To maintain the validity of the medical certificate, certificate holders must undergo routine medical examinations as required based on the duration of the medical clearance.

Certificate holders are required to undergo routine medical examinations periodically, depending on the class of certificate and the duration of the medical clearance.

Upon completion of the routine medical examination, the Aviation Medical Examiner (AME) or the Aeromedical Center (AeMC) determines whether the certificate holder's health remains suitable for flying (fit) or if any medical conditions have arisen that warrant an assessment as unfit.

In cases where the Aviation Medical Examiner or the Aeromedical Center renders a decision of 'unfit,' the certificate holder has the option to appeal the decision to the Danish Transport Authority. In certain instances, the matter may need to be referred to the Danish Transport Authority, which will make a final determination. This is typically the case when a Class 1 medical clearance holder develops specific health issues, such as cancer or heart problems.

However, if a Class 2 medical clearance holder encounters similar specific health problems, it will generally be the responsibility of the Aviation Medical Examiner or the Aeromedical Center to make a determination, with guidance from the Danish Transport Authority.

If it is deemed necessary to conduct additional examinations to assess an applicant's medical fitness, the Aviation Medical Examiner, the Aeromedical Center, or the Danish Transport Authority may request such examinations.

In cases where an applicant does not fully meet the requirements for medical fitness for the relevant medical clearance class, the Aviation Medical Examiner, the Aeromedical Center, or the Danish Transport Authority may impose the necessary restrictions on the medical clearance.

​If the medical issues that an applicant may have are deemed to jeopardize the safe exercise of the privileges associated with the relevant certificate, the application may be denied, and a medical clearance will not be issued thereafter.

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Here you find detailed information regarding the validity of the medical certificate for different classes

The validity period of a medical certificate shall be calculated from the date of the initial issuance and renewal of the aeromedical examination. In the case of renewal, the validity period shall be calculated from the expiration date of the previous medical certificate if the examination is conducted within 45 days prior to expiration. Otherwise, validity is calculated from the date of the examination.

Class 1 medical certificates are valid for 12 months.

This validity period is reduced to 6 months when the holder:

• Is aged 60 or older.

• Engages in commercial passenger transport in air transport operations with one pilot and is aged 40 or older.

 Class 2 medical certificates (defined in Denmark as Private Pilot License (PPL), Glider Pilots (SPL), Balloon Pilots (BPL), and AFIS Operators) are valid for:

• 60 months until the holder turns 40. If the medical certificate is issued before the age of 40, it must cease to be valid when the holder turns 42.

• 24 months for holders between 40 and 50 years old. A medical certificate issued before the age of 50 must cease to be valid when the holder turns 51.

• 12 months for holders over the age of 50.

Class 3 medical certificates (Air Traffic Controllers/Air Traffic Controller Trainees) are valid for:

• 24 months.

• 12 months for holders aged 40 or older. A medical certificate issued before the age of 40 must cease to be valid when the holder turns 41.

LAPL medical certificates (Light Aircraft Pilots) are valid for:

• 60 months until the holder turns 40. If the medical certificate is issued before the age of 40, it must cease to be valid when the holder turns 42.

• 24 months for holders over the age of 40.

CC medical certificates (Cabin Crew) must remain valid for a maximum period of 60 months.