Complete Guide to Obtaining a Third Class Medical Certificate
If you’re pursuing a career as a pilot or simply want to fly recreationally, obtaining a Third Class Medical Certificate is a crucial step. Issued by the Federal Aviation Administration (FAA), this certificate ensures pilots meet the basic medical standards necessary to operate an aircraft safely.
As someone currently preparing to become a commercial helicopter pilot in the United States, I’m navigating the process myself. In this guide, I’ll share everything I’ve learned about obtaining a Third Class Medical Certificate, from requirements to tips for passing the exam.
What Is a Third Class Medical Certificate?
The Third Class Medical Certificate is the most basic medical certification issued by the FAA. It is designed for pilots who fly recreationally, privately, or as student pilots, and it ensures that they are physically and mentally fit to operate an aircraft.
While it is the least demanding of the FAA’s three medical certification classes, the Third Class Medical Certificate is still critical for ensuring the safety of both pilots and passengers.
Who Needs a Third Class Medical Certificate?
You’ll need this certificate if you plan to:
- Fly as a private pilot.
- Operate as a recreational pilot.
- Pursue flight training as a student pilot.
In my case, I’m currently preparing to become a commercial helicopter pilot. This certification is one of the initial steps in my journey, as the FAA requires pilots to meet specific medical standards to ensure they are fit to fly.
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How Long Is a Third Class Medical Certificate Valid?
The validity of a Third Class Medical Certificate depends on your age:
- 60 months (5 years) if you’re under 40 years old.
- 24 months (2 years) if you’re 40 or older.
It’s worth noting that if you intend to progress to more advanced licenses, such as a commercial pilot license, you may eventually need to obtain a Second or First Class Medical Certificate.
Requirements for a Third Class Medical Certificate
To obtain a Third Class Medical Certificate, you’ll need to pass a medical examination conducted by an FAA-designated Aviation Medical Examiner (AME). During this exam, the following areas will be evaluated:
1. Vision
The examiner will check:
- Distant Vision: You must have 20/40 vision or better in each eye, with or without corrective lenses.
- Near Vision: You must also meet 20/40 standards for near vision.
- Color Vision: You must demonstrate the ability to distinguish colors necessary for safe flight.
2. Hearing
The exam includes a basic hearing test. You’ll need to demonstrate that you can hear a normal conversation from a set distance.
3. Overall Physical Health
The examiner will check for any medical conditions that could impair your ability to safely operate an aircraft, including:
- Blood pressure levels.
- Heart and lung function.
- Neurological conditions.
4. Mental Fitness
Mental and psychological health is also assessed to ensure you are free of conditions that might impair judgment, decision-making, or coordination during flight.
As someone working towards becoming a commercial pilot, I’ve been carefully researching these requirements and ensuring I’m in the best possible shape to meet them.

Steps to Obtain a Third Class Medical Certificate
1. Complete the MedXPress Application
Before scheduling your appointment, you’ll need to fill out the FAA’s online application form using their MedXPress system. This system collects basic information about your medical history and generates a confirmation code for your examiner.
2. Find an Aviation Medical Examiner (AME)
Not all doctors can conduct FAA medical exams. You’ll need to schedule an appointment with an FAA-authorized AME. You can use the FAA’s AME Locator tool to find one near you.
3. Undergo the Medical Exam
During the exam, the AME will review your medical history and perform the necessary tests to determine whether you meet the FAA’s medical standards.
4. Receive Your Certificate
If you pass the exam, your AME can issue the certificate immediately. However, if further review is required, the FAA may issue the certificate after additional evaluation.
In my case, I’m in the process of identifying an AME in my area and preparing for the exam. Knowing what to expect has been incredibly helpful for staying focused and ready for this essential step in my aviation career.
Tips for Passing the FAA Medical Exam
Getting ready for the FAA medical exam doesn’t have to be stressful. Here are some practical tips:
- Get a Good Night’s Sleep
Being well-rested ensures you’re at your best during the exam, especially for blood pressure and mental fitness assessments. - Bring Necessary Documentation
If you have a medical condition or take prescription medications, bring documentation from your primary care physician. This helps the AME evaluate your case more effectively. - Be Honest About Your Medical History
It’s important to disclose all relevant medical information on your MedXPress form. Omitting details can delay your certification. - Practice Healthy Habits in Advance
Maintaining a healthy lifestyle—such as eating a balanced diet and exercising regularly—can improve your overall fitness and help you meet FAA standards.
As I prepare for my exam, I’m incorporating these tips to ensure I’m physically and mentally prepared for this milestone.
Common Questions About the Third Class Medical Certificate
How Much Does a Third Class Medical Certificate Cost?
The cost typically ranges from $75 to $150, depending on your location and the AME you choose. It’s a relatively small investment for the ability to fly.
Can You Fail the Medical Exam?
Yes, you can fail if you don’t meet the FAA’s medical standards. However, failing doesn’t necessarily mean the end of your aviation aspirations. You may need to address the issue and undergo further evaluation or treatment before reapplying.
Can You Appeal a Denial?
If your certificate is denied, you can appeal the decision by providing additional medical documentation or undergoing further testing.
Why Is the Third Class Medical Certificate Important?
The FAA’s medical certification process plays a critical role in aviation safety. By ensuring pilots meet specific health standards, the Third Class Medical Certificate helps prevent in-flight medical emergencies and ensures that all pilots are physically and mentally capable of handling the demands of flight.
For me, obtaining this certificate represents the first step in achieving my dream of becoming a commercial helicopter pilot. It’s not just a requirement—it’s a personal milestone that reflects my commitment to aviation and safety.
Final Thoughts
The process of obtaining a Third Class Medical Certificate may seem daunting at first, but with the right preparation, it’s a manageable and rewarding experience. Whether you’re pursuing a career in aviation or flying recreationally, this certification is a crucial step toward achieving your goals.
As I continue my journey toward becoming a commercial helicopter pilot, I’m excited to take on the challenges and opportunities that lie ahead. By understanding the requirements and preparing thoroughly, I’m confident I’ll successfully obtain my certificate and move closer to making my dream a reality.
If you’re ready to take your first step into the world of aviation, start by scheduling your medical exam and getting ready to take to the skies!