When an FAA letter or disposition table asks a pilot for a cardiovascular evaluation (CVE), this one-page protocol defines it: a cardiology evaluation written as a current, detailed Clinical Progress Note, plus lab testing. The cardiologist uses it to make sure the note covers history, risk factors, exam, testing, assessment and prognosis, so the FAA can review the case without asking for more.
The treating cardiologist or physician performing the evaluation writes the progress note and orders the labs. There is no form to fill in; the protocol lists what the note must include.
Download the current version from the source each time; forms change without notice.
Protocol for Cardiovascular Evaluation (CVE)
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.
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.
No. The CVE is the cardiology evaluation plus lab testing only. Whether a stress test is also needed, and which type, is set by the corresponding disposition table or by the FAA's letter to the pilot, so the cardiologist should check both before scheduling.
Hemoglobin A1c and a blood lipid profile with total cholesterol, HDL, LDL and triglycerides, all performed no more than 90 days before the AME exam. Pilots on warfarin (Jantoven) also need their monthly INR readings included with the evaluation.
History of any cardiac or co-morbid condition, personal and family history including premature heart disease, medications with dose and side effects, cardiac and general exam findings, test results, diagnosis, assessment and plan with prognosis, and follow-up, plus functional capacity, risk-factor efforts and prognosis for incapacitation.