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EUROPEAN AEROMEDICAL CENTERS

Find certified aeromedical centers (AeMC) across Europe for EASA Class 1 medical certificate initial examinations, renewals, and cabin crew medical assessments. Compare pricing, availability, and book your aviation medical examination with certified medical examiners.

Updated October 2025

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CERTIFIED AEROMEDICAL CENTERS

EASA approved medical examiners across Europe

Center State CLASS 1 Availability Details

Aviamed Aviation Medical Center

Aeromedical Center
AeMC ! WEB
€380
€280 renew
1-2 weeks
WEBSITE

Premium Medical Aeromedical Center

Aeromedical Center
AeMC
€400
€300 renew
1-2 weeks
WEBSITE

Medizinischer Dienst der Deutschen Lufthansa AG München

Aviation Medical Centre (AeMC)
AeMC
€520
€420 renew
1-2 weeks
WEBSITE

MAC Airport Center Frankfurt

Aeromedical Center (AeMC)
AeMC ! WEB
€580
€460 renew
2-3 weeks
WEBSITE

Institute of Aviation Medicine Prague

Aeromedical Center (AeMC)
AeMC WEB
Kč10,000
Kč8,000 renew
2-4 weeks
WEBSITE

Heathrow Medical Services

Aeromedical Center (AeMC)
AeMC ! WEB
£0
2-4 weeks
WEBSITE

Centreline Aviation Medical Services

Aeromedical Center (AeMC)
AeMC ! WEB
£0
1-3 weeks
WEBSITE

Birmingham Aeromedical Centre

Aeromedical Center (AeMC)
AeMC
£0
2-4 weeks
WEBSITE

CAVOK Medical Center

Aeromedical Center (AeMC)
AeMC WEB
€680
€520 renew
1-2 weeks
WEBSITE

Istituto di Medicina Aerospaziale dell'Aeronautica Militare di Roma

Military Aeromedical Center (AeMC)
AeMC
€450
€350 renew
2-4 weeks
WEBSITE

Istituto di Medicina Aerospaziale dell'Aeronautica Militare di Milano Linate

Military Aeromedical Center (AeMC)
AeMC
€460
€360 renew
2-3 weeks
WEBSITE

CEMPN Toulouse-Blagnac

Aeromedical Center (AeMC)
AeMC WEB
€0
€0 renew
2-3 weeks
WEBSITE

Centro de Instrucción de Medicina Aeroespacial (CIMA)

Military Aeromedical Center (AeMC)
AeMC
€600
€450 renew
2-4 weeks
WEBSITE

Gabinete Médico Velázquez

Private Aeromedical Center (AeMC)
AeMC !
€600
€450 renew
1-3 weeks
WEBSITE

Hospital de Día Pío XII

Hospital Aeromedical Center (AeMC)
AeMC !
€600
€450 renew
2-3 weeks
WEBSITE

Military Institute of Aviation Medicine (WIML)

Military Aeromedical Center (AeMC)
AeMC
PLN600
PLN450 renew
1-2 weeks
WEBSITE

GOBLL Aviation Medical Center

Aeromedical Center (AeMC)
AeMC
PLN750
PLN550 renew
2-3 weeks
WEBSITE

ALERGO-MED Aviation Clinic

Aviation Medical Services
AeMC ! WEB
PLN0
PLN550 renew
1-2 weeks
WEBSITE

Sky Medical Center

Aeromedical Center (AeMC)
AeMC ! WEB
€550
€220 renew
Same day to 1 week
Weekend service
WEBSITE

Wiener Privatklinik Aeromedical Center

Aeromedical Center (AeMC)
AeMC ! WEB
€720
€450 renew
1-2 weeks
WEBSITE

Attentia Aviation Medical (formerly Brussels Aviation Medical)

