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Aeromedical Examination
Information and
Application Package
2021
version 1.0
Emergency Health Regulatory and Accountability Branch
Ministry of Health
To all users of this publication:
The information contained in this standard has been carefully compiled and is believed to be accurate at
date of publication.
For further information, please contact:
Emergency Health Regulatory and Accountability Branch
Ministry of Health
5700 Yonge Street, 6th Floor
Toronto, ON M2M 4K5
416-327-7900
CertificationExams@ontario.ca
© Queen’s Printer for Ontario, 2020
Document Control
Version
Number
Date of Issue Brief Description of Change
1.0 TBD Dates for 2021
This page is intentionally left blank.
Table of Contents
General ........................................................................................................................................... 6
Completing the Application Form ............................................................................................... 6
Session Information ...................................................................................................................... 6
Examination Schedule and Locations ..................................................................................... 6
Applicant Information .................................................................................................................. 6
Training Program Information ..................................................................................................... 7
Training Institution ................................................................................................................. 7
Program Completion Date ...................................................................................................... 7
Examination Component(s) .......................................................................................................... 7
Location .................................................................................................................................. 7
Special Considerations ............................................................................................................ 7
Requirements for Eligibility ......................................................................................................... 7
Signature ....................................................................................................................................... 8
Application Policies ....................................................................................................................... 8
Eligibility ...................................................................................................................................... 8
Qualifications .......................................................................................................................... 8
Number of attempts at the examination .................................................................................. 8
Time elapsed since graduation ................................................................................................ 8
Confirmation of Exam Registration ............................................................................................. 8
Requests for Withdrawals and Refunds ....................................................................................... 9
Examination Results ..................................................................................................................... 9
Reporting Changes ..................................................................................................................... 10
Contact ......................................................................................................................................... 10
Aeromedical Examination Information
and Application Package
2021
This page is intentionally left blank.
Emergency Health Regulatory and Accountability Branch, Ontario Ministry of Health
Aeromedical Examination Information and Application Package - 2021 6
v1.0
General
Please retain this package for reference purposes. Any questions about the information contained in
this package should be directed to the Manager, Certification and Patient Care Standards (CPCS),
Emergency Health Regulatory and Accountability Branch (EHRAB).
Completing the Application Form
Application forms must be completed fully and be printed clearly in ink.
Session Information
On the Application form check (✓) the examination session of your choice and make note of the
dates that apply to your session.
Examination Schedule and Locations
Session Exam Date
Deadlines for
Submissions
Exam Location*
Winter March 3, 2021 January 8, 2021
Kenora, Ottawa,
Sudbury, Thunder Bay,
Toronto
Summer June 23, 2021 April 30, 2021
Fall November 10, 2021 September 17, 2021
*These locations may be used depending on the number of candidates.
If you are a New Candidate check the appropriate box and continue down to the Applicant
Information section.
If you are a Repeat Candidate check the appropriate box, provide your Aeromedical file number and
your Advanced Emergency Medical Care Assistant (AEMCA) certificate numbers where indicated.
Where indicated enter the year and month (e.g. 2006/06) of each previous Aeromedical Examination
taken. Your AEMCA number can be found on your AEMCA/EMCA certificate, at the bottom left
hand side. Do not include your EHS ID number.
Applications received after the deadline date will not be accepted.
Applicant Information
Clearly print your name, address and telephone number where indicated. Provide an alternate
telephone number such as a mobile or work number if applicable. Provide your email address to
assist with communication regarding your application and examination information as required.
Please note that the name that appears on your correspondence and certificate will be exactly as you
have recorded it on your Application form [your full name, including your middle name(s) and/or
initial(s)].
Emergency Health Regulatory and Accountability Branch, Ontario Ministry of Health
Aeromedical Examination Information and Application Package - 2021 7
v1.0
Training Program Information
Training Institution
Print the name of your training institution. Please include your campus name if applicable.
Program Completion Date
Enter the date that you completed or expect to complete all requirements of your Aeromedical
training program.
Examination Component(s)
Location
Please indicate your first and second examination location choice(s) on the Application form. Please
note that the examination locations used are dependent on the number of candidates that register for
that location. Every effort will be made to accommodate your preference, however please note that
you may not be guaranteed your first choice.
Special Considerations
1. The Aeromedical Examination is available in English and if required, in French. Please
indicate if you require a French version of the examination by checking the box under
this section on the Application form. Applicants requesting a French copy of the
examination will also be provided an English copy.
2.
Please indicate if you have a special learning need by checking the box under this section
on the Application form. If the request is granted, semi-private accommodations will be
provided, as well as up to 30% additional writing time for the examination. Official
confirmation of the candidate’s special learning need must be current documentation
from their training institution’s Special Needs Office or documented in a current letter
from a doctor specializing in learning disabilities. All documentation must accompany
the Application form in order for the applicant’s request to be considered. CPCS cannot
accommodate late requests for special learning needs.
