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  • Pregnancy travel clearance letter

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    John Balisi
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    This document is a medical clearance letter for a pregnant patient to travel by air. It provides the patient's name, date of birth, and estimated date of delivery. It lists the proposed dates of air travel with flight numbers and departure and arrival locations. The attending doctor confirms that the patient, who is either in an uncomplicated single pregnancy of a certain number of weeks gestation or a multiple/complicated pregnancy of a certain number of weeks gestation, has been deemed "fit to travel" for the entire journey without a stopover at the transit point when flying with the specified airline. The doctor signs and dates the letter and includes their name, contact information, and clinic stamp.

    Original Description:

    certificate for quatar

    Original Title

    Certificate for qatar air

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    This document is a medical clearance letter for a pregnant patient to travel by air. It provides the patient's name, date of birth, and estimated date of delivery. It lists the proposed dates of air travel with flight numbers and departure and arrival locations. The attending doctor confirms that the patient, who is either in an uncomplicated single pregnancy of a certain number of weeks gestation or a multiple/complicated pregnancy of a certain number of weeks gestation, has been deemed "fit to travel" for the entire journey without a stopover at the transit point when flying with the specified airline. The doctor signs and dates the letter and includes their name, contact information, and clinic stamp.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Pregnancy travel clearance letter

    Uploaded by

    John Balisi
    This document is a medical clearance letter for a pregnant patient to travel by air. It provides the patient's name, date of birth, and estimated date of delivery. It lists the proposed dates of air travel with flight numbers and departure and arrival locations. The attending doctor confirms that the patient, who is either in an uncomplicated single pregnancy of a certain number of weeks gestation or a multiple/complicated pregnancy of a certain number of weeks gestation, has been deemed "fit to travel" for the entire journey without a stopover at the transit point when flying with the specified airline. The doctor signs and dates the letter and includes their name, contact information, and clinic stamp.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    TO WHOM IT MAY CONCERN

    Re:

    Patient name:

    _________________________________________

    DOB:

    ___________________(DD/MM/YY)

    Estimated Date of Delivery:

    ___________________(DD/MM/YY)

    Proposed dates of air travel:


    Date

    Additional Remarks:

    Flight No.

    From

    To

    Status

    _____________________________
    _____________________________
    _____________________________

    In my opinion this woman has:


    / X
    An uncomplicated single pregnancy of ____weeks gestation or
    A multiple / Complicated pregnancy of ____weeks gestation and
    is Fit to Travel for the time covering the entire journey with no
    intended/voluntary stopover at the transit point with Qatar your airline.

    Yours sincerely,

    __________________ Signature of Doctor


    ___________________Name & Contact of Doctor

    __________________Doctors and/or Clinics stamp

    Date: _____________

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