Fit to Fly

Select Your Departure Date

Your departure date must be accurate and will be verified to ensure for your result on correct day.

1. Passenger Details

First Name*

Surname*

Date Of Birth*

Sex*
Male Female

Fully Vaccinated (2 Doses)*

Vaccination Type*

Ethnicity*

NHS number (if known)

Document ID / Passport Number*

2. Address Details

Postcode*

Address*

City*

3. Travel Details

Date of Departure

Time of Departure

4. Contact Details

Email*

Telephone Number*

5. Booking Location

Location*

Date*

Time*

Additional Notes

Please confirm you have 48 hours in your departure flight before your make the appointment.

I agree to terms & conditions, privacy policy and consent for this test.

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