Requirements for Eligibility
1. Please ensure that the registration fee of $50.00 payable to the Minister of Finance by
certified cheque or money order is enclosed with the completed Application form. Fees
must be in Canadian funds.
Cash or personal cheques will not be accepted.
2. Proof of successful completion of an approved Aeromedical training program is required
for first time graduates and applicants who have re-graduated from the program.
Applicants must ensure that their training institution has provided CPCS with an official
letter on letterhead which includes the date and signature of the Program Coordinator
confirming successful program completion. Proof of graduation must be received by
CPCS no later than two weeks prior to the examination date.
Emergency Health Regulatory and Accountability Branch, Ontario Ministry of Health
Aeromedical Examination Information and Application Package - 2021 8
v1.0
The requirement to provide proof of successful completion of an approved Aeromedical program
does not apply to applicants who are within their number of allowable attempts under the Eligibility
policy.
Signature
Review your Application form to ensure that all of the required fields have been completed and all
printed information is legible. Please read, sign and date the Application. Applications must be
submitted to CPCS with an original signature, in ink.
Application Policies
Eligibility
Eligibility to write the Aeromedical Examination is based on the following three conditions:
Qualifications
The candidate must:
• hold Advanced Emergency Medical Care Assistant (AEMCA) certification; and
• mu
st have successfully completed an approved Aeromedical training program offered in
Ontario.
Number of attempts at the examination
Eligibility is limited to a maximum of three attempts at the examination. Candidates who have been
unsuccessful after three attempts at the examination would need to re-graduate from an approved
Aeromedical training program in order to renew their eligibility. Candidates who have renewed their
eligibility are eligible for three further attempts at the examination within 24 months of re-
graduating.
Time elapsed since graduation
Eligibility gained by completing an Aeromedical training program is limited to 24 months.
Candidates who have not successfully completed the examination within 24 months of their program
completion date would need to re-graduate from an approved Aeromedical training program in order
to renew their eligibility. Candidates who have renewed their eligibility are eligible for three further
attempts at the examination within 24 months of re-graduating.
Please contact CPCS if you have any questions regarding your eligibility status. Candidates who
completed their first attempt prior to 2019 may be eligible for additional considerations.
Confirmation of Exam Registration
Notification Letters to confirm registration date, time and place of the examination, will be issued to
candidates once CPCS has confirmed the candidate’s eligibility (i.e. receipt of registration fee,
official proof of successful completion of an approved Aeromedical training program, etc.).
Notification Letters will be issued to eligible candidates approximately two weeks before the
examination date.
Emergency Health Regulatory and Accountability Branch, Ontario Ministry of Health
Aeromedical Examination Information and Application Package - 2021 9
v1.0
If at any point after registering at your examination location on the day of the exam, you cannot
complete the examination, you will be considered withdrawn from the examination and it will be
counted as an attempt at the exam. You may complete the Aeromedical Examination Withdrawal and
Refund Application form to apply for a partial refund.
Requests for Withdrawals and Refunds
Applicants who are not eligible to write the Aeromedical Examination, or choose to withdraw from
the examination, may complete the Aeromedical Examination Withdrawal and Refund Application
form to apply for a partial refund. Your registration fee cannot be held over to a subsequent
examination attempt. The refund is calculated from the day the withdrawal form is received by
CPCS. The refund cheque will be mailed directly to you.
• A refund of $25.00 is calculated from $50.00 registration fee minus $25.00
administration fee.
• A refund of $15.00 is calculated from $50.00 registration fee minus $25.00
administration fee and $10.00 late fee.
• No refund is issued if the form is received more than 8 days after the examination date.
Refund Structure
More than 14 days before
the Exam Date
Between 14 days before and
8 days after the Exam Date
More than 8 days after
the Exam Date
$25.00 Refund $15.00 Refund No Refund
Winter February 16 February 17 – March 11 March 12
Summer June 8 June 9 – July 1 July 2
Fall October 26 October 27 – November 18 November 19
Examination Results
Candidates will be notified by CPCS of their examination results no later than three weeks after
the examination date.
Candidates who are unsuccessful will be sent information to apply for the next examination and a
Feedback Report along with their Results Letter. The Feedback Report identifies question types
where improvement is required.
Please do not call the office for results. In order to treat all candidates fairly, examination results
will not be released over the telephone, in person or to prospective employers.
Emergency Health Regulatory and Accountability Branch, Ontario Ministry of Health
Aeromedical Examination Information and Application Package - 2021 10
v1.0
Reporting Changes
Changes to candidate information (address, telephone number, name changes, etc.) will not be taken
over the phone. Applicants are required to write or email CPCS and include the following:
1. N
ame
2. O
ld address / old name
3. New address / new name
4. A
eromedical file number if known (e.g. 00-12345)
5. S
ignature
Contact
For more information contact:
Emergency Health Regulatory and Accountability Branch
Ministry of Health
5700 Yonge Street, 6th Floor
Toronto, ON M2M 4K5
Telephone: 416-327-7900
Toll free: 1-800-461-6431
Email: CertificationExams@ontario.ca
Aeromedical Examination - 2021
(✓)
yyyy
mm
yyyy
mm
yyyy
mm
Last Name*
Middle Name
Unit No.
