Aviation Medical Examinations – Class 2, LAPL and Cabin Crew

Aviation medical examinations for pilots, AFIS operators and cabin crew at Charlottenlund Privathospital. Examinations are conducted by approved Aeromedical Examiners (AMEs).

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At Charlottenlund Privathospital, Aeromedical Examiners Eva Lykke and Jacob Fisker conduct examinations for Class 2 medical certificates, LAPL medical certificates and cabin crew medical reports. Both are ENT specialists approved by the Danish Civil Aviation Authority as Aeromedical Examiners (AME). Examinations include Initial, Revalidation and Renewal under EU Part-MED regulations and take place at the main hospital in Charlottenlund, north of Copenhagen. Class 2 covers private pilots (PPL), AFIS operators and commercial glider and balloon pilots. The Aeromedical Examiner determines whether a medical certificate can be issued. Class 1 and Class 3 are not yet offered.

Certifikater
Class 2 · LAPL · cabin crew
Examinations
Initial · Revalidation · Renewal · Medical advice following changes in health
Aeromedical Examiners (AMEs)
Eva Lykke og Jacob Fisker
Place
Charlottenlund Privathospital

What is an Aeromedical Examiner (AME)?


An Aeromedical Examiner (AME) is a doctor authorised to assess whether pilots and cabin crew meet the medical requirements for aviation. In Denmark, AMEs are approved by the Danish Civil Aviation and Railway Authority (Trafikstyrelsen), which maintains a public register of approved examiners.

Medical examinations are conducted in accordance with European aviation medical regulations, including Part-MED (Annex IV to Regulation (EU) No 1178/2011). Medical certificates issued under these regulations are recognised across EASA member states, subject to the applicable requirements.

The AME assesses medical fitness and determines whether a certificate can be issued. In certain cases, consultation with or referral to the aviation authority's medical assessors is required.

At Charlottenlund Privathospital, ENT specialists and approved AMEs Eva Lykke and Jacob Fisker conduct Initial, Revalidation and Renewal examinations for Class 2 and LAPL medical certificates, as well as medical assessments for cabin crew.

Initial Class 1 and Class 3 examinations must be performed at an approved Aero-Medical Centre (AeMC). Charlottenlund Privathospital does not currently offer Class 1 or Class 3 examinations.

Which Aviation Medical Certificate Is Required?


The required medical certificate depends on the pilot licence or aviation role, rather than solely on the aircraft type. At Charlottenlund Privathospital, approved Aeromedical Examiners (AMEs) conduct examinations for Class 2, LAPL and cabin crew medical certification.

Class 1 certificates for commercial pilots (CPL, MPL and ATPL) and Class 3 certificates for air traffic controllers are not currently offered.

Night flying also requires an assessment of colour vision to determine whether the applicable medical requirements are met.

Private Aviation
Class 2 Medical Certificate
For: PPL holders, SPL and BPL holders undertaking commercial operations, and AFIS operators
Validity: 60, 24 or 12 months, depending on age
Additional requirements: Instrument rating holders (IR or BIR) are subject to hearing assessment requirements, including audiometry
Medical Requirements and Examinations →
Light Aviation
LAPL Medical Certificate
For: LAPL holders and SPL or BPL holders undertaking non-commercial operations
Validity: 60 months below age 40, then 24 months
Additional requirements: From age 50, the initial examination requirements apply at each revalidation
Medical Requirements and Examinations →
Commercial Aviation
Cabin Crew Medical Report
For: Cabin crew members in commercial air transport
Validity: Up to 60 months
Additional information: A medical assessment report, not a pilot medical certificate
Medical Requirements and Examinations →
What Is Examined for Class 2, LAPL and Cabin Crew?
Vision, hearing, ECG, blood pressure and urine testing – an overview of medical requirements for Initial, Revalidation and Renewal examinations.
View Medical Requirements →

How Long Is a Medical Certificate Valid?


Validity depends on the certificate class and age at examination. A Class 2 medical certificate is valid for 60 months below age 40, 24 months from age 40 to 49, and 12 months from age 50. Certificates issued before age 40 expire no later than the 42nd birthday, and those issued before age 50 no later than the 51st birthday. A LAPL medical certificate is valid for 60 months below age 40 and 24 months thereafter. A cabin crew medical report is valid for up to 60 months.

When revalidation takes place within 45 days before expiry, the new validity period starts from the previous expiry date. Earlier examinations are treated as renewals, with validity calculated from the examination date.

