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Version 6
RAFAC Av Med Form 1
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GUIDANCE NOTES FOR COMPLETION RAFAC Av Med Form 1 - Please read before completing the Medical Questionnaire.No
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1. RAF Air Cadet flying has an excellent safety record and this form ensures this continues whilst acknowledging the fact that, for some conditions, the Cadet (or the Cadet's parents for under 18s) are best placed to provide the relevant details. However, certain medical and physical conditions are incompatible with flying as they could place the cadet, as well as others, at risk and compromise Air Safety. Flying is a privilege, not a right, and absolute honesty is paramount when completing this form. Anyone found to purposely mislead the organisation, and therefore jeopardise the safety of others, will face disciplinary/administrative proceedings.
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2. This Form should be completed by selecting either Yes or No to the question asked. The form utilises a 'traffic light' system whereby, dependant on your response, a RED assessment decision indicates either individuals should not fly, or more information is required from their GP via the Form 6424 procedure. If the assessment decision response is GREEN, then the Cadet would be fit to fly, or fit to fly with the relevant medication. If the assessment decision is AMBER, more detailed information will be required in the 'further information' box; this information will help to determine whether the Cadet is fit to fly. On completion of the AvMed Form 1, and Form 6424 (where relevant), the Cadet (if 18 years-old or over), or the Cadet's parent/guardian (if under 18 years of age) will, taking into account the medical conditions outlined in the form, make a statement declaring fitness to fly, providing any mitigation for a positive declaration at that time. The Cadet's Sqn OC, or designated representative, will then determine whether they agree with the assessment and subsequently make a recommendation as to the Cadet's fitness to fly. The forms (AvMed 1 and 6424) will be viewed in their entirety by the AEF or VGS Supervisors, who will make the final decision on whether a Cadet flies or not, as they are best placed to manage the Risks to Life. It is therefore recommended that, if there may be doubt as to suitability for flying the Sqn contacts the relevant AEF or VGS in advance to avoid potential disappointment. If there are questions over the appropriateness for flying, the CFMO should be consulted by the AEF/VGS.
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3. All questions (sections) should be completed in full. Failure to complete the form in full will result in non-acceptance of the form. Please be mindful that gliding or AEF in a Tutor is not the same as a commercial flight; the cockpit is not pressurised and it will be an alien environment to many of the Cadets as it is a confined, and often noisy, space; moreover, there is limited freedom of movement as the Cadet will be tightly strapped into a seat, which might be distressing to those with certain conditions. These issues should be taken into account when deciding whether an individual is fit to fly; eg does the cadet have sensory issues which may impair their behaviour and judgement whilst flying?
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4. The RAFAC Av Med Form 1 must be signed by Cadet and the Cadet's parent/guardian (if the Cadet is under 18 years of age) to validate the certificate.
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5. To satisfy gliding/flying medical requirements, cadets must be in possession of a completed RAFAC Av Med Form 1. Failure to be in the possession of a completed and signed Av Med Form 1 will invalidate the eligibility of a cadet to undertake gliding training. VGS/AEF staff are directed to refuse flying training to cadets not in possession of the relevant signed forms at the point of delivery.
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6. Period of validity: Although this declaration is valid for three months from the date of signing, it is immediately invalidated should any change in fitness or health occur.
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7. Reduction in Medical Fitness: If referred for a medical investigation or procedure, or after any serious illness or injury, the Cadet's medical fitness to fly must be re-assessed. It is the responsibility of the OC of the Cadet's Sqn to ensure that a new RAFAC Av Med Form 1 has been completed before undertaking aviation activity.
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8. After Signing: Cadets are to hand the RAFAC Av Med Form 1 to your ATC Sqn OC / CCF (RAF) Section Cdr for scrutiny.
