Refer a Pilot | Aviation Psychology Australia

Two pilots, one female and one male, having a supportive conversation in a crew lounge

About you (referrer)

Referrer name*Profession*Practice / organisationProvider / registration numberEmail*Phone*

About the pilot

Pilot name*Medical certificate class

Referral question(s)*Relevant diagnosis or historyRequired assessmentsRequested report recipient(s)Requested timeframe

Documents

PDF, image or DOC files up to 15MB each.

Upload referralUpload CASA correspondenceUpload relevant medical records

I confirm that appropriate consent has been obtained from the pilot to share the information provided and to enable Aviation Psychology Australia to contact the pilot regarding this referral.

Please do not include unnecessary sensitive health information in free-text fields. A secure upload channel and signed consent form will be provided if additional records are needed after receipt of the referral.