Fit to Fly Request

For processing and compliance this request must be made 2 weeks prior to travel, allowing 10 working days to complete.

In support of this form, please provide a copy of your latest maternity consultation to reception.

Fit to Fly Request

If you are human, leave this field blank.

First Name: *

Surname: *

Phone Number: *

Email Address: *

Which airline are you flying with? *

Are you having a: *

Single pregnancy

Multiple pregnancy

Your expected date of delivery: *

Date of travel: *

Date of return: *

How many weeks pregnant will you be on the outbound flight? *

How many weeks pregnant will you be on the inbound flight? *

Has your midwife advised of any possible complications?

I am not aware of any complications/conditions that will affect my travel. I will pay £30 on receipt of this letter.

Signature: *

Date:

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