Why is this evaluation necessary?
Some medical or psychological conditions can affect an aviator’s or air traffic controller’s ability to perform safely. When there’s a concern, the FAA may require a neuropsychological evaluation to take a closer look.
What is a neuropsychological evaluation?
If you've been referred for a neuropsychological evaluation by the FAA, this assessment is designed to provide a detailed and objective look at how your brain is functioning in areas critical to aviation safety.
The evaluation includes tests of memory, attention, language, problem-solving, thinking speed, visual perception, and reaction time, as well as mood and personality. These skills are essential for safe and effective performance in flight and air traffic roles.
Your clinician will also review relevant records and conduct a comprehensive interview covering your medical, psychological, educational, legal, and personal history. This helps ensure a full understanding of any factors that may be impacting your cognitive functioning.
All of this information is integrated into a detailed report that identifies both strengths and any areas of concern. The report is prepared according to FAA guidelines and submitted as part of your aeromedical review process.
For more details about the evaluation process, please see: theaacn.org/adult-neuropsychology
What is the CogScreen-Aeromedical Edition?
The CogScreen is a computerized test battery that was specifically designed to provide assessment of skills that are predictive of problems related to aviation.
What about Attention Deficit Specific Evaluations?
In August 2023, the FAA introduced the ADHD Fast Track evaluation process to streamline certification for individuals with a history of ADHD. Whether you qualify for the Fast Track or need the more detailed Standard Track depends on your history with ADHD symptoms, treatment, and any other mental health conditions.
You can find official FAA information here:
📄 FAA Fast Track ADHD Evaluation Overview (PDF)
🎥 FAA ADHD Evaluation Explained (YouTube)
To qualify for the Fast Track process, all of the following must be true:
No use of ADHD medication in the past 4 years
No ADHD symptoms in the past 4 years
No history of other psychiatric conditions (including substance use, mood disorders, anxiety, or personality issues)
If you do not qualify for Fast Track, you will complete the standard battery. The FAA standard battery is a comprehensive, full-day evaluation designed to assess cognitive functions critical to safe aviation performance.
Each of our neuropsychologists is available to perform the comprehensive consultation and record review to determine if you meet criteria for ADHD. If there is evidence of the disorder, Dr. Hamilton or Dr. Hochberger will perform the standard battery with you if you choose to proceed.
***YOU MUST ARRANGE TO HAVE A URINE DRUG SCREEN THAT INCLUDES AMPHETAMINE AND METHYLPHENIDATE ON THE DAY OF TESTING***It is your responsibility to ensure that I have a copy of your drug test results.
Will you tell me what you found?
In most cases, you’ll get direct feedback about your results, along with research-based treatment recommendations if any issues are found. However, if your evaluation was requested by an employer, insurance company, or another third party, we may not be allowed to share the results with you directly. If that applies to your case, we’ll talk about it before the evaluation begins.
Who will learn of the findings?
In most cases, your evaluation results will not be shared without your written permission. If the evaluation was requested by the FAA, an employer, or an insurance company, some information may need to be released if you choose to proceed.
You’ll be asked to authorize communication with the FAA and your aeromedical examiner. Keep in mind that anything sent to the FAA may become part of a legal record.
If you'd like your results shared with your doctor or mental health provider, we are happy to do so with your written consent.
How much does this cost?
Evaluations are billed at $300/hour, including face-to-face time, record review, report writing, and preparation of results report. Please call 858-693-3113 for specific estimate of timing.
Who pays for the evaluation?
In most cases, you pay for the evaluation. The FAA will not pay for your evaluation. It is not appropriate for any provider to accept health insurance to pay for these evaluations. Occupational evaluations are never considered medically necessary. If the evaluation is ordered by an employer, insurance company, or other third party, this party is responsible for the fees.
We accept Visa and Mastercard. Individuals paying with check or cash will receive a 3% discount. Expect that the evaluation will take between 10-12 hours of total time. A retainer will be collected at the time of service. The remainder will be collected when the evaluation is completed.
How do I get my medical records?
To complete your evaluation, I must receive your certified FAA Medical File. You can request it by calling the FAA at (405) 954-4821 — select option 4, then option 3.
If you have other medical or personal records you believe are relevant, feel free to include those as well. Please send all records at least two weeks before your appointment if possible.
There’s no extra charge if records arrive later, but please note:Your report will be completed within 30 days of your evaluation or the date your records are received — whichever comes later.
How do I schedule an appointment?
Call (858)693-3113 to make an appointment.
What do I do to prepare for the evaluation?
Get a good night’s sleep in the days leading up to your appointment.
Avoid a long drive the morning of testing if possible — travel rested.
Bring your glasses, hearing aids (if needed), snacks, and lunch (or plan to eat nearby).
Reach out with any questions — we're here to help and know this process can feel stressful.
Be sure to complete and bring the forms we send you after scheduling.
Who makes the final determination regarding my flight/employment status?
The team of doctors at the FAA will make the final determination regarding your flight status based on the findings of the evaluation that I conduct.