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In the US, to get a 3rd-class medical certificate I know that you have to fill out this form on the FAA's website, get a confirmation number, then take that confirmation number to the medical examiner. My question is, do I have to do that every time? Or is the one confirmation number good forever?

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Each time you renew you will need to complete the medical history questionnaire on the MedXPress website and obtain a fresh confirmation number.

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