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Setup guide

Turn on MedXPress autofill

It's all done on your iPhone or iPad — no desktop needed. The autofill is a Safari extension built into the app. You switch it on once, then use it right in Safari whenever you fill out MedXPress.

Why a few manual steps? Apple requires you to turn Safari extensions on yourself, in Settings — no app is allowed to do it for you. It only takes a minute, and it's a one-time setup.
Watch and follow along — 45 seconds
The whole one-time setup, start to finish. Muted; it loops on its own.
Do it as you watch — one-time setup
1

Open the Settings app

The gray gear icon on your Home Screen.

2

Go to Safari → Extensions

On iOS / iPadOS 18 or later: Settings → Apps → Safari → Extensions.
On iOS 17 or earlier: Settings → Safari → Extensions. It's near the bottom of Safari's settings.

Not sure which iOS you have? Settings → General → About → Software Version. Or skip Settings entirely: in Safari, tap the page menu (the aA button at the left of the address bar) → Manage Extensions.

3

Find “MedXPressAutofill” and turn it on

That's Pilot Medical Guardian's extension. It appears once the app is installed. If you don't see it, force-quit Safari (swipe up from the app switcher) and reopen Settings.

4

Allow it on medxpress.faa.gov — the step most people miss

This is the step that silently breaks everything — the extension can look switched on but do nothing until you allow it on the FAA site. On a new setup the reliable way is right on the page:

1. Open medxpress.faa.gov in Safari.
2. Tap the page menu (the aA / extension button at the left of the address bar).
3. Tap MedXPressAutofill, then choose Always Allow.

Pick “Always Allow,” not “Allow for One Day” — the one-day option silently expires, and the autofill quietly stops working next time.

Prefer Settings? Same thing, different words — there it reads Allow / Ask / Deny; set medxpress.faa.gov to Allow. But on a brand-new setup the site often isn't listed there yet (it only appears after the extension has run on it once), so the on-the-page route above is the sure one.

Using it
5

Enter your records in the app, then open it once

The extension fills from a private snapshot of your data that the app saves on your device — so your medications and visits need to be in Pilot Medical Guardian. Important: after you switch the extension on, open the app once so it writes that snapshot — otherwise you'll see an “Open Pilot Medical Guardian first” message and nothing fills.

6

Open MedXPress in Safari — in a normal tab

Sign in at medxpress.faa.gov and go to Medication, Medical History, or Medical Visits. Use a regular Safari tab, not a Private Browsing window — private tabs don't run extensions and don't keep you signed in.

7

Tap the blue “Fill from Pilot Medical Guardian” button

It appears at the bottom-right of those pages. Review every entry it fills in, then tap MedXPress's own Add / Submit — the app never submits anything for you. You always stay in control.

What it fills: the genuinely repetitive parts — your medications (Item 17) and doctor visits (Item 19), so you don't retype them every cycle. MedXPress already remembers your name and address, and the medical-history Yes/No section (Item 18) sits behind the FAA site's bot-protection, so the app shows that as a reference card to fill in by hand. More in the FAQ — or, if you're new to MedXPress itself, start with the plain-language MedXPress guide.
Troubleshooting
I turned it on but the button does nothing

This is almost always the per-site permission. On medxpress.faa.gov, tap the page menu (aA) → MedXPressAutofill, and make sure it's set to Always Allow — not “Allow for One Day” (which expires) or “Ask.” On “Ask,” the extension looks enabled but never runs on the form.

medxpress.faa.gov isn't in the permission list in Settings

That's normal on a new setup — a site only appears there after the extension has run on it once. Do it on the page instead: open medxpress.faa.gov, tap the page menu (aA), tap MedXPressAutofill, and choose Always Allow.

I use Safari profiles

If you have Safari profiles set up, an extension switched on in one profile isn't on in the others. Turn MedXPressAutofill on in the profile you'll use for MedXPress, and open the site in that same profile.

The extension isn't in the list

Force-quit Safari (swipe up from the app switcher), then restart your iPhone or iPad. iOS sometimes takes a moment to register a new extension after the app installs.

The blue button doesn't appear on MedXPress

It only shows on the Medication, Medical History, and Medical Visits pages (Items 17, 18, and 19) — not on the welcome, demographics, or declarations pages.

It says “Open Pilot Medical Guardian first”

Open the app once after you enable the extension. It saves a fresh, private snapshot of your data on your device that the extension reads — that snapshot has to exist before it can fill anything.

MedXPress keeps logging me out

You're probably in a Private Browsing window. Private tabs don't keep you signed in, so MedXPress makes you log in again each time you switch back. Open it in a normal Safari tab and it'll stay signed in while you work.

I use a different Apple ID on my iPad and iPhone

The extension reads your data from the device it's running on. iCloud sync keeps your records the same across your devices, so set up whichever device you'll use for MedXPress.

Still stuck? Email support@pilotmedicalguardian.com and tell me what you're seeing — I'll walk you through it. Setup is a one-time thing, and I'd rather get you past it than have you give up.
Read the FAQ Back to home

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 and prepare; your AME makes the certification decisions.