Aeromedical Center (AeMC)
AeMC ! WEB
€0
2-3 weeks
WEBSITE

Danish Transport Authority Aeromedical Services

Government Aeromedical Services
AeMC
DKK0
DKK0 renew
1-3 weeks
WEBSITE

Stockholm Aviation Medical Institute

Aeromedical Center (AeMC)
AeMC ! WEB
SEK0
1-3 weeks
WEBSITE

Vilnius City Clinical Hospital - Former Aeromedical Center

SUSPENDED - Individual AME Services Only
€0
1-2 weeks
WEBSITE

Aviation Medical Center

Aeromedical Center (AeMC)
AeMC
€0
€0 renew
1-2 weeks
WEBSITE

Merimetsa Health Center

Aeromedical Center (AeMC)
AeMC !
€0
€0 renew
1-2 weeks
WEBSITE

NAU Aviation Medical Center

Aeromedical Center (AeMC)
UAH8,500
UAH6,500 renew
2-4 weeks (wartime conditions may extend)
WEBSITE

UkSATSE Aviation Medical Center

Specialized Aviation Medical Center
UAH9,000
UAH7,000 renew
2-3 weeks
WEBSITE

Institute of Aviation Medicine

Military Aeromedical Center (AeMC)
AeMC !
NOK4,800
NOK3,800 renew
2-4 weeks
WEBSITE

Norges Flymedisinske Senter

Private Aeromedical Center (AeMC)
AeMC ! WEB
NOK4,200
NOK3,200 renew
1-2 weeks
Weekend service
WEBSITE

Centre for Military Medicine - Aeromedical Centre

Military Aeromedical Center (AeMC)
AeMC
€0
€0 renew
2-3 weeks
WEBSITE

Finnair Health Services AeMC

Corporate Aeromedical Center (AeMC)
AeMC !
€0
€0 renew
1-2 weeks
WEBSITE

Aava Aviapolis AeMC

Private Aeromedical Center (AeMC)
AeMC ! WEB
€0
€0 renew
1-2 weeks
WEBSITE

Medical Center of Civil Aviation

State Enterprise Aeromedical Center
MDL0
MDL0 renew
1-2 weeks
WEBSITE

UCS - TAP Air Portugal Group Health Services

Corporate Aeromedical Center (AeMC)
AeMC ! WEB
€680
€520 renew
1-2 weeks
WEBSITE

Hospital da Luz Lisboa - Aerospace Medicine

Private Hospital Aeromedical Services
AeMC ! WEB
€720
€560 renew
1-2 weeks
WEBSITE

Lusíadas Saúde - Aviation Medicine

Private Healthcare Group
AeMC WEB
€0
€580 renew
1-3 weeks
WEBSITE

Athens Aviation Medical Center

Aeromedical Center (AeMC)
AeMC
€420
€320 renew
2-3 weeks
WEBSITE

LamedFlyCenter

Aeromedical Center (AeMC)
AeMC WEB
€0
€100 renew
Contact center
WEBSITE

DG CAA Aeromedical Section (AMS)

Competent Authority / Oversight Body
AeMC
BGN0
Contact center
WEBSITE

Hungarian Defence Forces Healthcare Institute Aeromedical Center

Military Aeromedical Center (AeMC)
AeMC
HUF28,700
HUF16,100 renew
1-2 weeks
WEBSITE

PHARMAFLIGHT Aeromedical Center

University-Affiliated Aeromedical Center (AeMC)
AeMC ! WEB
HUF32,000
HUF18,000 renew
1-3 weeks
WEBSITE

