HYPERTENSION EVALUATION WORKSHEET Form

What is the FAA hypertension worksheet?

The FAA hypertension worksheet is a specialized form used to evaluate an individual's blood pressure and overall cardiovascular health, particularly for those in aviation-related professions. This worksheet helps assess whether an applicant meets the Federal Aviation Administration's (FAA) medical standards regarding hypertension. It typically includes sections for recording blood pressure readings, medical history, and any relevant treatments or medications.

How to use the FAA hypertension worksheet

Using the FAA hypertension worksheet involves several steps to ensure accurate and comprehensive information is provided. First, gather necessary medical records and any previous blood pressure readings. Next, fill out the worksheet by entering your current blood pressure measurements, along with any medications you are taking for hypertension. Be sure to include details regarding your medical history related to cardiovascular health. After completing the worksheet, review it for accuracy before submission.

Steps to complete the FAA hypertension worksheet

Completing the FAA hypertension worksheet requires careful attention to detail. Follow these steps:

• Measure your blood pressure using a reliable device, ideally at different times of the day.
• Document your readings on the worksheet, ensuring to note the date and time of each measurement.
• Provide information about any medications prescribed for hypertension, including dosages.
• Include relevant medical history, such as previous diagnoses or treatments related to hypertension.
• Review your entries for completeness and accuracy before submitting the form.

Legal use of the FAA hypertension worksheet

The FAA hypertension worksheet is legally recognized when completed accurately and submitted in accordance with FAA regulations. To ensure its legal validity, it is essential to adhere to the guidelines set forth by the FAA regarding medical evaluations. This includes maintaining confidentiality and ensuring that all information provided is truthful and complete. Electronic submissions of the worksheet are also permissible, provided they comply with eSignature laws.

Key elements of the FAA hypertension worksheet

Several key elements are essential to the FAA hypertension worksheet. These include:

• Personal Information: Name, date of birth, and contact details.
• Blood Pressure Readings: Current and historical blood pressure measurements.
• Medication Details: Information on any antihypertensive medications being taken.
• Medical History: Relevant cardiovascular history, including any previous diagnoses.
• Signature: A signature or electronic confirmation to validate the information provided.

How to obtain the FAA hypertension worksheet

The FAA hypertension worksheet can be obtained through various channels. Typically, it is available on the FAA's official website or through aviation medical examiners. Additionally, healthcare providers specializing in aviation medicine may provide copies of the worksheet. Ensure that you are using the most current version of the form to meet FAA requirements.