Fit to Fly Certificate · Spain

Fit to Fly Certificate in Spain: Doctor's Letter by Video Consultation

Airlines can ask for a fit to fly certificate when you have been unwell, had surgery, broken a bone, or are in the later weeks of pregnancy. Dr. Pedro Yelamo Vera, a doctor licensed in Spain (No. 484814280), assesses your situation by secure video call and, when the assessment supports it, sends a signed fit to fly letter in English the same day. This is for travellers who are physically in Spain and need a medical letter for a non-emergency situation. If you are seriously unwell, call 112 and do not fly.

Dr. Pedro Yelamo Vera
Medical Review

Medically Reviewed by Dr. Pedro Yelamo Vera, MD

Licensed Physician No. 484814280 · Official Medical College of Bizkaia (Spain)Last reviewed: 9 October 2026

5.0 on Google16 reviews

  • Doctor licensed in Spain
  • Letter in English and Spanish
  • Secure video · same-day where possible
Fit to Fly Certificate in Spain: Doctor's Letter by Video Consultation
Dr. Pedro Yelamo Vera

Dr. Pedro Yelamo Vera

Licence No. 484814280 · Bizkaia Medical College

Private medical care by video, wherever you are in Spain

What the fit to fly assessment covers

Recent illness or infection

After a chest infection, gastroenteritis, an ear or sinus problem or any illness that made you miss a flight, the doctor checks that you are well enough to travel and that pressure changes will not harm you. You receive a letter confirming fitness to fly when the assessment supports it.

Pregnancy

Most airlines ask for a doctor's letter from 28 weeks and stop carrying passengers at 36 weeks (32 for twins). The letter states your due date, that the pregnancy is uncomplicated and that you are fit to fly, which you can show at check-in. Bring your maternity notes to the call.

Casts, fractures and recent surgery

A plaster cast fitted less than 48 hours before a flight usually has to be split, and airlines have minimum waiting times after operations, a collapsed lung or a blood clot. The doctor reviews your discharge notes and timing and confirms whether you meet the usual criteria before issuing a letter.

Honest about the limits

A letter is issued only when a genuine video assessment supports it. Conditions that need an in-person examination, oxygen or a stretcher, or the airline's own MEDIF medical form, are explained clearly and you are told exactly what to arrange instead, so you are not left with a document the airline will refuse.

Healthcare & Doctor Consultations in Spain

Private Medical Consultations in English with Zero Language Barriers

Direct Care with Dr. Pedro Yelamo Vera (Colegiado No. 484814280)

Getting medical care in Spain as a tourist, digital nomad or expat can be hard. Language gaps at the public urgencias, new pharmacy rules and clinic sign-up forms can all slow you down when you need care soon.

Dr. Pedro Yelamo Vera offers caring, bilingual GP care by secure HD video. You can join from your phone or laptop, wherever you are in Spain. There is no need to travel to a clinic.

Official Spanish E-Prescriptions & Insurance Invoices

Prescriptions are issued only where clinically appropriate, following a genuine evaluation. Dispensing depends on local rules, medicine availability and pharmacy requirements; acceptance of an electronic code in another country is not guaranteed.

You receive a medical report and an itemized invoice to submit to your insurer. Check your policy before booking: reimbursement is decided by your insurer and is not guaranteed.

Evidence-Based Medical Practice (EBM)

Every consultation follows evidence-based clinical protocols. Before any treatment advice, the doctor checks your medical history, the medicines you take and any reason a treatment may not suit you.

When to Seek Emergency In-Person Care

These consultations are for urgent, non-emergency care. For severe red-flag symptoms (severe chest pressure, sudden neurological deficit, severe shortness of breath), go straight to the nearest hospital emergency department or call 112 in Spain.

How It Works

Your Online Consultation, Step by Step

Getting medical care abroad can feel complicated. Speak with Dr. Pedro Yelamo Vera in English or Spanish, from your home or hotel.

Dr. Pedro Yelamo Vera · GP licensed in Spain · Licence No. 484814280
  1. Choose your appointment

    Select your consultation and a suitable time. You’ll receive confirmation and details for joining online.

