What it is
STANAG 3526 is the NATO standardization agreement that brings AAMedP-1.10, Edition B into force among the nations that ratify it. It is not itself a medical specification: the categories and criteria live in AAMedP-1.10, and this agreement is the mechanism by which NATO nations commit to apply them. This page covers the agreement; a separate page covers AAMedP-1.10 itself.
Why this agreement exists
Aircrew move between NATO nations, on exchange postings, in multinational units and on NATO missions. Each nation runs its own medical categorisation system for its own aircrew, so without a shared reference a category assigned by one air force means nothing to another. STANAG 3526 exists "to establish the medical procedures for the exchange and assignment of aircrews among NATO nations," and it encourages nations to exchange the medical information behind that categorisation, particularly with the aircrew member's new home base clinic.
What ratifying nations commit to
Under the agreement, "participating nations agree to implement" AAMedP-1.10, Edition B as the standard that actually carries the medical categories. Ratification and implementation are recorded separately: national ratification positions sit in the NATO Standardization Document Database (NSDD), and a nation that has not yet advised NATO of its position is invited to do so. Implementation is a distinct, later step, and the document is specific about what it consists of. Two things have to be true: the nation has "updated the content of the national doctrine, regulation and procedures in accordance with its provisions," and "there is put in place a system to record and track medical examinations and tests for the subject personnel." Both are reported back to NATO through the electronic reporting tool. This edition carries no NATO Effective Date of its own.
This is the ninth edition of STANAG 3526, promulgated 26 March 2021. It supersedes the eighth edition, dated 8 December 2017.
How implementation is judged
There is no certification here. No accredited body, notified body or NATO inspector audits a nation's aircrew medical programme against this STANAG. What exists is self-reporting: a nation (or NATO body) records its own ratification and, separately, its own implementation through NATO's electronic reporting tool, and the NSDD holds the resulting record. The STANAG itself is reviewed in accordance with AAP-03, with the outcome again recorded in the NSDD. For a supplier or contracted organisation, this STANAG has no direct force; it binds nations and NATO bodies, and reaches anyone else only where a contract or a national instruction points at the medical categorisation system it brings into force.
Where it fits among other NATO aeromedical documents
STANAG 3526's own "Other related documents" list names STANAG 3114 (aeromedical training of flight personnel) and the NATO E-3A Component Flight Surgeon's Manual as related reading, not binding requirements of this agreement. STANAG 3114 covers training rather than categorisation, and the Flight Surgeon's Manual is outside our catalogue. The STANAG is reviewed against AAP-03, NATO's standardization procedures document. The standard it brings into force is AAMedP-1.10.