The FAA Medical File
The psychiatric assessment specifications published by the FAA require a review of the FAA medical file. You will often see specific language placed in correspondence, saying something like this:
In advance of the evaluation, you will need to authorize us to release a copy of your entire FAA Medical File to the HIMS Psychiatrist/Psychiatrist/chosen evaluators. The HIMS Psychiatrist/Psychiatrist/evaluators must comment in their report on having received and reviewed the entire FAA Medical File and address the clinically relevant information in the context of the evaluation.
Even if not required as a mandate, the FAA could still determine, after your case has been filed, that a thorough psychiatric evaluation should have reviewed the FAA medical file.
Since getting the FAA medical file can take ten to twelve weeks to arrive, I recommend that the pilot request the FAA medical file as soon as possible even if the file review has not (yet) been required by the agency.
Ask for one copy for every professional in your case, such as your AME, an aviation psychiatrist, and if you have been asked to see an aviation psychologist. We prefer that you have the file sent directly to the professional, but in case you are still trying to locate an expert you can have the file sent to yourself instead. If you are receiving the file directly, do not break the seal on the envelope. If the seal of the envelope is broken then your doctor may request a new copy directly from the FAA.
Unless so stated, YOU DO NOT HAVE TO REQUEST A COPY OF A CERTIFIED (BLUE RIBBON) MEDICAL FILE. There could be unique reasons to request a Blue Ribbon file but you can usually skip the extra cost in requesting a notarized copy of your record.
IF YOU ARE HAVING THE RECORDS SENT TO YOURSELF, DO NOT BREAK THE SEAL OF THE ENVELOPE, EVEN TO MAKE YOUR OWN COPY. If the seal is broken, the evaluator can no longer use the file as evidence. Pages could have been removed, lost, or inserted. I can make a copy of the file for you when I receive it.
For more ways to contact the FAA to request your medical file, the FAA publishes THIS PAGE.