Maintaining a valid medical certificate is one of the most important regulatory requirements for any pilot. Whether you fly commercially or recreationally, you must renew your medical certificate through an authorized Aviation Medical Examiner (AME). In Hong Kong, renewals are overseen by the Civil Aviation Department (CAD), which publishes an official list of approved AMEs:
🔗 Official AME List (CAD)https://www.cad.gov.hk/english/pdf/List%20of%20AMEs.pdf
This guide helps professional pilots and new student pilots understand how to select the right AME, how to prepare, and what to expect during your medical examination.
For Professional Pilots: What You Need to Know
1. Choose the Right AME
The CAD list includes general practitioners, specialists, and clinics across Hong Kong. Before booking, confirm the AME supports:
HKCAD Class 1 & Class 2
EASA Medical Renewals
FAA Medical Renewals (not all AMEs can conduct FAA exams)
Always verify AME authorization for the specific medical standard you need.
2. Block Enough Time
Renewing a Class 1 or foreign authority medical often takes 1.5–3 hours depending on:
Vision tests
ECG
Audiogram
Blood/urine tests
Additional checks if there are new medical conditions
Tip: Book on a day when you can spare at least half a day. Additional testing may be required, especially for cardiovascular or vision-related issues.
3. What to Expect During EASA / FAA Medical Exams
Most EASA and FAA medical renewals include:
Comprehensive medical history review
Physical examination (vision, hearing, neurological, cardiovascular)
ECG or blood tests depending on age or medical history
Completion of official EASA/FAA medical documentation
Bring with you:
Passport/HKID
Previous medical certificate(s)
Pilot licence (HKCAD/EASA/FAA)
List of medications and dosages
Any specialist reports from the past year
4. Common Reasons for Delays
Professional pilots should address these early:
Hypertension not under control
Elevated ECG readings requiring cardiology follow-up
Vision changes requiring corrective lenses
Mental health disclosures needing extra documentation
Unapproved medications
If you anticipate issues, speak to the AME before renewal to avoid lapses in medical validity.
For New Pilots: Understanding Your First Medical
Many aspiring pilots underestimate the importance of the initial medical exam. Before investing in flight training, it is wise to confirm that you meet the medical standards.
1. Types of Medical Certificates
Class 1 — Required for airline transport and commercial flying
Class 2 — Required for private pilot training and licensing
FAA / EASA Medicals — Required for training abroad or holding foreign licences
Recommendation: If you are beginning your journey, obtain a Class 1 early — even if you only plan to start with a Class 2. It confirms long-term suitability for a flying career.
2. What Happens During an Initial Medical
Expect a more thorough check than a renewal:
Vision & colour perception tests
Hearing assessment
Blood and urine tests
ECG (required depending on age or AME discretion)
Physical examination
The initial exam may take 2–4 hours, so set aside a half day when booking.
3. Preparing for Your Exam
A few simple steps can make the process smoother:
Sleep well the night before
Avoid caffeine/alcohol on the day of the exam
Bring your ID, medical records, and any prescription information
Be honest — hiding medical issues causes bigger problems later
If you have concerns (e.g., asthma, ADHD medication, previous surgeries), consult the AME before training.
How to Use the CAD AME List
When selecting an AME:
Check clinic location — choose one that is convenient.
Verify certification — CAD, EASA, FAA approvals as needed.
Confirm availability — some clinics have long waits.
Ask about additional tests required for your age or medical history.
Check fees — pricing varies significantly by clinic.
Booking Your Appointment
The general booking process is:
Identify an AME from the CAD list
Call/email the clinic to confirm certifications and timing
Prepare your documents and medical history
Allow extra time for possible additional testing
Attend the exam and follow AME instructions
Key Takeaways
For Professional Pilots
Confirm your AME can renew CAD, EASA, or FAA medicals.
Set aside several hours due to potential additional tests.
Bring full documentation to avoid delays.
Address any medical concerns early with the AME.
For New Pilots
Consider getting a Class 1 initial even if starting with PPL.
Understand the exam is detailed — plan half a day.
The initial medical helps determine long-term fitness for flying.