Initial CAA Class 1

If you are having a CAA medical anytime after Friday 26 Mar 21, you MUST register for the CAAs online portal, complete the application online and pay the CAA fee before we can undertake the medical.

Full instructions are available here: About eLicensing | UK Civil Aviation Authority (

If you arrive at the medical without undertaking this step, we will not be able to perform the medical examination


Heathrow Medical Services is a CAA and EASA approved Aero-Medical Centre (AeMC) and can perform and issue CAA Class 1 initial and renewal/revalidation medical examinations. Post-Brexit we are currently awaiting approval from an EASA member country to perform INITIAL EASA Class 1 medicals.

We are conveniently situated near to Heathrow Airport Terminal 5 and have on-site parking and excellent transport links. Our team comprises of a number of Aviation Medical Examiners (AME’s) as well as a CAA approved optometrist. We provide services for individual pilots, airlines and a number of aviation companies.

Heathrow Medical Services are also accredited to perform medicals for a number of other international aviation authorities including Australia, Canada and KSA.


The charge for an Initial Class 1 medical is £570 inc. VAT (excluding referrals, casework etc if required.) Fees are payable at the time of booking credit/debit card, or cash. 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 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 may require other medical tests or to see our specialist consultant advisors if you have any underlying medical problems or if anything is found at the time of the examination that requires further investigation. This may incur an extra cost. 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.


Please complete the attached form (unsigned) and bring it with you for your medical

Application form (Form MED 160) download: Form MED 160

Comprehensive Eye Examination form downloads

For pilots: Form MED 162

For ATCOs: Form Euro3 MED 162

Please see CAA Guidance following eye surgery.

CAA: CAA Medical Standards and Guidance

Certificate issue
A medical certificate can 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.

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 10 days notice of a cancellation.

How to obtain a UK EASA licence if you hold a non-UK medical certificate or licence

Changing the state of licence issue (SOLI)