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The DAME should refer an applicant (or arrange referral through the applicant's usual general practitioner) for appropriate specialist review(s) and/or other investigations whenever a significant abnormality in the history or physical examination of an applicant is detected. The purpose of such review or investigation is to clarify whether the applicant meets the required standard(s) for medical certification, or whether medical certification with appropriate conditions is compatible with the safety of air navigation.
Once the DAME has collated all relevant investigations and reports concerning the applicant, these should be sent to CASA, together with the DAME's own assessment of whether the applicant meets the required standard(s) for medical certification, or whether medical certification with appropriate conditions is compatible with the safety of air navigation.
Where an applicant fails to return for follow up or completion of the assessment is delayed for more than one month for any reason, the DAME should forward to CASA advice of the situation and copies of any reports available. Thereafter, in the event of further delays, or of the applicant failing to return for review, the DAME should advise CASA as then appropriate. Written, faxed or e-mailed advice is required in these circumstances.