Fill in this form to apply for medical examination with the Federal Aviation Medical (FAM).
- Apply for your appointment as soon as possible.
- Send this form to:
- Medex / ECLG Place Victor Horta 40/10 1060 Brussels
- E-mail: Eclg-cema@health.fgov.be
-
Form : Application form Medical examination for pilots
EnglishApplication form Medical examination FAM PDF document - 343.78 KB
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Formulier : aanvraag medisch onderzoek voor piloten
DutchAanvraag medisch onderzoek ECLG PDF document - 456.62 KB
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Formulaire : demande d'examen médical pour pilotes
FrenchDemande d'examen médical CEMA PDF document - 454.13 KB