Military Aviation Hospital Košice

Military Aeromedical Center (AeMC)
AeMC
€341
€153 renew
2-3 weeks
WEBSITE

Ljubljana Medical Center - Aviation Medicine Department

Medical Center with Aviation Medicine Services
AeMC
€0
1-3 weeks
WEBSITE

OptimaMed Institution for Healthcare

Aeromedical Center (AeMC)
AeMC !
€0
€0 renew
1-2 weeks
WEBSITE

Air Serbia Training Center Aeromedical Center

Aeromedical Center (AeMC)
RSD35,000
RSD25,000 renew
2-4 weeks
WEBSITE

Aero Medical Center - Fluglæknasetrið

Aeromedical Center (AeMC)
AeMC ! WEB
ISK65,000
ISK50,000 renew
1-3 weeks
WEBSITE

Mater Private Aeromedical Centre

Aeromedical Center (AeMC)
AeMC ! WEB
€850
€450 renew
2-4 weeks
WEBSITE

St. James Capua Hospital

Aeromedical Center (AeMC)
AeMC
€0
€0 renew
1-2 weeks
WEBSITE

Cyprus Aeromedical Centre

Aeromedical Center (AeMC)
AeMC
€0
€0 renew
1-2 weeks
WEBSITE

Your Complete Guide to EASA Medical Certificates and European Aeromedical Centers

How This Guide Was Researched

The medical certification costs, procedures, and requirements in this guide are compiled from over 150 certified EASA Aero-medical Centres across 31 European countries, official EASA medical regulations (Part-MED), and current 2025 pricing data. This directory is updated regularly to provide accurate medical examination information for pilots and cabin crew.

→ Essential reading: Complete Class 1 Medical Guide | EASA Medical Regulations | Choosing Your Medical Center

Obtaining and maintaining an EASA Class 1 medical certificate is essential for all commercial pilots operating in Europe. Our comprehensive directory features over 150 certified aeromedical centers (AeMC) across 31 European countries, providing detailed information on costs, procedures, and booking availability for initial examinations, renewals, and cabin crew medical assessments.

What is an EASA Class 1 Medical Certificate?

An EASA Class 1 medical certificate represents the highest standard of aviation medical certification in Europe, required for all commercial pilot operations including airline transport pilots (ATPL) and commercial pilots (CPL). Established under Commission Regulation (EU) No 1178/2011, these certificates ensure pilots meet stringent health standards necessary for safe commercial aviation operations.

The Class 1 medical certificate includes all privileges of lower-class medical certificates, meaning holders can exercise Class 2 and Light Aircraft Pilot License (LAPL) privileges without requiring additional medical certifications. This comprehensive certification covers cardiovascular health, vision and hearing acuity, neurological function, psychological fitness, and general physical condition assessments.

Only certified Aero-medical Centres (AeMC) can conduct initial Class 1 medical examinations, while renewals may be performed by authorized aero-medical examiners (AME) with appropriate privileges. These medical facilities employ specialists trained in aviation medicine who understand the unique physiological demands of commercial flying operations.

→ Learn more: Complete EASA Class 1 Medical Certificate Guide

EASA Class 1 Medical Certificate Cost by Country: 2025 Comprehensive Analysis

Regional Cost Variations

Aviation medical examination costs vary dramatically across European countries, creating significant opportunities for medical tourism while maintaining identical EASA standards. Eastern European countries offer the most competitive pricing, with Romania leading at €100-185 for initial examinations and €80-120 for renewals.

Here is a typical breakdown of 2025 medical certificate costs by region:

  • Eastern Europe (Romania, Bulgaria, Poland): €100-185 initial, €80-120 renewal
  • Central Europe (Germany, Netherlands, Austria): €220-550 initial, €150-350 renewal
  • Western Europe (UK, France): €300-450 initial, €200-350 renewal
  • Southern Europe (Spain, Italy): €350-600 initial, €250-400 renewal
  • Scandinavia (Sweden, Norway, Denmark): €400-650 initial, €300-450 renewal

Western European medical centers in the UK, France, and Scandinavia represent premium pricing at €350-650 for initial examinations, but often provide superior customer service, advanced diagnostic equipment, and comprehensive follow-up care. Many pilots choose these centers for complex medical conditions requiring specialist consultation.

Additional Medical Services and Costs

Standard EASA medical examinations include basic assessments, but additional tests may be required based on age, medical history, or examination findings. Electrocardiograms (ECG) cost €25-50 additional, audiometry testing ranges €30-60, and comprehensive laboratory panels add €50-150 to base examination costs.

