Medical clearance application
I authorise (name of nominated physician) to complete Part C of this form for the purpose as indicated. I relieve the physician of their professional duty of confidentially in respect of such information and agree to meet any fees associated with this. I understand that if accepted for carriage, my journey will be subject to the conditions of carriage. I understand that I travel at my own risk and release the carrier, its employees, servants and agents from any liability. I agree to reimburse the carrier upon demand for any special expenditures or costs in connection with my carriage. I have read and understood MEDIF Part A.
- Ensure you provide the correct contact details for your doctor
- It is your responsibility to liaise with your doctor to ensure the form is submitted correctly
Please compile all medical reports and other supporting documents into one pdf file and upload