Fit-to-Fly Form | Medical Flight Turkey

Fit-to-Fly Report

Record the patient’s flight position, immobilisation, escort and oxygen requirements in English.

Fit-to-Fly information is recorded through the secure web form. Where required, physician approval and any carrier-specific documentation are handled separately as part of the operation.

Patient & Physician Details

Patient Name *

Treated At

Department

Fit to Fly From

Diagnosis *

Treating Doctor Name

Assessment Date

1 · Position During Flight

SeatedAmple seat / First row / Business ClassExtra seat / Leg restOn stretcher

4 · Other Requirements

Oxygen During Flight

Rate of Flow

Other Requirements

Medical Data Notice / Explicit Consent Notice

I have read and been informed by the Medical Data Notice. View Details
Because I choose to submit health data through this form, I have read and accept the Explicit Consent Notice for processing the data to assess the request and coordinate medical transfer. View Details

Security Code: 2 + 2 =

Fit-to-Fly Report

Fit-to-Fly Report

Plan the medical transfer from one coordination point.