Firefighter and AFC


The National Fire Protection Association (NFPA) has set the standards for UK wide medical examinations.

Medicals will be a 3 yearly Full Medicals (UK Civilian Fire Authorities) with an Annual Fitness Check (AFC).

Firefighter medical

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Annual fitness check (AFC)

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You need to bring the following documents to the examination:

Please provide AAME with the relevant medical forms provided by your sponsor.

If unsure please contact us.

(Do not sign or date) Complete before you attend (declare any chronic complaints e. g. nose bleeds, asthma, allergies, migraine, arthritis and medications)

View our Resources to find relevant forms.

e. g.  Passport or Driving Licence.

New applicants can bring a brief patient summary from their GP surgery with reports for any health condition e. g. “childhood murmur” – even if you are well.

Please bring your Spectacles even if you use contact lenses.


The following checks/procedures may be carried out at your medical assessment:

Conditions below are potentially disqualifying subject to Specialist Casework:

Addtional information

White Coat Hypertension

If you might have raised blood pressure at medicals then please abstain from alcohol, caffeine, fizzy and herbal drinks for 2 weeks prior to your appointment. Do Home Blood Pressure Monitoring for 2 week’s with twice-a-day readings. Your machine should be checked annually.

Body Mass Index (BMI)

If your BMI is over 35, you will require further investigations. Any certificates may be time limited.



How long is the examination?

The appointment takes approximately 1 hour.

When will I get my certificate?

A medical certificate can be issued on the same day as the examination if all the requirements are met. If the requirements are not met or further investigations are necessary then fitness will require Specialist Casework.

Medical pricing

Initial £260.00 (including ECG)
Renewal £195.00
AFC £135.00

Decrease in medical fitness

If you become unwell you must seek advice as soon as possible. Meanwhile you must NOT exercise any privileges of the licence. 

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Book your firefighter and AFC medical examinations.