Aviation Medical Booking FormSubmit your details using the form below, and one of our team members will be in touch to confirm your booking.Full name(Required)DOB(Required) DD slash MM slash YYYY NZ Address(Required) Street Address City ZIP / Postal Code Cell phone number(Required)Email(Required) Class of medical required(Required) Class 1 Commercial Class 2 Private Class 2 DL9 only required Class 1 And 2New medical or renewal?:(Required) New RenewalCAA Client ID(Required)Date of last Medical(Required) MM slash DD slash YYYY Instrument flight rules?(Required) Yes NoAny Dr preference?:(Required) Dr Charlotte Kevern Dr Kevin Moginie No preference
