Book for Class 1 or 3 Initial Medicals

You MUST register for the CAAs online portal, complete the application online and pay the CAA fee before we can undertake a UK CAA medical at least TEN WORKING DAYS before your chosen appointment date.
Full instructions are available here: About eLicensing | UK Civil Aviation Authority (

Please note that if you book the medical without undertaking these steps, we will not be able to perform the medical examination and you will still be charged for the appointment as per our cancellation policy.

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The charge for an Initial Class 1 medical is £660 inc. VAT (excluding referrals, casework etc if required.) Fees are payable at the time of booking via credit/debit card. Initial candidates will be also required to see our optometrist, undergo an ECG examination, have a finger prick blood test (comprising haemoglobin and cholesterol testing), salvia drug and breath alcohol testing, an audiogram, spirometry, urinalysis and a full comprehensive clinical examination.

What to bring with you:


Please see the attached CAA guidance flow sheet.

When you attend please also provide your current eye prescription if you wear glasses or contact lenses, and bring your corrective lens’ with you. You must also inform us if you have undergone any form of laser eye surgery. You are encouraged to drink water prior to the medical examination as a urine sample is required however please avoid drinking caffeine before the medical.

Please also obtain a printout of your GP summary medical history (Not the patient access version). You can make a written GDPR request to obtain this from your GP and should not be charged by your GP practice. This report should contain dates of any significant medical diagnoses and current medication if applicable. It is important that you divulge and disclose your complete past medical history as well as any medical issues you may have at present. Please bring any historical medical reports with you to the medical examination.

Mandatory drug testing has also been introduced by the CAA. Regarding the drug screen and breathalyser tests performed onsite -no food/drink or cigarettes should be consumed for 20 minutes before the test and nothing should remain in your mouth at the time of these tests.

We operate a 7 day cancellation policy. If you wish to cancel or change your appointment you must therefore provide a 7 days notice prior to your appointment in order to receive a refund.

We have a 15 minute late arrival policy, failure to attend the appointment in this time will result in re-booking and full medical charge. Please budget to remain on site for up to 4 hours.

Please note that there is limited seating in our reception area so any friends/relatives that accompany you will need to wait in your car or in the other local facilities . Due to the current covid pandemic a face mask must be worn when attending the premises.

Please let us know if you have a disability for which you may require any adjustments prior to attending your appointment.

You may also require other medical tests or to see a specialist consultant advisors at a later date if you have any underlying medical problems or if anything is found at the time of the examination that requires further investigation. A separate £90.00 referral administration charge is payable in this event as well as the consultants fee.


Please remember to register on the CAAs online portal, complete the application online and pay the CAA fee.

Additional medical reference information can be found at: CAA Medical Standards and Guidance and CAA Guidance following eye surgery.

Certificate issue

A medical certificate can normally be issued if all the required standards are met. However, if the required standards are not met or further investigations are necessary the issue of the certificate will take longer and may subsequently be declined by the CAA.

Validity period

A Class 1 medical certificate is valid for 12 months, unless you are 40 or over and carry out single pilot commercial air transport operations carrying passengers; or you are over 60. In both these cases, the validity is reduced to 6 months.

Cancellation policy

A cancellation fee is chargeable in full unless we receive 7 days notice of a cancellation.

Please note that if an Initial Class 1 medical examination is booked and it subsequently transpires upon your attendance that this is not the correct medical examination that requires completion a refund will not be provided.


Where to find us

Heathrow Medical Services
Weekly House, Padbury Oaks, 583 Bath Road, Longford, Middlesex, United Kingdom
Contact name: Heathrow Medical Services
Contact email:
Contact phone: 020 8528 2633

Excluding referrals, casework etc if required.