- 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.