Class 2 Medical Certificate Validity
60
months
under 40
24
months
ages 40–49
12
months
age 50+
Source: EASA Part-MED, MED.A.045 (Regulation 1178/2011)

What Is the Difference Between Initial, Revalidation and Renewal?


Part-MED distinguishes between three examination types, each with specific requirements. For Class 2 renewal, the requirements depend on how long the certificate has expired. If expired for less than 2 years, a revalidation examination applies. After 2–5 years, the Aeromedical Examiner (AME) reviews previous medical records before assessment. If expired for more than 5 years, the requirements for an initial examination apply.

First Examination
Initial
The first medical examination for a certificate class. The most comprehensive assessment, including ECG and colour vision testing for Class 2.
Before Expiry
Revalidation
Extension of an existing medical certificate before expiry. Examination requirements depend on certificate class and age.
After Expiry
Renewal
Renewal of an expired medical certificate. For Class 2, requirements depend on how long the certificate has been expired.
The examinations required for each certificate class and examination type are listed in the tables on the page covering medical requirements for aviation medical examinations →

Are Medical Records and Reports Required?


As a general rule, no. Since June 2026, the Danish Civil Aviation and Railway Authority no longer routinely requires documented medical histories for Class 2, LAPL and cabin crew examinations, whether Initial, Revalidation or Renewal. Assessments are based on the completed and signed application form and the Aeromedical Examiner's (AME) examination. Some online guidance still reflects the previous requirements.

During online booking, a short consent form and a few general health questions are completed. The application form is completed upon arrival. If additional medical information is required, it is reviewed with the patient or obtained with consent. A medical certificate cannot be issued, revalidated or renewed until any necessary documentation has been provided.

Not Routinely Required
– Medical records from a GP
– Hospital medical records
– Medical records from sundhed.dk
– Medication list from the Shared Medication Record (FMK)
When Additional Documentation May Be Required
✓ Mental health or neurological conditions
✓ Cardiovascular disease
✓ Fainting or seizures
✓ Substance misuse
✓ Significant changes in medication
✓ Extended sick leave, surgery or hospital treatment
✓ Inconsistencies in medical information

What Happens During an Aeromedical Examination?


The examination process is similar for all three certificate types and generally takes a couple of hours. The specific tests depend on the certificate class, examination type and age. If health changes occur between examinations, an aeromedical consultation may be appropriate instead, as described in the next section.

The Aeromedical Examination Process
1
Booking and Consent
Appointments can be booked online or by telephone. A short consent form with a few questions is completed during booking.
2
Application Form on Arrival
On arrival, the application form is completed and signed, including information about medical history, medication and previous examinations.
3
Measurements and Initial Assessment
A nurse or medical assistant performs the measurements required under Part-MED for the relevant certificate class and age, together with an initial assessment.
4
Consultation with the Aeromedical Examiner
The Aeromedical Examiner (AME) reviews the application and test results, discusses the applicant's health and performs a medical examination.
5
Medical Assessment and Decision
A medical certificate may be issued, with restrictions if applicable, or declined. In certain cases, the AME consults the Danish Civil Aviation and Railway Authority or refers the case for further assessment.
The visit generally takes approximately two hours.

When Is Aeromedical Advice Required Between Examinations?


A medical certificate remains valid only while the applicable medical requirements are met. Under Part-MED, certificate holders must not exercise their licence privileges if a deterioration in health could affect their ability to fly safely. Certain medical conditions require consultation with an Aeromedical Examiner (AME) before flying resumes, even when the certificate remains valid. The Danish Civil Aviation and Railway Authority provides further guidance on illness and medical fitness.

Aeromedical Advice Required Before Flying Following
Surgery or other invasive procedures Regular use of new medication Significant injury Significant illness Pregnancy Hospital or medical clinic admission First-time need for glasses or contact lenses
Source: EASA Part-MED, MED.A.020

What Do Fit and Unfit Mean?


Fit and unfit describe medical fitness to fly, including changes in health between examinations. During Initial, Revalidation or Renewal examinations, the Aeromedical Examiner (AME) determines whether a medical certificate can be issued, with limitations if necessary, or whether the requirements are not met. A refusal is issued in writing and may be appealed to the Danish Civil Aviation and Railway Authority.

Illness, injury, surgery or changes in regular medication may affect medical fitness. In such cases, the AME may assess the certificate holder as unfit. Flying privileges must not be exercised until medical fitness has been reassessed and confirmed. The certificate may remain issued, while formal suspension or revocation is handled by the Danish Civil Aviation and Railway Authority.

