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A Guide for Passengers with Disabilities (JAL PRIORITY GUEST SUPPORT)

Guidance and Issues When Making Reservations

What you should know before you make a reservation.

Medical Information Form (MEDIF)

Passengers traveling with any of the following conditions are requested to prepare Medical Information Form (to be hereinafter MEDIF).

  • Passengers who need a stretcher onboard the aircraft
  • Passengers who need oxygen supply
  • Passenger carrying and using medical equipment and having any medical treatment onboard the flight
  • Passengers with serious illness or injury
  • Passengers whose fitness for air travel is in doubt, as evidenced by recent instability, disease, treatment or surgery
  • The pregnant passengers whose expected date of child delivery is less than 28days
Submission of Medical Information Form
  1. Please complete Medical Information Form.
    (Download and print the certificate in PDF format from the link below or request a certificate from a JAL Group reservation, sales office or JAL Priority Guest Reservations.)
  2. Pages 1 and 2 of the file contain instructions on completing the form and reference information. The Medical Information Form is on page 4 and should be completed by your attending physician.
  3. Page 3 contains the "Necessary Arrangement Request" and "Agreement" sections and should be completed by the passenger.
    Upon completion, all documents should be sent in advance with the Medical Information Form by fax to JAL Priority Guest Reservations at 03-5460-5676.

    Send your Medical Information Form to:03-5460-5676

  4. JAL will review the Medical Information Form and determine whether or not accommodations can be made for the passenger.
    * On and after 01AUG2011 you do not need to bring your original copy of Medical Information Form to the airport on the day of departure. For further details, contact your nearest JAL sales or reservation office or JAL Priority Guest Reservations.
    * However for the pregmant passengers whose expected date of child delivery is less than 28days, the medical certificate may not be sent to JAL Priority Guest Center in advance. Please submit the medical certificate upon check-in at the airport.

For details, please contact your nearest reservations, sales office or JAL Priority Guest Reservations.

  • JAL Priority Guest Reservations

    Toll-free 0120-747-707*
    9:00-17:00 (Open Daily)
    *The content of conversation with the customer may be recorded or monitored to ensure quality service.

  • Send your Medical Information Form to

    FAX: 03-5460-5676

Notes
  • *A credible medical certificate for an air travel must be issued within 14 days, including the day of departure, but excluding the cases below.
  • For use of stretchers : Must be issued within 10 days, including the day of departure
  • Pregnant woman whose confinement may be expected in less than 28 days : Must be issued within 7 days, including the day of departure
  • For newborn baby : Must be issued within 2 days, including the day of departure
  • *The deadline for submission is 48 hours prior to departure of the flight.
Medical Information Form Download

The Medical Information Form can be downloaded here. (PDF format)

 Medical Information Form (PDF format: about 28KB)

Notes
  • Page 3 contains the "Necessary Arrangement Request" and "Agreement" sections and should be completed by the passenger.
    Upon completion, all documents should be sent in advance with the Medical Information Form by fax to JAL Priority Guest Reservations at 03-5460-5676.
  • *In order to view PDF documents, you will need to install Adobe Reader on your computer.
    Adobe Reader: download Adobe Reader
How to Fill out MEDIF

1MEDIF
: should be completed by the attending physician.
2MEDA 1
: Applicant
Write the passenger's name, age, and gender.
3MEDA 2
: Attending Phisician
Write the name, name of hospital, and telephone contact.
4MEDA 3
: Medical Data
Write the details to ensure that we fully understand.
5MEDA 4
: Fitness for Air Travel
Write the patient's state of health.
6MEDA 5
: Communicable Disease
7MEDA 6
: Distress to Other Passengers
8MEDA 7
: Sitting Position
"NO": stretcher arrangements are needed.

For details, please see "Passengers Using Stretcher."

9MEDA 8
: Taking care of his/her own needs on board
"NO": escort(s) should accompany passenger.
10MEDA 9
: Escort(s) Arrangements
11MEDA 10
: Oxygen Supply
Write the need for oxygen and the rate of flow per minute required
12MEDA 11/12
: Medical equipment to be used.
13MEDA 13/14
: Hospitalization at connecting points or upon arrival.
14Remarks in Particular
: Write any comments about the patient's condition and any suggestions
15Signature and Date
: The statement must be dated and signed by the attending physician.

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