Extended examinations required every 2-5 years include additional cardiovascular assessments, stress testing, and comprehensive laboratory evaluations, typically costing €100-300 above standard renewal fees. Some medical centers offer package deals combining multiple services or family discounts for multiple pilots, providing cost savings for flight training schools and airline operators.

→ Choosing wisely: How to Select the Right Medical Center for Your Needs

What to Expect During Your EASA Class 1 Medical Examination

EASA Class 1 initial medical examinations are comprehensive assessments typically requiring 2-4 hours depending on individual medical complexity and center procedures. The examination begins with detailed medical history review, including previous illnesses, surgeries, medications, and family medical history relevant to aviation safety.

Physical examination components include cardiovascular assessment with blood pressure monitoring and ECG analysis, comprehensive vision testing including distance acuity, near vision, color perception, and visual field assessment. Hearing evaluation involves pure tone audiometry testing across aviation-relevant frequencies, ensuring pilots can communicate effectively in cockpit environments.

Neurological examination assesses cognitive function, coordination, and reflexes essential for safe aircraft operation. Psychological evaluation may include standardized questionnaires and interviews to assess mental health fitness for commercial aviation responsibilities. Laboratory testing typically includes blood chemistry panels, lipid profiles, and diabetes screening as age-appropriate.

→ Specific requirements: Vision Requirements & Glasses | Diabetes & Medical Certificates

EASA Medical Certificate Validity Periods and Renewal Requirements

Standard Validity Periods

EASA Class 1 medical certificate validity depends on pilot age and operation type:

  • 12 months: Pilots under 40 in multi-pilot commercial operations
  • 6 months: Pilots 40+ in single-pilot commercial with passengers
  • 6 months: All pilots 60+ regardless of operation type

Extended medical examinations are required periodically regardless of routine renewals: every 5 years for pilots under 40, and every 2 years for pilots 40 and older. These comprehensive assessments include additional cardiovascular testing, stress evaluations, and detailed laboratory analysis to detect age-related health changes that could affect flight safety.

Revalidation vs Renewal Procedures

Medical revalidation maintains continuous certificate validity when performed up to 45 days before expiry, preserving the original expiry date and ensuring uninterrupted flying privileges. Revalidation requires standard medical examination by certified AeMC or authorized AME with Class 1 renewal privileges.

Medical renewal applies when certificates have expired or revalidation timeframes are missed. Renewal requirements depend on expiry duration: certificates expired less than 90 days require standard examination, while those expired 90 days to 2 years may require extended examination including additional diagnostic testing. Certificates expired over 2 years require full initial examination equivalent.

→ Regulations explained: Complete Guide to EASA Medical Regulations

Cabin Crew Medical Assessment Requirements

Cabin crew medical assessments differ significantly from pilot medical certificates, focusing on specific fitness requirements for cabin crew duties rather than flight deck operations. These assessments evaluate physical and mental fitness for emergency evacuation procedures, first aid administration, and extended work periods in pressurized cabin environments.

Cabin crew medical assessments can be performed by certified AeMCs, authorized aero-medical examiners, or qualified occupational health medical practitioners with cabin crew assessment privileges. Assessment validity periods are longer than pilot medical certificates: up to 5 years for cabin crew under 40 years, and 2 years for those 40 years and older.

The assessment includes vision and hearing evaluation appropriate for cabin crew duties, cardiovascular health assessment for physical demands of emergency procedures, psychological fitness evaluation for passenger service and emergency management, and general physical condition assessment for extended duty periods and irregular schedules. These assessments are required for cabin crew attestation and airline employment.

International Recognition of EASA Medical Certificates

EASA medical certificates enjoy automatic recognition across all EASA member states, including the 27 European Union countries plus Iceland, Norway, Switzerland, and the United Kingdom under post-Brexit aviation agreements. This recognition eliminates the need for additional medical validation when operating across European borders.

For operations outside Europe, ICAO medical standards apply with varying recognition levels. The United States requires FAA medical certificates for operations in US airspace, though temporary validation may be possible for short-term operations. Canada generally accepts EASA medical certificates for temporary operations, while Australia and New Zealand maintain reciprocal recognition agreements for certain pilot operations.