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CONDITIONS REQUIRING MEDICAL ASSESSMENT FOR VGS GLIDING/AEF FLYING
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TO COMPLETE SELECT Y/N FROM DROP DOWN LIST
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CONDITIONS REQUIRING SCRUTINYYes/NoASSESSMENT DECISION
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Has the Cadet had a recent immunisation (inoculation / vaccination) or given a blood donation?PLEASE SELECT YES OR NO
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Does the Cadet suffer any acute or chronic illness/condition or started a new course of treatment which would be aggravated by flight? This includes unstable illnesses which are likely to cause sudden incapacitation within the timescale of flight. PLEASE SELECT YES OR NO
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Is the Cadet impaired by an injury limiting the use of their limbs? For example sprains, strains or broken bones?PLEASE SELECT YES OR NO
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Is the Cadet suffering from an ear, nose, throat or sinus conditions?PLEASE SELECT YES OR NO
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Is the Cadet pregnant?PLEASE SELECT YES OR NO
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Does the cadet have a condition that requires the use of oxygen therapy?PLEASE SELECT YES OR NO
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Does the Cadet have a limited exercise capacity or tolerance, due to chest (heart or lung) illness or disease? If the Cadet can walk 50 yards/metres at a normal pace or climb one flight of stairs without severe breathlessness select NO.PLEASE SELECT YES OR NO
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Does the Cadet experience fits, faints or blackouts (including epilepsy)PLEASE SELECT YES OR NO
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Has the Cadet undergone a recent surgical procedure or had a general, spinal or epidural anaesthetic? Note: For dental (local) anaesthetics Cadets are not permitted to fly for 24Hrs after procedure.PLEASE SELECT YES OR NO
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Does the cadet suffer from a pneumothorax (a 'collapsed lung' where air is trapped between lung and chest wall)?PLEASE SELECT YES OR NO
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Does the Cadet have an acute, unstable or untreated psychiatric conditions. For example: Fear of flying, claustrophobia or panic attacks. Answer No if condition is stable.PLEASE SELECT YES OR NO
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Does the Cadet have any stable chronic disease not covered above or any disease with a sudden or unpredictable onset or deterioration.PLEASE SELECT YES OR NO
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Does the Cadet have stable Asthma (STEP 1 or 2)? The Cadet is considered unstable if they have night symptoms waking them more than once a week or if they require daytime reliver medication more than 3 times a week. If Cadet has used oral steroids or antibiotics to treat Asthma within the last 6 months start F6424 procedure.PLEASE SELECT YES OR NO
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Does the Cadet have Asthma which is not stable (STEP 3 or above)? This includes the use of long-acting beta agonists, oral treatments or high-dose steroids.PLEASE SELECT YES OR NO
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Does the Cadet have Type 1 Diabetes. Note: Type 1 Diabetes is acceptable if blood sugars are well controlled. An insulin pump (if used) must be able to be moved as to be fitted in to flying clothing. Check sugars prior to flight. Type 2 Diabetes is acceptable.PLEASE SELECT YES OR NO
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Does the Cadet have a haematological (blood) disorder? For example: Sickle-Cell disease, Anaemias or Haemophilia. Note: All haematological disorders should be considered.PLEASE SELECT YES OR NO
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Does the Cadet have a history of Migraines?PLEASE SELECT YES OR NO
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Does the Cadet have a cognitive, emotional, behavioural or developmental condition? For example: ADHD, conduct disorders, dyspraxia and autism spectrum disorders.PLEASE SELECT YES OR NO
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Is the Cadet impaired by any stable injury, illness or congenital condition limiting mobility or use of limbs?PLEASE SELECT YES OR NO
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Does the Cadet have any psychiatric disorder?PLEASE SELECT YES OR NO
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Does the Cadet suffer from any severe allergy (requiring the use epipen or equivalent)? Cadets with very severe allergies which are unstable or unpredictable are unfit for flight. Those likely to be exposed to allergens in flight (Rubbers, Plastics) are also unfit to fly.PLEASE SELECT YES OR NO
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Has the cadet had COVID within the last month? Or are they suffering ongoing symptoms following COVID infection?PLEASE SELECT YES OR NO
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Further Information:
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WITH THIS FURTHER INFORMATION, DO YOU CONSIDER THE CADET FIT TO FLY?
PLEASE SELECT YES OR NO
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Cadet Name:
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Declaration: I hereby declare that I have carefully considered the statements made above and that to the best of my belief they are complete and correct and that I have not withheld any relevant information or made any misleading statements. I also confirm that should the cadets medical history change since the medical examination above, I will ensure that the relevant ATC Sqn OC / CCF (RAF) Section Cdr is informed and a new RAFAC Av Med Form 1 is produced.
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Signature of Cadet:
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Parent/Guardian Signature (if under 18):
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Date:
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ATC Sqn / CCF (RAF) Section:ATC Wing / CCF (RAF) Contingent:
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PERIOD OF VALIDITY: VALID FOR THREE MONTHS FROM DATE OF DECLARATION
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