Flying from Italy after an illness, surgery or hospital stay? If an airline has asked for a Fit to Fly medical certificate, first check exactly what kind of medical documentation it needs. Requirements can differ between airlines and clinical circumstances.

What is a Fit to Fly medical certificate?

It is a doctor’s assessment that documents relevant clinical information about a passenger’s condition in relation to air travel. It may support an airline’s medical review, but it does not automatically authorise boarding. The operating airline applies its own policies and makes the final carriage decision.

When might an airline ask for medical clearance?

Examples include recent illness, hospital admission or surgery, an unstable medical condition, and the need for supplemental oxygen or medical equipment on board. A stable chronic condition does not automatically mean you need clearance: the UK Civil Aviation Authority notes that many travellers with stable conditions do not generally need it.

Fit to Fly letter versus MEDIF: what is the difference?

A Fit to Fly letter or certificate records a clinical assessment. A MEDIF (Medical Information Form) is an airline medical information form designed for its own clearance process. Where the airline requires a MEDIF, a general-purpose certificate may not meet its requirements.

For example, British Airways outlines situations that require medical clearance and provides a dedicated medical clearance form. Always check the operating airline’s current procedure and deadlines.

What should you prepare for your medical assessment?

  • Your passport or identification and flight date.
  • The airline’s written request, form or MEDIF instructions, if provided.
  • Relevant discharge summaries, recent test results, diagnoses and medication details.
  • Details of any mobility assistance, oxygen or equipment needed in flight.

Can you request a Fit to Fly assessment online while in Italy?

Doc On Call offers a Fit to Fly medical assessment online in Italy, subject to clinical suitability. A doctor reviews your medical history and available records, decides whether remote assessment is appropriate and determines whether any documentation can be issued. Additional tests or an in-person examination may be needed. A certificate is never guaranteed.

The published fee for the English-language online medical consultation is €127, including stamp duty, as shown on the Fit to Fly service page. Confirm what the airline will accept before booking or paying.

How early should you arrange medical clearance?

Start as soon as the airline asks for documentation. Some airlines require forms well in advance; for example, British Airways advises sending its forms at least seven days before departure. This is an example, not a universal deadline. If your flight is soon, contact your airline directly about its review time.

Frequently asked questions

Does everyone need a Fit to Fly certificate?

No. It depends on the condition and the airline’s rules.

Will an airline accept a certificate from an online doctor?

Not necessarily. Confirm its acceptance criteria, required form and whether an in-person examination is necessary before arranging an assessment.

Is a MEDIF the same as a Fit to Fly certificate?

No. A MEDIF is an airline-specific medical information form and can involve additional review by the airline.

If you have severe or unstable symptoms, seek appropriate in-person care rather than relying on travel paperwork. For emergencies in Italy, call 112.

General information, not personal medical advice or airline clearance. Updated 11 November 2026.