About medical certificates or consent forms

When it is required to fill out and submit medical certificates (downloading of the medical certificate)

In order to confirm a doctor's judgment with regards to boarding, a medical certificate should be submitted in the following cases.

When a stretcher (cot) is used

When an oxygen bottle is used

When medical device is used

When it is thought that air travel will impact the body due to the treatment of an injury or illness, or after recent surgery

Pregnant women who are within 28 days of the expected date of birth

In addition, when special arrangements and assistance are needed if there is a risk that the condition of an illness or one's physical condition will suddenly change

Conditions requiring a doctor's diagnosis

For those with serious infectious disease that there is the risk of infecting others by boarding an aircraft, they are not allowed to board.

For those with the following conditions, while in principle it is not suitable for them to be transported by aircraft, if the condition of the illness and their physical condition is stable, and through a medical certificate a doctor determines that it is suitable for them to board an aircraft, please consult with us as it is possible that they can fly.

  1. Serious heart disease conditions such as serious heart failure, unstable angina, within six weeks after the onset of acute myocardial infarction, or badly controlled serious arrhythmia, and the period of instability after surgery for heart disease, including catheter surgery (within 21 days), within 72 hours of angiography, within four days after angiography (arterial dilatation), and pulmonary edema
  2. Thrombophlebitis, untreatable deep vein thrombosis, pulmonary thromboembolism, and pulmonary embolism
  3. Serious respiratory failure, serious chronic obstructive pulmonary disease, serious bronchial asthma, pneumothorax where lung dilation is not complete, hemopneumothorax, pneumonia, pulmonary emphysema, pulmonary fibrosis, and within 14 days after thoracic surgery
  4. The acute stage (four weeks after onset) of a stroke (cerebral infarction, subarachnoid hemorrhage, cerebral hemorrhage and transient ischemic attack, etc.), illness or control that causes increased intracranial pressure, insufficient convulsive disorder (epilepsy), within 14 days of cranial surgery, and air remaining in the central nervous system due to an examination, etc.
  5. Severe anemia, sickle cell anemia, and abnormal hemoglobin disease
  6. Gastrointestinal hemorrhage, digestive system diseases with the risk of hematemesis, melena and bleeding (acute stage gastric ulcer and duodenal ulcer), intestinal obstruction, within one week after colon polypectomy surgery, the same day as a colon examination, within 14 days of major abdominal surgery (including appendix and keyhole laparoscopic surgery), and within 14 days of laparoscopy.
  7. Acute stage ear, nose and throat disorders (inflammation of the middle ear and sinusitis), within 14 days after surgery of the middle ear and a tonsillectomy, wire straightening of the jaw, and having pronounced lockjaw
  8. Within 14 days of intraocular surgery, conditions where all the intraocular gas is not absorbed with a penetrating eye injury, and within 4 days after cataract surgery or cornea laser surgery
  9. Conditions where the wounded area after surgery is not sufficiently healed, or conditions where air or other gas remains in the body after surgery
  10. Acute stage decompression sickness (diver's disease)
  11. Within 48 hours of a serious fracture injury (full plaster cast, etc.), and burns
  12. Among the five kinds of infectious diseases, ones that may spread to other people in the aircraft cabin, and among infectious diseases where school attendance is stopped as stipulated in the School Health & Safety Act, diseases where the criteria for the period of suspended attendance has not passed (influenza, whooping cough, measles, mumps, rubella, chicken pox, pharyngoconjunctival fever, tuberculosis, epidemic keratoconjunctivitis, acute hemorrhagic conjunctivitis and meningococcal meningitis). For rubella, chicken pox, epidemic conjunctivitis, acute hemorrhagic conjunctivitis, tuberculosis and meningococcal meningitis, in the School Health & Safety Act, the specific number of days has not been set out, but if it is within 10 days after onset. If 11 days have passed after onset, a medical certificate is not required.
    Name of the Illness Applicable period for the medical certificate
    1. Influenza Until five days have passed after the onset of symptoms, and two days after the alleviation of the fever (three days for infants)
    2. Whooping cough Until the characteristic cough disappears, or until treatment is completed with an appropriate antibacterial formulation for five days.
    3. Measles Until three days have passed after the alleviation of the fever
    4. Mumps Until five days have passed after the onset of the swelling of the parotid, submandibular or sublingual glands, and the general condition is good
    5. Rubella (three-day measles) Until the rash disappears
    6. Chicken pox Until the scabbing of all the rashes
    7. Pharyngoconjunctival fever (pool fever) Until two days have passed after the major symptoms have disappeared
    8. Epidemic keratoconjunctivitis (pink eye) Until a doctor confirms that there is no risk of contagion
    9. Acute hemorrhagic conjunctivitis (Apollo 11 disease) Until a doctor confirms that there is no risk of contagion
    10. Tuberculosis Until a doctor confirms that there is no risk of contagion
    11. Meningococcal meningitis Until a doctor confirms that there is no risk of contagion
  13. Pregnant women who are within 28 days of the expected date of birth (if an obstetrician certifies that it is suitable for her to board, being accompanied by a doctor is not a condition). However, for international flights, being accompanied by an obstetrician is a condition when the expected date of birth is within 14 days of boarding, and for domestic flights, being accompanied by an obstetrician is a condition when the expected date of birth is within seven days of boarding.
  14. Newborns who were born within seven days ago.

Flow of events for submitting a medical certificate

STEP1: Preparing the medical certificate

Either print out a PDF file of the medical certificate, or order from the JAL Priority Guest Center or the nearest JAL branch or business office.

STEP2: Filling out

The first and second pages of the medical certificate are important points and reference materials.
The attending physician fills out the "Medical certificate" on the third page.
On the fourth page, customers fill out "About necessary arrangements" and the "Consent form".

