A privacy-first iOS app that keeps your medical records, renewal timeline, Special Issuance paperwork, and MedXPress and BasicMed prep organized — so you walk into every exam ready. Your health data stays on your device and your own iCloud.
Free to use, with an optional Guardian Pro subscription. For iPhone and iPad.
Pilots are already using it to prep their actual FAA medical.
From pilots who tested it
"Worked seamlessly… the MedXPress application took maybe two minutes."
"It worked really well and made it quick and easy. I definitely see the value in this product."
"I completed a new MedXPress application and the autofill put in exactly what I'd entered in the app. Easy to set up and use. It's a good product."
When a pilot runs into trouble with their FAA medical, it's usually not their health — it's the documentation. In the Federal Air Surgeon's own words, "most of these denials resulted because of a failure of the applicants to provide sufficient information." And it's common: about 1 in 16 certified airmen fly on a Special Issuance — nearly 1 in 5 past age 65.
The FAA says so itself: in its April 2025 review, the agency named "incomplete information on airmen's submissions" a top challenge, and noted Special Issuances have roughly doubled since 2019. Its own fix — better paperwork prep and a clearer MedXPress — is exactly what this app does.
Sources: FAA Federal Air Surgeon · FAA 2024 Aerospace Medical Certification Statistical Handbook (Oct 2025) · FAA "Improving the Medical Process" (Apr 2025).
No sign-up, no app required — clear walkthroughs of the FAA's own process, with a link to the official source for every rule.
Fills the parts of the FAA form you'd otherwise retype every cycle.
Its Safari extension fills your medications (Item 17) and doctor visits (Item 19) straight into the live MedXPress form, so you don't retype the same information every renewal. You review every entry and submit it yourself — nothing leaves your device.
How to fill out MedXPress →Scan, import, or share a PDF or photo, keep it organized, then bundle what you choose into one PDF and send it to your AME from your phone — built on-device.
Keep lab results, letters, and scans in your own encrypted library, then choose exactly what to bundle into one clean PDF for your AME — built on your device and sent only when you send it.
Your certificate expiration — or your BasicMed course and exam dates — from the real 14 CFR rules, with reminders before anything lapses.
It figures your certificate's expiration from the actual 14 CFR 61.23 rules — your class, your age at the exam, the end-of-month convention — or your BasicMed course and exam clocks, and reminds you before anything lapses.
How long is my medical good for? →Requirements, documents, and change-alerts in one encrypted place.
Build your requirements checklist from the FAA's published requirements for your condition, store physician letters and test results encrypted, track what you've sent to the FAA, and get alerted when those requirements change.
Charts your metrics against the FAA's own cited limits, so you can see where each of your numbers stands.
Connect Apple Health (read-only) and the app charts your metrics next to the FAA's own cited thresholds, so you can see where each of your numbers stands before your exam. It never renders a pass/fail.
Surfaces the FAA's worksheet when a new diagnosis might be issued at the desk.
If you log a diagnosis the FAA's CACI worksheets cover — like high blood pressure, sleep apnea, or kidney stones — the app surfaces the FAA's own documents-required checklist, so you can walk in prepared to be issued at the desk rather than deferred.
Track your Part 68 course and exam dates, and fill the pilot section of FAA Form 8700-2 from records you already entered.
Track your Part 68 medical course (every 24 months) and comprehensive exam / CMEC (every 48 months) against the FAA's cited intervals, and prefill the pilot section of Form 8700-2 from records you've already entered.
BasicMed, explained →Find an examiner by location, including HIMS-trained.
Search for an Aviation Medical Examiner by location, including HIMS-trained AMEs — a factual reference, with a link to the FAA's official locator.
A Safari extension fills the parts of FAA MedXPress you'd retype every renewal — your medications (Item 17) and doctor visits (Item 19). You review each field and tap Add yourself; it never submits, and nothing leaves your device.
How to turn on the autofill →Fly under BasicMed? The app tracks your 24-month medical course and 48-month comprehensive medical exam (CMEC) against the FAA's cited intervals, with reminders — and fills the pilot section of FAA Form 8700-2 from records you already entered.
BasicMed, explained →





Screens use sample data.
Lab results, physician letters, test reports, your Special Issuance authorization — they arrive as PDFs and paper from every direction. Bring them all into one place: scan a paper letter, import a PDF or photo you already have (a result your doctor emailed, or one you saved from your patient portal), or share one straight in from Mail or Files. The app keeps them organized — filed on their own or linked to the Special Issuance condition they belong to.
When it's time for your exam, bundle what you choose into one clean PDF and send it to your AME right from your phone — your certificate or BasicMed dates, medications, visits, Special Issuance, and the documents you've saved. You pick what goes in; it's built on your device and only leaves when you hit share.
Everything stays on your device and your own iCloud — nothing is uploaded to me.
Your records sync only through your own iCloud private database. There's no Pilot Medical Guardian server holding your health, disclosure, or Special Issuance data — that isn't a promise to behave, it's how the app is built.
I'm a pilot at a major U.S. airline. Over the years I watched friends — healthy, capable aviators — get blindsided not by their health, but by the paperwork around it: a renewal that slipped, a Special Issuance requirement that got missed, a MedXPress answer that didn't match last cycle's. So I built the tool I wanted — private by design, grounded in the FAA's own published rules, and built so that no one but you can ever see your data. It keeps you organized; your AME still makes every certification decision.
— Ryan, founder of Pilot Medical Guardian
Pilot Medical Guardian is coming to the App Store for iPhone and iPad — private by design, grounded in the FAA's own published rules, and especially useful if you're flying on a Special Issuance.
Free to use — your renewal countdown and reminders, unlimited record-keeping, the medication reference, Health, and the AME directory, plus one free MedXPress autofill to try it. An optional Guardian Pro subscription unlocks per-cycle MedXPress autofill, CMEC prep, Share with your AME, document storage, and more.
One email the day it's live on the App Store — that's it. This launch list is separate from the app and never touches your medical data.
This app is an information and record-keeping tool — not medical, legal, or FAA compliance certification, and not medical advice. It helps you stay organized; your AME makes the certification decisions.