Middle Eastern and Asian countries typically require medical validation or additional examinations, though many accept EASA medical certificates as baseline qualifications. Pilots planning international operations should verify specific medical requirements with destination country aviation authorities and consider obtaining multiple medical certificates if required for regular operations outside Europe.

Choosing the Right Aeromedical Center for Your Needs

Selecting an appropriate aeromedical center involves evaluating multiple factors beyond cost considerations. Location convenience affects travel expenses and time away from work, particularly important for renewal examinations requiring minimal downtime. Appointment availability varies significantly, with some centers offering same-week appointments while others require 2-8 week advance booking.

Language support is crucial for international pilots, with English-speaking staff available at most major European medical centers but limited in some regional facilities. Many Eastern European centers employ multilingual staff to serve the growing medical tourism market, while Western European centers often provide comprehensive translation services.

Medical expertise varies among centers, with some specializing in complex medical conditions or offering additional services like aviation-specific health optimization programs. Centers with airline partnerships often provide expedited processing for airline pilots, while others focus on general aviation and flight training students with more flexible scheduling options.

→ Decision guide: Complete Guide to Choosing Your Aeromedical Center

Modern Technology in Aviation Medical Examinations

Contemporary European aeromedical centers employ advanced diagnostic technology to ensure accurate health assessments and efficient examination processes. Digital ECG systems provide immediate cardiovascular analysis with computer-assisted interpretation, while automated audiometry systems ensure consistent hearing evaluation across different centers and examiners.

Electronic health records systems facilitate seamless information sharing between medical centers and aviation authorities, reducing administrative delays and improving examination accuracy. Many centers offer online appointment booking, medical history pre-submission, and digital certificate delivery, streamlining the entire medical certification process.

Advanced vision testing equipment includes automated refraction systems, digital color vision assessment, and computerized visual field analysis providing more accurate and reproducible results than traditional manual testing methods. Some centers incorporate telemedicine consultations for complex cases, connecting local examiners with specialized aviation medicine experts.

How to Prepare for Your EASA Medical Examination

Proper preparation significantly improves examination efficiency and reduces the likelihood of deferrals or additional testing requirements. Medical history documentation should be comprehensive, including complete records of all treatments, medications, surgeries, and significant illnesses. Pilots with complex medical histories should contact the medical center in advance to discuss specific documentation requirements.

Vision preparation includes bringing current corrective lenses and prescriptions, avoiding eye strain from extended screen time before examination, and ensuring contact lenses are properly fitted and comfortable. Hearing protection is important, avoiding loud noise exposure for 24 hours before examination to ensure accurate audiometry results.

Cardiovascular preparation involves maintaining regular exercise routines, avoiding stimulants like caffeine before ECG testing, and ensuring adequate rest before examination. Some centers require fasting for laboratory tests, while others prefer recent meal consumption to assess normal physiological function. Pilots should verify specific preparation requirements when booking appointments.

→ Preparation checklist: Complete Medical Examination Preparation Guide

Maintaining Your Aviation Medical Certificate: Best Practices

Successful medical certificate maintenance requires proactive health management and strategic planning for renewals and revalidations. Pilots should maintain regular healthcare relationships with primary physicians familiar with aviation medical requirements, ensuring early identification and management of conditions that could affect medical certification.

Schedule medical appointments well in advance of expiry dates, allowing time for additional testing if required and avoiding operational disruptions from expired certificates. Many successful pilots maintain relationships with multiple medical centers, providing flexibility for scheduling and backup options if primary centers experience delays.

Consider the total cost of medical certification including travel, accommodation, and opportunity costs when selecting medical centers. While cost savings from medical tourism can be significant, ensure that chosen centers provide appropriate support for your specific medical needs and operational requirements. Professional pilots should view medical certification as an investment in career longevity rather than merely a regulatory requirement.

EUROPEAN MEDICAL CERTIFICATION INTELLIGENCE

Essential information for aviation professionals