During the Medical Examination
When
During Initial, Revalidation or Renewal examinations.
Fit
Medical requirements are met, and the certificate is issued, revalidated or renewed, possibly with limitations such as corrective lenses or reduced validity.
Unfit
Medical requirements are not met, and certification is refused. The decision is provided in writing, together with information about the applicable review procedure.
Decision
The Aeromedical Examiner (AME) assesses medical fitness. Certain cases require consultation with or referral to the Danish Civil Aviation and Railway Authority.
Health Changes Between Examinations
When
Significant illness, injury, surgery, regular use of new medication, pregnancy, hospital admission or first-time need for corrective lenses.
Unfit
Flying privileges must not be exercised if medical fitness is impaired. The certificate may remain valid, but cannot be used while medical requirements are not met.
Fit
The AME may confirm fitness to resume flying following any necessary examinations or assessment by a medical specialist.
Decision
The AME assesses medical fitness and reports to the Danish Civil Aviation and Railway Authority when required. The authority may suspend or revoke a medical certificate.

What Happens If Further Medical Tests Are Required?


Under Part-MED, the Aeromedical Examiner (AME) may request additional tests when further assessment is needed. These may include blood tests, lung function testing, cardiac examinations or an ophthalmological assessment. Further information is available on the page covering medical requirements.

Charlottenlund Privathospital offers both ENT and cardiology services. Pressure changes during ascent and descent can affect the ears and sinuses. Conditions such as ear pressure problems, hearing loss, tinnitus and dizziness may be assessed by ENT specialists. ECGs and further cardiac assessments are performed within the cardiology department when clinically indicated.

Who Are the Aeromedical Examiners at Charlottenlund Privathospital?


Eva Lykke (DK/AME/91) and Jacob Fisker (DK/AME/92) are both ENT specialists approved by the Danish Civil Aviation and Railway Authority as Aeromedical Examiners (AMEs). Both are authorised to conduct Class 2, LAPL and cabin crew medical examinations.

How Are Appointments Booked, and What Is Required?


Appointments can be booked online. For booking enquiries, the hospital can be contacted by telephone on 44 98 19 21, Monday to Friday, 8 am–2 pm. Examinations take place at the main department in Charlottenlund. Prices are available on the hospital's price list.

Photo identification, an existing medical certificate (if applicable), and glasses or contact lenses should be brought to the examination. Existing specialist reports concerning known medical conditions may also be relevant and can be presented during the assessment.

  • Jacob Fisker – ENT Specialist and Aeromedical Examiner (AME)

    Jacob Fisker – ENT Specialist and Aeromedical Examiner (AME)

    Specialist in Ear, Nose and Throat Medicine and approved Aeromedical Examiner (AME)

    View Profile
  • Eva Lykke – ENT Specialist and Aeromedical Examiner (AME)

    Eva Lykke – ENT Specialist and Aeromedical Examiner (AME)

    Specialist in Ear, Nose and Throat Medicine and approved Aeromedical Examiner (AME)

    View Profile
Aviation Medical Examination Prices
Fixed price per examination, including 25% VAT. Examinations required under Part-MED for the relevant class, examination type and age are included.
Class 2 LAPL Cabin Crew
Initial
DKK 4,600 DKK 3,950 DKK 4,600
Revalidation and Renewal
LAPL below age 50: DKK 3,500
DKK 3,700 DKK 3,700 DKK 3,700
Revalidation and Renewal with ECG
Class 2: first after ages 40 and 50, then every 2 years
DKK 4,350 – –
Always included: medical examination, vision and hearing assessments, and urine testing. Also includes colour vision testing for Initial examinations, ECG for Class 2 Initial and pure-tone audiometry for Cabin Crew Initial.
Additional Tests and Services
Pure-tone audiometry for instrument rating (IR/BIR) DKK 625
Consultation following illness or changes in health Fit or unfit assessment, 30 minutes. Price per consultation, including notification to the Danish Civil Aviation and Railway Authority. DKK 2,400
ECG, when not included DKK 625
Lung Function Test DKK 312.50
Blood Sample Collection Laboratory analysis charged separately, depending on the tests required DKK 500
Drug Screening DKK 437.50
Administration per 30 minutes or part thereof For repeated enquiries DKK 937.50
Missed Appointment DKK 2,400

Contact Form

What Do Aviation Medical Abbreviations Mean?


The abbreviations originate from EU regulations governing pilot licensing and aviation medical certification. They are used consistently by Danish Aeromedical Examiners (AMEs) and pilots and generally remain untranslated. The same abbreviations appear on pilot licences, medical certificates and examination documents.

