INSTRUCTIONS
1) Fill out the required information on the next page.
Upon completion of your form, you will receive an automated email containing the summary of your application along with an additional Medical Evaluation Form to be completed by your Personal Physician or Medical Examiner.
2) Print the PDF attachment in the email you receive after submitting this form.
3) Take the Medical Evaluation form to your Personal Physician or Medical Examiner to be completed.
4) Upon completion of your Medical Evaluation, upload the required documents using the unique link sent to your email after submitting this form.
REQUIREMENTS FOR ALL APPLICANTS
All applicants must complete and submit this form. A baseline (one-time) 12-lead EKG tracing must be submitted for all drivers age 45 or greater. Additional EKG tracings shall be at the discretion of NASA by individual request.
Renewal Intervals (minimum intervals without abnormalities):
*Exceptions: Medical clearance may be granted in certain circumstances with the approval of the NASA Medical Director. NASA will stipulate any additional requirements or modified/shortened renewal intervals.
Applicants that are less than 40 years old must renew their Medical Evaluation every five years.
Applicants that are at least 40 years old must renew their Medical Evaluation every three years.
Applicants that are at least 50 years old must renew their Medical Evaluation every two years.
Applicants that are at least 70 years old must renew their Medical Evaluation every 12 months.
MEDICAL APPLICATION PROCESSING TIMES
NASA processes all Medical Applications free of cost for new and existing NASA Competitors. Our intention is to process every medical we receive as quickly as possible. However, NASA requires between 10 - 14 business days for processing. This is because of the sheer number of Medical Applications the National Office must process.
Existing Competition License Holders:
We have introduced an expedited processing service allowing you to jump to the front of the line if you need it to make your event. If you submit a Medical Application within these time frames and don’t select one of these options, your medical will likely not be processed in time for your event. We strongly encourage you to select one of these services if your event falls within these time frames.
Expedited Processing - $79 - Medical Applications processed within 9 business days of your event, but not less than 4 business days require this option .*
Priority Processing - $149 - Medical Applications processed within 3 business days of your event require this option.* Note: NASA requires a minimum of 24hrs before your event to process Priority Medical Applications.
*Business day cut-off time is 10:00 AM Pacific Standard Time
You will be given the option to purchase an expedited service upon the submission of your required Medical Documents.
It is the applicant's responsibility to submit the required documents to NASA. Any missing or incomplete information will delay your Medical Application.