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Consultations - Assistance with FAA Medical Certificate

You Will Need:

  1. Consent for Assistance with FAA Medical Certficate
  2. Request for Airman Medical Records (FAA)
  3. Authorization for Use and Disclosure of Protected Health Information
  4. HIMS Medical Release

You are obtaining my services in assisting you in obtaining a FAA flight medical certificate.

By signing completed FORM, you are giving Robert J. Gordon, D.O., AME, informed consent to communicate with, and obtain any records needed, from any of your treating physicians or other health care entities, personal contacts or the FAA on your behalf in order to assist you in obtaining a FAA flight medical certificate. I can only advise and assist you in this process. The FAA aeromedical division is the entity that will issue the medical flight certificate therefore I can make no guarantees of the outcome. I will do my best to assist you in your goal.

FEES

$400.00 for initial 20-minute phone or in person consultation to review your current problems and as to why you are unable to obtain an FAA flight medical certificate and set up a written plan on how, from my experience, it is best for you to proceed. If you chose to execute the plan unassisted no further fees will be incurred.

If you would like my ongoing assistance my fee is:

$400.00 per hour, paid in advance, for my ongoing assistances in helping you obtain the flight medical certificate such as, speaking with health care providers/entities, communication with the FAA on your behalf, submission of information to the FAA, contact with the you (the applicant) regarding the case. The ultimate amount of time involved will depend on several factors, the complexity and number of medical problems, amount of records to be obtained and reviewed and the cooperation of medical providers/entities involved, the FAA aeromedical division and yourself.

Assist in understanding what the FAA is requesting or new request of information for a different medical issue.

Recommend appropriate medical professional specialist to perform FAA requested or suggested evaluations (Cardiologist / Neurologist / Neuropsychologist / psychiatrist, etc.)

Receive documents/reports/medical information provided by the applicant and/or those assisting the applicant

AND, most important, review the documents and reports for thoroughness and provide opinion and feedback aimed at optimizing the certification process.

Submit completed packet to the appropriate place at the FAA for the most expedition review.

These fees DO NOT INCLUDE, FAA medical certification examination. Also note, HIMS and non- HIMS require separate tasks and incur separate charges.



INSTRUCTIONS


Select the initial consultation and then close the Paypal window. Select the additional hours from the drop down menu according to the number Dr. Gordon estimates. When reaching the shopping cart, both items will be present.

Thank You



INITIAL CONSULTATION
$400.00


Consultation



Disclaimer:
This is for FAA certification assistance only. No medical recommendations or treatment is offered or provided in this process. Denial of an FAA flight medical certificate application may impact your ability to fly under Sport Pilot or BasicMed rules.


Please send copies of the completed forms of the “Assistance with FAA Medical Certification”, “Authorization for use and disclosure of protected heath information” and “Request for Airman Medical Records”

To:

DrGordonPilotDr@gmail.com

I will contact you by email to set up a mutually convenient time for us to talk. Looking forward to working on getting you flying!

Dr. Robert Gordon




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734.718.7607 • © 2019 Dr. Robert J Gordon All rights reserved.