If you’re on your journey to becoming a commercial pilot, the Initial Class 1 Medical Examination is a critical milestone. At Centreline Aviation Medical Services, we understand this can feel daunting, but with the proper preparation, it doesn’t have to be.
Here’s a straightforward, step-by-step guide to help you feel confident and ready.
Step 1: Understand What It Is
The Class 1 Medical is a comprehensive health assessment required for anyone pursuing a commercial pilot license. It’s more in-depth than a standard medical, testing your vision, hearing, cardiovascular health, mental health, and more.
Step 2: Book Your Appointment Early
Appointments can fill up quickly, especially with preferred Aeromedical Examiners (AMEs). Book as early as possible, particularly if you are working around specific training or travel plans. Use our streamlined booking system to select your location, examiner, and preferred date.
Step 3: Register with the CAA and Complete Your Cellma Application
Before your appointment, you must register with the UK Civil Aviation Authority (CAA) and complete the online Cellma form. This is the CAA’s medical records system where your health data is stored and reviewed. Without this being completed, your appointment may be delayed or rescheduled.
Step 4: Bring the Right Documents
To keep your appointment on track, make sure you bring:
Government-issued photo ID (passport or driving license)
Any prescription glasses or contact lenses
A list of current medications (if any)
Previous medical records, especially if you have a known condition
Your CAA reference number
Step 5: Arrive Rested and Hydrated
Being well-rested and hydrated can impact results such as blood pressure or urine tests. Avoid caffeine or heavy meals just before your appointment.
Step 6: Know What to Expect During the Exam
Your medical will include:
Vision and hearing tests
Blood pressure and ECG (heart) monitoring
Urine analysis (for diabetes/protein)
Medical history review
Physical examination by a qualified AME
Depending on your medical history, additional tests might be required.
Step 7: Follow Up Promptly If Needed
If further tests or specialist reports are requested, please complete and return them promptly to avoid delays in your certification process.