Licences and Ratings
PPL
Private Pilot Licence
Private flying. Requires a Class 2 medical certificate.
LAPL
Light Aircraft Pilot Licence
Light aircraft. Requires a LAPL medical certificate.
SPL
Sailplane Pilot Licence
Gliding. Class 2 for commercial operations; otherwise LAPL medical.
BPL
Balloon Pilot Licence
Balloon flying. Same medical requirements as SPL.
CPL
Commercial Pilot Licence
Commercial aviation. Requires a Class 1 medical certificate.
MPL
Multi-crew Pilot Licence
Multi-crew operations. Requires a Class 1 medical certificate.
ATPL
Airline Transport Pilot Licence
Airline transport operations. Requires a Class 1 medical certificate.
IR
Instrument Rating
Instrument flying rating. Audiometry is required for Class 2.
BIR
Basic Instrument Rating
Same audiometry requirements as IR.
Examinations and Decisions
Initial
Initial examination
First examination for a medical certificate class.
Reval.
Revalidation
Revalidation before certificate expiry.
Renewal
Renewal
Renewal after certificate expiry.
Unfit / Fit
Unfit: medical requirements are not met. Fit: assessed as meeting the applicable medical requirements.
Limitation
A restriction on a medical certificate, such as the use of corrective lenses.
Consultation
The AME consults the Danish aviation authority before making a decision.
Referral
The case is referred to the Danish aviation authority for a decision.
OML
Operational Multi-pilot Limitation
Class 1 limitation requiring operations with a qualified co-pilot.
Examiners and Documents
AME
Aeromedical Examiner
Aeromedical Examiner approved by the Danish aviation authority.
AeMC
Aero-Medical Centre
Aero-Medical Centre. Initial Class 1 and Class 3 examinations are conducted here.
MER
Medical Examination Report
The Aeromedical Examiner’s examination report.
Medical
Medical certificate
The medical certificate confirming medical fitness for aviation.
OHMP
Occupational Health Medical Practitioner
An occupational health physician authorised to assess cabin crew under Part-MED.

Where Can Forms and Regulations Be Found?


Application forms and current aviation medical regulations are available from the Danish Civil Aviation and Railway Authority (Trafikstyrelsen), the competent authority for aviation medicine in Denmark.

  • Aviation medicine – Danish Civil Aviation and Railway Authority
  • Before an Aeromedical Examination
  • Updated Medical Documentation Requirements
  • Aviation Medical Regulations

Questions concerning regulatory requirements can be directed to the Danish Civil Aviation and Railway Authority at medical@trafikstyrelsen.dk.

Frequently Asked Questions

  • What is the difference between an aviation medical examiner and an AME?

    There is no difference. AME stands for Aeromedical Examiner, the English term for an aviation medical examiner approved by the aviation authority to conduct aeromedical examinations under Part-MED. In Denmark, aviation medical examiners are approved by the Danish Civil Aviation and Railway Authority.

  • Do I need to bring my medical records for a Class 2 medical?

    As a general rule, no. Since June 2026, the Danish Civil Aviation and Railway Authority no longer routinely requires medical records, information from sundhed.dk or a medication list for Class 2, LAPL and cabin crew examinations. The assessment is based on the signed application form and the examination by the aviation medical examiner. If further information is needed, it will be obtained with your consent.

  • When do I need to have an audiometry test for Class 2?

    Only if you hold or are applying for an instrument rating (IR or BIR). In that case, you will have an audiometry test at your initial examination, every 5 years until age 40, every 2 years until age 60, and annually thereafter. Without an IR or BIR, your hearing is tested with a speech test.

  • Can I get a Class 1 medical at Charlottenlund Private Hospital?

    Not yet. The initial Class 1 examination may only be performed at an Aero-Medical Centre (AeMC). The aviation medical examiners at Charlottenlund Privathospital are currently authorised for Class 2, LAPL and cabin crew.

  • Is a limitation the same as a refusal?

    No. A limitation means the medical is issued subject to a condition, such as wearing glasses or having a shorter validity period. If your application is refused, no medical is issued.

  • Will I lose my medical if I become ill?

    No, not automatically. Following an illness, surgery or starting regular medication, you may be unfit for a period and unable to fly, but your medical remains issued. You can fly again once the aviation medical examiner has cleared you as fit. Only the Danish Civil Aviation and Railway Authority can suspend or revoke a medical.