CASA Website > Avmed > Dames > Handbook > 12.6 Procedure for a DAME to issue a Class 2 medical certificate

12.6 Procedure for a DAME to issue a Class 2 medical certificate

12.6.1

The process involved and the required procedure for a DAME to follow for the issue a Class 2 medical certificate is sequentially as follows:

1. an applicant for a Class 2 medical certificate (the applicant) must first submit a request to CASA's Aviation Medicine Section;
2. CASA's Aviation Medicine Section will provide a completed 'Medical Background Form' or 'Q01 letter' to the applicant's nominated DAME;
3. the DAME must review the completed Medical Background Form;
4. the DAME must obtain, and record, the applicant's agreement to the use of an electronic document under the DAME's electronic signature as the means of issuing the Class 2 medical certificate (if any certificate is issued) and must provide the applicant with a hardcopy also.
5. the DAME must conduct a medical examination of the applicant.
6. if an excluded medical condition (see section 12.3 Excluded medical conditions and prior endorsements) is apparent or disclosed, the DAME must not issuea Class 2 medical certificate and must refer the applicant to CASA;
7. if the DAME's assessment following the medical examination is consistent with the DAME Clinical Guidelines (see section 12.5 DAME Clinical Practice Guidelines), the DAME must issue a Class 2 medical certificate provided:
   1. all necessary investigations and information required have been reviewed: and
   2. the DAME is satisfied that the assessment supports the issue of the Class 2 medical certificate; and
   3. there is no countervailing reason under the DAME delegation, the relevant regulations or this Chapter 12 why a Class 2 medical certificate should not be issued;
8. if the DAME's assessment following the medical examination is inconsistent with the DAME Guidelines, the DAME must:
   1. not issue a Class 2 medical certificate; and
   2. refer the applicant to CASA, with an opinion concerning a departure from the Guidelines; and
   3. ensure that the applicant is informed that the DAME's assessment is inconsistent with the DAME Guidelines and that the applicant must be referred to CASA for assessment.
9. if, following an applicant's medical examination, the DAME:
   1. assesses that a Class 2 medical certificate should not be issued; or
   2. holds a reasonable doubt about the applicant's suitability to be issued with a Class 2 medical certificate; then the DAME must do the following;
      • not issue a medical certificate;
      • refer the applicant to CASA for medical assessment;
      • inform CASA in writing of the DAME's reasons for not issuing the certificate;
      • ensure that the applicant is informed of the DAME's inclination or doubt, and that his or her application must be referred to CASA for assessment.

Flowchart of Class 2 medical certificate procedure