Hope you can give some advice. I just had an FAA medival(class1) and the examiner said it would have to go to the FAA for review. How long does this take? Do the letters/test results really go from Australia to the US via snail mail? The problem is I have a start date in the US in November.

Did the FAA have to do the review because you're in Oz? Or because of some complicating condition/history?

G’day Rickair, I have type 2 diabetes( non insulin with a good history of control) so for an initial class 1 it is a compulsory referral got special issuance. I have a CASA class 1 and ATPL. My concern is the length of time for SI.
Cheers

Yeah that could take a while, perhaps many months.

There are medical consultants in the US who can probably give you a better idea, and perhaps help you expedite the process.

Thanks for that. I will try one of the consultants.

It usually takes 3-4 months for an initial SI depending on how complicated the case is. Non-insulin diabetes should be fairly straightforward but the FAA takes its own time. Especially towards the end of the year, the delays around the holiday season will add to it.