12.3 Excluded medical conditions and prior endorsements

A DAME must refer to CASA the aeromedical assessment of any application for a Class 2 medical certificate to replace an expiring or expired Class 2 medical certificate, if

  • the previous certificate was endorsed with DNR (Do Not Revalidate)
  • the previous certificate was suspended, cancelled or refused.

A DAME delegate must not issue a Class 2 medical certificate for any excluded medical condition, and must refer to CASA for assessment. If any excluded medical conditions are apparent or disclosed before or during a medical examination, the DAME must refer the applicant to CASA for assessment. The excluded medical conditions are that the applicant has, or has had, one or more of the following:

  • seizure or epilepsy
  • psychosis or a condition that could lead to psychosis
  • dementia.

If assessing a Class 2, a DAME must apply appropriate surveillance with a letter and a condition on the medical certificate as required. The DAME is responsible for ensuring the conditions of the surveillance are observed. The DAME must also ensure that surveillance requirements are recorded and updated in MRS.

Note: DAMEs should be familiar with the MRS surveillance tool, and ensure they have a practice procedure to initiate and handle recalls and other surveillance requirements.

In all cases where the DAME does not wish to make the assessment or has particular concerns about a Class 2 medical certification, they should promptly submit to it CASA. CASA is available for advice where needed.

Updated: 11 April 2022
Online version available at: https://www.casa.gov.au//search-centre/manuals-and-handbooks/designated-aviation-medical-examiners-handbook/123-excluded-medical-conditions-and-prior-endorsements
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