Can the FAA see your medical records?

Within FAA , access to an individual's medical information is strictly on a need to know basis. The safeguards of the Privacy Act ( PDF ) apply to the application for airman medical certification and to other medical files in FAA 's possession.



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But, sooner or later, most pilots will develop a medical condition that they cannot hide. When that happens, your whole medical history will come under review. If you ever need to submit medical records to the FAA, they will review everything you give them.

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Health Insurance Portability and Accountability Act of 1996 ( HIPAA ) and Examiner's activities for FAA . This Act provides specific patient protections and depending upon an Examiner's activation and practice patterns, you may have to comply with additional requirements.

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What medical conditions does FAA consider disqualifying?
  • Angina pectoris.
  • Bipolar disease.
  • Cardiac valve replacement.
  • Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant.
  • Diabetes mellitus requiring hypoglycemic medications.


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Due to airline and federal requirements, job applicants ordinarily go through a unique federal 10-year background investigation. During this investigation, they will look at a job applicant's criminal background including felonies, misdemeanours, and DUI convictions.

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In the best case, they may issue you a certificate. Frequently, the review and submission process can repeat itself for several iterations. The process generally takes up to six months, but we have heard from a number of pilots who have spent more than a year stuck in the review and submission loop.

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The US Code of Federal Regulations Section 67.403(c)(1) provides for revocation or suspension of a medical certificate if you entered an incorrect statement on an application for a medical certificate, upon which the FAA relied.

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What does the FAA look at in a background check? The FAA has a lengthy list of “disqualifying crimes.” Such convictions include murder, espionage, kidnapping, armed robbery, destruction of aircraft, and carrying a weapon or bomb aboard an aircraft.

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You can get a FAA certificate if you have a felony conviction, unless the conviction is for a drug or alcohol related offense.

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However, to safeguard the ranks of this vital agency, a rigorous and thorough background check was set into place as part of the TSA hiring process. From checking credit rating to unpaid debts, and criminal convictions, there are a number of factors that can you lead to automatic disqualification.

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If a request for special issuance certification is denied by the FAA, the only recourse available to the applicant is to later make another request for special issuance status to the FAA, supported by evidence showing sustained medical stability or improvement.

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The regulations are strict, yes, and make maintaining flight status a challenge. But they don't preclude someone with a mental health condition from flying. You can be a pilot if you have depression. Treatment options and growing awareness about mental health in the workplace provide hope.

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Can Pilots Take Antidepressants?
  • The SSRI pathway only allows consideration for pilots who take one of four SSRIS: fluoxetine (Prozac), citalopram (Celexa), escitalopram (Lexapro), or sertraline (Zoloft). ...
  • Other antidepressants do not have a Special Issuance pathway.


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Due to the risks to flight safety posed by ADHD, regulatory authorities worldwide consider ADHD a disqualifying condition for pilots. Unfortunately, pilots sometimes fail to disclose ADHD to their Aviation Medical Examiner (AME).

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