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Medical Letter Questionnaire

Before releasing your medical letter, our group of practitioners will review the evidence you submit. Only upon approval, shall you receive the medical letter via email including a unique reference number, which can be used to confirm its authenticity

I am in need of a Medical Letter regarding: Fit for Flight Letter for Expecting Mothers
Your Details
Full Name *
Email *
Mobile Number *
Date of birth *

Medical Questions

When is your estimated delivery date? *

Date

Is your pregnancy single or multiple? *
Did conception occur naturally or with the assistance of medical procedures (e.g., IVF, fertility treatments)? *
Please specify the method(s) used to conceive. *

Have you experienced any complications or adverse events during your current pregnancy? *
Please specify the complications or adverse events experienced (e.g., hypertension, vaginal bleeding): *

Do you have a history of any of the following medical conditions?*
Please confirm that your midwife does not advise against flying *
Please list any non-pregnancy related health conditions you currently have (e.g., asthma, migraine, chronic back pain): *

Please provide information about your pre-existing health conditions.

Are you currently on any prescribed medications? *
Please list the medications you are currently taking (e.g., levothyroxine, aspirin): *

Where is your antenatal care being managed? *

What was your Body Mass Index (BMI) at the onset of your pregnancy? *
What was your latest antenatal clinic blood pressure reading? *
When was your most recent blood pressure reading taken? *

Confirm your flight details

Outbound flight date *

Please note that most airlines will only accept letters dated within 14 days of your outbound flight. Check your airline's policy.

Airline *

What is the duration of your flight? *
How far along will your pregnancy be at the time of your outbound flight (in weeks)?

Number of weeks pregnant. Your Partner Practitioner is unable to certify you as fit-to-fly if your gestation is of 36 weeks or over by your flight date.

Do you have a return flight? *
Return flight date *

How far along will your pregnancy be at the time of your return flight (in weeks)? *

Number of weeks pregnant. Your Partner Practitioner is unable to certify you as fit-to-fly if your gestation is of 36 weeks or over by your flight date.

Please be aware that your letter, if suitable, may allow you to travel on the outbound flight, however it will not advise on your eligibility for a return flight.

Checkout

If your Partner Practitioner determines that telehealth is not appropriate for your case, you will be refunded.

Priority options: *

STANDARD REQUEST

This will be reviewed, signed by a UK health practitioner and sent via email.

£45.00
RECOMMENDED EXPRESS REQUEST

This will be reviewed, signed by a UK health Practitioner, and sent via email. Typically, you can expect to receive it within the same day.

£55.00

Confirm your details

Please double check your details below. These will appear on the medical letter, if suitable, and can't be edited after submission.

Name:
Date of birth:
Email:
Mobile:
Letter type:
Fit for Flight Letter for Expecting Mothers

Terms

Upon submitting your medical consultation, you acknowledge our Terms and Privacy Policy and consent to the following:

  • You are NOT seriously unwell with any of the following symptoms: chest pain, shortness of breath, unable to swallow fluids or saliva, weakness or numbness down one side, slurred speech.
  • You have comprehended the questions in the questionnaire and answered them honestly.
  • The requested letter is solely for the individual with the provided name and details.
  • The GP Clinic is not a replacement for a doctor's visit, nor is The GP Clinic your primary doctor or GP, and your Partner Practitioner may be unable to access your NHS or regular GP medical records.
  • The GP Clinic facilitates access to private medical letters and does not issue Med3 notes, which are obtainable through your NHS GP for UK government benefits.
  • The GP Clinic cannot complete additional forms requested by your workplace, educational institution, or any other interested party.
  • If your symptoms persist or you have not fully recovered, you agree to consult with your regular doctor or GP for further medical advice.
  • The GP Clinic is unable to process refunds once our GP has reviewed your request and you've been sent a letter written by them. No exceptions.
Do you agree to the above Terms? *

Coupon Code

Subtotal $0
Discount $0.00
Hard Copy $0.00
Total $0.00

 

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