Fit to Fly Medical Certificate

Your Trip

A few details about your flight so we can prepare your certificate.

Who is your airline / holiday provider? *

Start typing to pick from the list, or type your own.

Please enter your airline or holiday provider

Flight duration (in hours) *

Approximate total flight time for your longest leg.

Please enter flight duration

Travel date — outbound *

Please enter your outbound travel date

Travel date — return

Leave blank if one-way travel.

Reason for Certificate

Please explain why you require a fit to fly certificate.

Why do you require a fit to fly certificate? *

Include: why your airline has requested it, your condition (if any), and any specific wording your airline has asked for. You don’t need a medical condition — many airlines ask all passengers for a note.

Please explain why you need a fit to fly certificate

Medical History

Please answer honestly so our doctor can assess your fitness to fly.

Condition 1 of 617%

Do you have a history of any of the following cardiovascular conditions? *

Heart Attack / MI within 6 weeks
Angina (chest pain on exertion or at rest)
Congestive Heart Failure
Heart or graft surgery within 30 days
Stroke or Transient Ischaemic Attack (TIA) within 30 days
Arrhythmia / Irregular Heart beat
Problem with your heart valves
Blood clot or deep vein thrombosis (DVT)

Please select an option

Please provide details of your cardiovascular condition, including relevant dates.

Do you have a history of any of the following lung conditions? *

Asthma
COPD
Bronchiectasis or Cystic Fibrosis
Chest Infection / Pneumonia
Pneumothorax

Please select an option

Please provide details of your lung condition, including relevant dates.

Have you had surgery within the last 6 months? *

Please select an option

Please provide details of your surgery including relevant dates.

Have you broken a bone or had a plaster cast applied within the last 48 hours? *

Please select an option

Please describe the fracture / injury including dates and times if within the last 48hrs.

Do you suffer from any Ear, Nose, or Throat conditions? Including middle-ear infections, effusions, active sinusitis, large nasal polyps, or recent ENT surgery. *

Please select an option

Please provide details of your ENT condition including relevant dates.

Do you experience breathlessness or chest pain at rest? *

Please select an option

Please provide details of your breathlessness / chest pain.

✓ All questions answered

Blood & Diabetes

Do you have anaemia or a low blood cell count? *

Please select an option

Haemoglobin count and date of last test

Your blood results are often available within your NHS app (‘GP Health Records’ > ‘Test results’)

Do you have sickle cell disease or trait? *

Please select an option

Have you had a sickling crisis in the last 30 days? *

Please select an option

Sickle cell details

Do you have diabetes or high blood sugar? *

Please select an option

How is your diabetes controlled?

Medication

Are you currently taking any regular medication? *

Please select an option

Please list your medications (dose and frequency)

Other Medical Conditions

Do you have any other medical conditions not already mentioned?

Any other medical conditions? *

Please select an option

Please describe your condition(s)

About You

A quick question so we can tailor the remaining questions.

Sex *

Please select your sex

Pregnancy

Please answer if applicable.

Are you currently pregnant? *

Please select an option

Estimated Due Date

Pregnancy Type

Single Twins Triplets or more

Complications during this pregnancy?

Describe the complications

Do you have a history of any of the following, in your current or any previous pregnancy?

Pre-eclampsia, High blood pressure in pregnancy
Placental abnormalities (eg. low-lying placenta)
History of early onset of labour (before 37 weeks)
Miscarriage(s) after 18 weeks gestation
Vaginal bleeding

Please provide further details including relevant dates.

Latest antenatal blood pressure reading

When was your blood pressure last taken?

BMI at booking

Last midwife / obstetrician review

Gestation at outbound travel (weeks)

Gestation at return travel (weeks)

I confirm that my midwife or obstetrician has not advised against flying.

Custom Airline Form

Some airlines require an additional medical form to be completed by a doctor.

Does your airline require a custom medical form? *

Please select an option

Upload your airline’s medical form

📄

Tap to select a file, or drag & drop

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Your Details

Your name will appear exactly as entered on your certificate.

First Name *

Please enter your first name

Last Name *

Please enter your last name

Date of Birth *

Please enter your date of birth

Contact Details

Your certificate will be delivered to this email address.

Email Address *

Please enter a valid email

Phone Number *

Please enter your phone number

Supporting Documents

Our doctors need to verify your identity and review your medical records.

⚠️ Documents not on this device? No problem — you can email them from your computer after completing this form. Send your files to certificates@medicalcert.co.uk with your submission reference as the subject line.

Travel ID / Passport Driver’s licence, passport, or national ID. Used solely for this consultation.

🪪

Tap to select your ID photo

Browse files

Medical Records This can be your GP summary care record, screenshots of all pages of your GP Health Record from your NHS app, or hospital medical letters relevant to your condition(s).

🩺

Tap to select files, or drag & drop

Browse files

I will send the medical records via email to certificates@medicalcert.co.uk instead of uploading now. This can be your GP summary care record, screenshots of all pages of your GP Health Record from your NHS app, or hospital medical letters relevant to your condition(s). (Please note, our doctors will start on your case once we have received your documents.)

Review Your Submission

Please check all details are correct before proceeding to payment.

✓ Your answers have been saved. Expand any section to check details before paying.

I confirm that the information I have provided is true and accurate to the best of my knowledge. I understand that MedicalCert provides private medical certificates and that this is not a substitute for emergency medical care. I agree to the Terms & Conditions and Privacy Policy.

You must agree to the terms

Any omission or misrepresentation of information shall nullify the validity of any issued document. I understand that any document produced is at the clinician’s discretion, based on the information I have provided and does not guarantee acceptance by any airline. Airlines may have their own specific requirements for travel.

You must agree to the fit-to-fly disclaimer

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Fit to Fly Medical Certificate

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Fit to Fly Medical Certificate

Your Trip

Reason for Certificate

Medical History

Blood & Diabetes

Medication

Other Medical Conditions

About You

Pregnancy

Custom Airline Form

Your Details

Contact Details

Supporting Documents

Review Your Submission

Complete Your Order

Payment Confirmed