FAA Specifications for Neurologic Evaluation

Pilots with seizures, traumatic brain injury, migraine, tremor or another neurologic concern are often asked for a neurologist's evaluation. This four-page FAA specification, updated 03/27/2024, tells the airman and the neurologist what the report must contain and which records, images and EEG tracings must accompany it. Missing items delay the certification decision.

Who completes it

A physician (MD, DO or equivalent) holding current board certification from the American Board of Psychiatry and Neurology or an equivalent body writes the Comprehensive Neurological Evaluation in Item A. The airman gathers the prior treatment records, imaging and hospital records listed in Items B to D.

Submitting and payment

How to submit it
The airman mails the neurological evaluation and all requested records and tests to the FAA's Aerospace Medical Certification Division in one complete package, with the airman's name and FAA reference number (MID, PI or APP ID) on all correspondence and reports.

Good to know

  • The evaluation must have been performed within the last 90 days and follow the 1997 CMS documentation guidelines; evaluations that miss any Item A element delay processing.
  • Mental status must be screened with the MoCA, the Kokmen Short Test of Mental Status or the SLUMS, with score sheets attached. The Folstein MMSE is not accepted.
  • EEGs need the paper interpretive report plus tracings on a CD with stand-alone viewing software, and imaging CDs must open in an unencrypted DICOM-readable format.
  • Records from other physicians must be the actual clinical notes and hospital discharge summaries, not after-visit summaries or patient discharge instructions.

Get the official form

Download the current version from the source each time; forms change without notice.

FAA Specifications for Neurologic Evaluation

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Does the neurologist have to give an aeromedical opinion for the FAA?

No. A physician with aerospace medicine expertise makes the final risk assessment. The neurologist supplies clinical facts, history, exam findings and a specialist opinion, including the potential for sudden incapacitation such as seizure or stroke and subtle incapacitation such as slowed reaction time or impaired memory.

Which cognitive screening tests does the FAA accept in a neurology report?

The Montreal Cognitive Assessment, the Kokmen Short Test of Mental Status or the St. Louis University Mental Status exam, given per published instructions with score sheets attached. The MMSE is not acceptable. Screening can be skipped if a current comprehensive neuropsychological assessment is submitted with its scores.

How recent must an FAA neurological evaluation be?

It must be performed within the last 90 days by a board-certified neurologist. Any EEG recordings submitted should be sleep-deprived studies covering awake, asleep and provoked states, sent with interpretive reports, and imaging needs the final radiology report plus the actual images on CD.