The CAA may approve a person to carry out a medical assessment or examination for the purposes of this article and to issue a medical certificate in accordance with paragraph (6).

An approval may be granted generally or in a particular case or class of cases.

Every applicant for, or holder of, a licence under article 152 must, whenever the CAA requires, submit to a medical assessment or examination by a person approved by the CAA.

The approved person must make a report of the assessment or examination to the CAA in such form as the CAA may require.

On the basis of such medical assessment or examination, the approved person must assess whether the applicant for or holder of the licence meets the requirements specified by the CAA.

If the approved person assesses the applicant for or holder of the licence as meeting the requirements specified by the CAA, the approved person must issue a certificate to that effect.

Subject to articles 166(3) and 253, a medical certificate is valid for the period specified in the certificate.

A medical certificate forms part of the licence.