Street No.*
Street Name*
PO Box
City/Town*
Province*
Postal Code*
Telephone No.*
( )
Alternate Telephone No.
( )
Email Address*
Name of Training Institution*
Program Completion Date*
yyyy
mm
*
First Choice*
Second Choice
Signature*
Date (yyyy/mm/dd)*
Aeromedical file number AEMCA file number Date(s) of previous exams taken:
*
• Please print clearly and in ink. Fields marked with an asterisk (*) are mandatory.
✓
Ministry of Health
Emergency Health Regulatory and
A
ccountability Branch
Aeromedical Examination
Application
The Emergency Health Regulatory and Accountability Branch is authorized to collect personal information contained on this form by virtue of it being necessary for proper administration
of a lawfully authorized activity, that is, to determine the applicant’s qualifications for approval to undertake the Aeromedical patient care examination for certification as flight paramedic.
The examination is authorized under Part III of Ontario Regulation 257/00 made under the Ambulance Act. For information concerning this collection contact: Manager, Certification and
Patient Care Standards, Emergency Health Regulatory and Accountability Branch, Ministry of Health, 5700 Yonge Street, 6th Floor, Toronto ON M2M 4K5, Tel: 416 327-7900
• It is the candidate's responsibility to read and comply with the accompanying Information Package.
• All stipulated requirements must be fulfilled prior to established deadlines in order to ensure eligibility to challenge the examination.
Please check the examination session of your choice and take note of the corresponding dates that apply to your session:
Session
Exam Date Deadlines for submissions Exam Locations
Winter
March 3, 2021 January 8, 2021
Kenora, Ottawa, Sudbury,
Thunder Bay, Toronto
Summer
June 23, 2021 April 30, 2021
Fall
November 10, 2021 September 17, 2021
New Candidate
Repeat Candidate
0 0 - 0 0 -
Application Information
Address
Training Program Information
Examination Component(s)
Location Special Considerations
French exam required
Special Learning Needs accommodation request
(
supporting documents must be enclosed)
Requirements for Eligibility
Certified cheque or money order in Canadian funds payable to the Minister of Finance in
the amount of $50.00
Proof of successful completion of an approved Aeromedical Training Program.
(
must be sent directly from your training institution, see Requirements for Eligibility for
more details)
Completed form must be mailed to:
Ministry of Health
Emergency Health Regulatory and Accountability Branch
Certification and Patient Care Standards
5700 Yonge Street, 6th Floor
Toronto ON M2M 4K5
Signature
A. This is to certify that I have read the application package and agree to comply with the policies as described.
B. This is to certify that the information on this form is true, correct and complete to the best of my knowledge.
C. I hereby permit Emergency Health Regulatory and Accountability Branch, Ministry of Health, and my Training Institution to exchange information pertaining to
t
he Aeromedical examination process. The information will be kept confidential and is for internal use of the Training Institution only.
Ministry of Health
Emergency Health Regulatory and
Accountability Branch
Aeromedical Examination - 2021
The Emergency Health Regulatory and Accountability Branch is authorized to collect personal information contained on this form by virtue of it being necessary for proper administration
of a lawfully authorized activity, that is, to determine the applicant’s qualifications for approval to undertake the Aeromedical patient care examination for certification as flight paramedic.
The examination is authorized under Part III of Ontario Regulation 257/00 made under the Ambulance Act. For information concerning this collection contact: Manager, Certification and
Patient Care Standards, Emergency Health Regulatory and Accountability Branch, Ministry of Health, 5700 Yonge Street, 6th Floor, Toronto ON M2M 4K5, Tel: 416 327-7900
Please print clearly in ink. Fields marked with an asterisk (*) are mandatory.
Last Name*
First Name*
Middle Name
Unit No.
Street No.*
Street Name*
PO Box
City/Town*
Province*
Postal Code*
Telephone No.*
( )
Alternate Telephone No.
( )
Email Address*
Name of College or Training Institution*
Campus (if applicable)
Signature*
Date (yyyy/mm/dd)*
Aeromedical File Number
*
Aeromedical Examination
Withdrawal and Refund Application
Completed form must be mailed to:
Ministry of Health
Emergency Health Regulatory and Accountability Branch
Certification and Patient Care Standards
5700 Yonge Street, 6th Floor
Toronto ON M2M 4K5
CertificationExams@ontario.ca
0 0 -
Application Information
Address
Reason for Withdrawal
did not graduate from program
other
Refund Structure
More than 14 days before
the Ex
am Date
Between 14 days before and
8 days after the Exam Date
More than 8 days after
the Exam Date
$25.00 Refund $15.00 Refund No Refund
Winter
February 16 February 17 – March 11 March 12
Su
mmer
June 8 June 9 – July 1 July 2
Fal
l
October 26 October 27 – November 18 November 19
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