
    2. MC holders must have none of the limitations listed below on their MC and must have had no change in health status since their last aviation medical examination
    3. MC holders who cannot meet these conditions must undergo a CAME assessment (see “Renewal by Telemedicine +/- In-person Examination” below)
  • Instructions for Applicants
    1. Complete the attestation, and have a witness sign it. The witness must be the age of majority.
      1. MC holders with validity expiring between 17 March and 01 Aug 2020, must complete the submit the attestation by 01 August 2020
      2. MC holders with validity expiring after 01 August 2020 must complete and submit the attestation within 90 days prior to the expiry of the valid MC
    2. Send a copy to the regional Transport Canada Civil Aviation Medicine office (see contact details below).
    3. No documentation or sticker will be sent from Transport Canada.
    4. Keep a copy with your Medical Certificate or Aviation Document Booklet. This is your proof of medical fitness for aviation.
  • Instructions for CAMEs
    1. No action required.
  • Validity
    1. For all MC Categories, an MC recertified by attestation will be valid until the 1-year anniversary of the original expiry date
    2. An MC recertified by attestation which normally has a 6 month validity according to Civil Aviation Regulations (CARs) 404.04 (6.2) will be valid only for 6 months from the original expiry date in 2020. If the 6 month recertification by attestation expires before 31 March 2021, a second attestation may be completed which will be valid for a maximum of 6 additional months, until the 1 year anniversary of the original expiry date.

2. Renewal by Telemedicine +/- In-person examination:

What is telemedicine?

  • Telemedicine examinations are carried out remotely. They are usually conducted by telephone or audio-conferencing technology. The use of video is not mandatory, but CAMEs may use videoconferencing technology if they wish.
  • CAME should use the Electronic Medical Examination Report (eMER) tool to perform the examinations, but a paper form is also available.
  • CAME must contact the Civil Aviation Medical Team to obtain credentials and eMER training material.
  • Instructions for Applicants and CAMEs
    1. Contact a CAME for an examination.
    2. The CAME will complete a Telemedicine assessment first.
    3. It is the responsibility of all CAMEs to ensure that information submitted to CAM is complete and accurate.
    4. For Telemedicine-only assessments, routine testing, including electrocardiogram, urine testing, audiogram, and vision testing will not be required until the next full examination.
    5. All special medical reports required by CAM for renewal, normally identified in a letter to an MC holder i (e.g. family physician reports, specialist reports, blood sugar logs, lab results, special tests) will be required and must be reviewed by the CAME before renewal is granted. These reports must be submitted to CAM with the MER.
    6. The CAME may recertify after the Telemedicine assessment, if they deem the assessment to be sufficient. The CAME will send a letter (by email or other means) to the applicant indicating that they are “fit” which must be kept with the MC or ADB. A “Fit Form” for CAME use is available here:

      Civil Aviation – Fit Certification.

    7. If the CAME determines that a telemedicine assessment is not sufficient, the CAME will complete an in-person physical examination. If an in person examination is required, then all routine tests including electrocardiogram, urinalysis, audiogram, and vision testing must be completed.
    8. The CAME will recertify “fit” applicant MCs with a stamp, in the normal manner.
  • Validity
    • For holders of a medical certificate subject to section 404.10 of the CARs until the date one (1) year after the day on which their medical certificate validity period originally expired;
    • For holders of a medical certificate subject to subsection 404.04(6.2) of the CARs until the date six (6) months after the day on which the medical certificate validity period originally expired
    • For all MC Categories, a MC renewed by in-person examination will be valid from the day on which the MC holder was assessed as “fit” for the normal validity period for MCs set out in the table at subsection 404.04(6), subject to subsection 404.04(6.2) of the CARs, if applicable, or the end of any shorter validity period endorsed on the certificate by the Minister.

E. Holders of Medical Certificates expiring after 31 March 2021

Includes: All Categories.

Instructions for Applicants and CAMEs

MC holders with medical certificates expiring after 31 March, 2021 do not need to take any specific action at this time. MC holders and CAMEs should continue to monitor updates to this page and communications from Transport Canada regarding any future policy changes.

Limitations Preventing Renewal by Attestation

  • License restricted;
  • Permit restricted;
  • 3 months only;
  • 6 months only;
  • 9 months only;
  • 12 months only;
  • 24 months only;
  • Subject to letter dated;
  • Private Pilot License (PPL) privileges – 12 months only;
  • Valid only when another air traffic controller available and competent to assume your duties;
  • With an accompanying pilot; or,
  • Not valid for Civil Aviation Medical Examiner (CAME) renewal.

All aviation MC holders shall continue to comply with the Canadian Aviation Regulations (CARs) in all respects, and the CARs continue to apply in all respects other than the exemption noted. Aviation MC holders are reminded that they shall not exercise their privileges if they cease to hold a valid MC by meeting any of the circumstances set out in section 404.06 of the CARs.

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