
Medical Certification
The four Transport Canada medical certificate categories
The four categories
Transport Canada issues four categories of medical certificate. The category you need depends on the licence or permit you hold or are applying for.
Category 1
For commercial pilots, from flight instructors to airline pilots. Because the travelling public depends on these pilots, the medical standards are the highest. Category 1 follows International Civil Aviation Organization (ICAO) standards, so it is recognized in other ICAO countries. A Category 1 certificate is valid for any other licence or permit.
Category 2
For air traffic controllers, flight engineers and flight navigators. Category 2 is equivalent to an ICAO Class 3 certificate.
Category 3
For private pilots, and for student, gyroplane and free balloon pilots. It is equivalent to an ICAO Class 2 certificate and allows Canadian private pilots to fly in other ICAO countries, including the United States.
Category 4
For recreational pilots, student pilots, ultralight and glider pilots, and ultralight and glider instructors. Category 4 is a Canadian certificate that is not recognized under ICAO. For most applicants it is based on a self-declaration, the Medical Declaration form 26-0297, and does not require an exam by a CAME. To carry a passenger, the form must be countersigned by a physician. If you have certain medical conditions listed on the form, you may need a full medical exam. Contact us if you are not sure.


Medical examination requirements
This chart shows how often a medical report, audiogram and ECG are required for each licence or permit.
Source: Transport Canada medical examination requirements, Handbook for Civil Aviation Medical Examiners (TP 13312). This chart reflects current requirements, including the six-month medical for Category 1 holders aged 60 and over.