STEP3: Sending

After filling it out, please send the "Medical certificate" and "About necessary arrangements" in advance to the JAL Priority Guest Center by fax.

*The deadline for sending is 48 hours before departure for JAL Group domestic and international flights.

STEP4: Confirmation by JAL

JAL will confirm the details of the medical certificate.
For details, please contact the JAL Priority Guest Center or the nearest JAL branch or business office.

The nearest JAL branch or business office The nearest JAL branch or business office

Inquiries

Customers living in Japan

Within "Information and consultations about boarding", please consult with the JAL Priority Guest Center.

  • Toll free
    0120-747-707
  • Not toll free
    03-5460-3783

Fax number to send the medical certificate

  • FAX
    03-5460-5676

Important Points

The medical certificate should be prepared within 14 days, including the boarding date, except in the following cases.

  • The person accompanying cannot be traveling with a child under three years old.
  • If traveling with a child under three years old, please have one more person to accompany.
  • When traveling with a child under three years old, within the inquiry field of "Information and consultations about boarding", please contact the JAL Priority Guest Center.

*After filling it out, please send the "Medical certificate" and "About necessary arrangements" in advance to the JAL Priority Guest Center by fax.
Pregnant customers do not need to send it by fax. Please bring it directly to the airport counter.

Downloading of the medical certificate

You can download medical certificates (PDF file).

Medical certificates (PDF file, about 84KB)

*When viewing the PDF file, “Adobe Reader” is required. If you do not have it, please check the following.

Information about PDF files Information about PDF files(PC)
Explanation Items to fill in
1MEDA 1

Explanation

The customer who is using

Please enter the name, age and gender.

Items to fill in

  • Name of the customer (patient) (Entry example: Taro Nikko)
  • Age (Entry example: 51)
  • Gender (Entry example: Male)
2MEDA 2

Explanation

Please enter the name of the medical institution and the name of the doctor

    Items to fill in

  • Name & medical institution name or specialty (Entry example: Tennozu Hospital, Ichiro Suzuki)
  • Address (Entry example: 2-4-11 Higashi Shinagawa, Shinagawa-ku)
  • Telephone number for the medical institution (Entry example: 03-5460-xxxx)
  • Emergency contact
3MEDA 3

Explanation

Name of the illness, condition

Please enter in detail so that it is easy to understand.
Please also fill in the English name.

    Items to fill in

  • Diagnosis (illness name) & condition (Entry example: Influenza)
  • Date that the symptoms began, or date of the surgery (Entry example: March xx, 2017)
4MEDA 4

Explanation

Please be sure to enter the suitability for air travel

    Items to fill in

  • Progress (prognosis) and the suitability of air travel.
  • Suitability for the return flight (in the case of a round trip itinerary)
5MEDA 5

Explanation

Section asking whether it is a contagious disease.

    Items to fill in

  • Is it an infectious disease?
  • If the answer is "yes", please fill in the details (possibility of infecting others, preventive measures, etc.) (Entry example: While five days have not passed since the onset of symptoms, there is no germ discharge, and the diagnosis is that the infection of others can be prevented by wearing a mask.
6MEDA 6

Explanation

Section asking about the impact on other customers.

    Items to fill in

  • For the condition and state of health of the customer (patient), will it harm other customers? Or is there a possibility of harm?
  • If the answer is "yes", please fill in the details
7MEDA 7

Explanation

Section asking whether they can remain in a sitting position.
If the answer is "no" and a stretcher needs to be arranged, please confirm customers who will use a stretcher (cot).

Customers who use a stretcher

    Items to fill in

  • At the time of takeoff and landing, or when the seatbelt sign is on, can they sit in the seat with the backrest up?
  • If the answer is "no", does a stretcher need to be arranged?
8MEDA 8

Explanation

Section asking whether they can do things for themselves.
If the answer is "no", someone needs to accompany them.

About Traveling Companions (People Accompanying)

    Items to fill in

  • Can the customer (patient) do things for themselves? (Meals, using the restroom and communicating with the cabin crew, etc.)
9MEDA 9

Explanation

Section asking whether someone needs to accompany them.

About Traveling Companions (People Accompanying)

    Items to fill in

  • If someone needs to accompany them, is the coordination enough?
  • Can the customer (patient) board the airplane on their own?
  • If the answer is "no", what kind of assistance is needed?
10MEDA 10

Explanation

Do they need to inhale oxygen while onboard?

    Items to fill in

  • Do they need to inhale oxygen while onboard?
  • If the answer is "yes", please inform us of the oxygen amount (ℓ / min)
  • Do they always use it?
  • Is it possible for the customer (patient) or the person accompanying them to operate the oxygen bottle?
11MEDA 11/12

Explanation

Will they use medical device at the airport or in the aircraft cabin?

    Items to fill in

  • Do medical procedures using medicine and such need to be done at the airport or in the aircraft cabin? Do they also use medical device? (Example: Artificial respirator, aspirator, etc.)
  • If the answer is "yes", please fill in the details of the medical device.
12MEDA 13/14

Explanation

At the time of a connecting flight, or at arrival, do they need to be hospitalized?

    Items to fill in

  • At the time of a connecting flight, or after arrival, do they need to be hospitalized?
  • If the answer is "yes", please fill in the details of the arrangements.
13Date of Issue

Explanation

Please put the date the medical certificate is issued with the signature of the doctor in charge.

    Items to fill in

  • Day, month and year it is issued
  • Name of the medical institution
  • Name of the doctor (signature)

Inquiries

If you have any questions or concerns please do not hesitate to contact us.

Frequently asked questions