  2. Speak with your doctor

    Join the private video consultation from your phone or laptop. Discuss your symptoms, medical history and concerns in English or Spanish.

  3. Understand your next steps

    Receive clear medical advice and a plan tailored to your needs. Prescriptions, certificates or referrals are provided only where clinically appropriate, following a genuine evaluation.

For urgent, non-emergency medical care. For life-threatening symptoms, call 112 or go to the nearest emergency department.

Pricing

Transparent, Fair Pricing

The full cost of each medical consultation is shown here, before you book. No hidden fees.

€50.00

per consultation

Priority care

Urgent Care

20 minutesTue, Thu, Fri & Sat

Prompt medical attention with a comprehensive video evaluation.

  • Private electronic prescription under Spanish law when clinically indicated
  • Medical report for your insurer

Pharmacy fulfillment costs are not included.

€70.00

per consultation

Metabolic health

Weight Optimization

30 minutesTue, Thu, Fri & Sat

An in-depth review of your metabolic health and individual needs.

  • Assessment of metabolic indicators
  • Personalized, evidence-based care plan

The fee covers the professional medical evaluation.

Transparent pricing and documents for your insurer

No monthly subscription fees or hidden add-on costs. The consultation fee covers your complete one-on-one video appointment with Dr. Pedro Yelamo Vera, private electronic prescriptions issued under Spanish law when clinically indicated, and follow-up medical report.

All consultations include an official medical invoice with Dr. Yelamo's Spanish medical licence number (No. 484814280) and tax ID, suitable for direct submission to international travel insurance and private health insurance claims.

Fit to fly certificate in Spain: common questions

Do I need a fit to fly certificate to fly from Spain?
Most passengers do not. Airlines ask for one in specific situations: you have been unwell at the airport or missed a flight for medical reasons, you have a recent cast, operation, collapsed lung or blood clot, you are more than 28 weeks pregnant, or you have a condition that could worsen in the air. Check your airline's medical policy page; if it lists your situation, a letter from a licensed doctor is what they expect.
What does the letter say and will my airline accept it?
The letter is on headed paper with the doctor's name, licence number and signature, dated, in English with a Spanish version if you need it. It states the condition assessed, the date of assessment and that you are fit to fly, with any conditions such as a split cast or aisle seat. Airlines accept letters from licensed doctors; some conditions also require the airline's own MEDIF form, which the doctor can complete with you.
How soon can I get it?
Video appointments are usually available the same or next working day, and the signed letter is emailed shortly after the consultation once the assessment is complete. If you are flying soon, book the earliest slot and have your discharge notes, scan reports or maternity records ready to share on screen.
Can I get a fit to fly letter after surgery or with a cast?
Often, yes. Airlines commonly require 24 hours after a cast on flights under two hours and 48 hours on longer flights, with the cast split; around 10 days after abdominal surgery; two weeks after a collapsed lung has fully resolved; and variable periods after a blood clot or heart event. The doctor checks your timing and recovery against those criteria and tells you if it is too early.
I was refused boarding because I looked unwell. What now?
Book a video assessment as soon as you can. The doctor reviews what happened, checks that you are safe to fly and, if so, issues a dated letter you can show at your rebooked flight. If the assessment finds you are not yet fit, you get clear advice on treatment and when to try again, which is also useful for your travel insurer.
What cannot be certified online?
Anything that needs a hands-on examination, oxygen saturation under exertion or specialist tests, passengers who need medical oxygen, a stretcher or a medical escort, and conditions the airline requires to be cleared by its own medical department. In those cases the doctor explains the route and can still provide a summary of your medical situation for the airline.
Booking

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€50 · 20 min video consultation. Your secure video link arrives by email and WhatsApp before the appointment.

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A consultation provides assessment and guidance for urgent, non-emergency medical needs. Any next steps follow an individual medical assessment. In an emergency, call 112.

Please avoid sharing sensitive medical information on WhatsApp. Clinical details are handled securely during your consultation.