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PEEL TRAVEL CLINIC & Saldanha Health Centre

Fit to Fly Certificate — Mississauga

Airlines require a fit to fly certificate (medical clearance letter) for passengers with recent surgery, serious illness, fractures, or late-stage pregnancy. Peel Travel Clinic & Saldanha Health Centre provides physician-issued fitness to fly letters, often same-day.

Call (905) 890-2757 to book your appointment or check same-day availability.

When You Need a Fit to Fly Letter

  • • Recent surgery (within 10 days for most; 24 hours for abdominal)
  • • Recent heart attack or stroke (within 4–6 weeks)
  • • Lower limb fracture or cast (DVT risk)
  • • Pregnancy beyond 28 weeks
  • • Recent hospitalization for serious illness
  • • Active infectious disease
  • • Severe COPD or heart failure requiring oxygen
  • • Recent pneumothorax (collapsed lung)
  • • Psychiatric condition affecting flight safety
  • • Post-chemotherapy travel

What to Bring to Your Appointment

  • •Hospital discharge summary (if recently hospitalized)
  • •Surgical report (if post-operative)
  • •Specialist letters or reports relevant to your condition
  • •Your airline's specific medical form (MEDIF) if required
  • •Travel dates and destination
  • •Health card (OHIP)
  • •List of current medications

Note: Some airlines require their own MEDIF (Medical Information) form in addition to a physician letter. Check with your airline before your appointment and bring the form if required.

Airline Pregnancy Flying Guidelines

Pregnancy Stage Air Canada WestJet Most International Airlines
Up to 28 weeks No letter required No letter required No letter required
28–36 weeks Physician letter required Physician letter required Physician letter required (most)
36+ weeks (single) Travel not permitted Travel not permitted Most deny boarding
32+ weeks (multiple) Travel not permitted Travel not permitted Most deny boarding

Always verify with your specific airline — policies vary and change. This table is for general guidance only.

Frequently Asked Questions

What is a fit to fly certificate?

A fit to fly certificate (also called a fitness to fly letter or medical clearance to fly letter) is a document issued by a physician confirming that a patient is medically stable and safe to travel by air. Airlines typically require these for passengers who have had recent surgery, hospitalizations, significant illnesses, fractures, or are in late pregnancy. The letter typically includes the patient's diagnosis, current condition, any special requirements (oxygen, stretcher, wheelchair), and the physician's confirmation that the patient is fit to travel.

When do airlines require a fit to fly letter?

Airlines typically require a fit to fly letter for: recent surgery (usually within 10 days for most procedures; within 24 hours for abdominal surgery); recent heart attack or stroke (usually within 4–6 weeks); fractures or casts (especially lower limb, due to DVT risk); pregnancy beyond 28 weeks (most airlines require a letter; many deny boarding after 36 weeks); recent hospitalization; severe or unstable medical conditions; infectious diseases; and psychiatric conditions that may affect behaviour during flight. Always check your specific airline's requirements as policies vary.

How do I get a fit to fly certificate in Mississauga?

Contact Peel Travel Clinic & Saldanha Health Centre at (905) 890-2757 to book an appointment. Bring any relevant medical records, discharge summaries, surgical reports, or specialist letters. Our physician will assess your current condition, review your documentation, and issue the fit to fly certificate if clinically appropriate. We can often accommodate urgent requests — call us to check availability.

How quickly can I get a fit to fly letter?

In most cases, we can provide same-day or next-day fit to fly letters for straightforward cases. Complex cases requiring review of specialist records may take longer. Call (905) 890-2757 to discuss your timeline — if you are travelling urgently, let us know and we will try to accommodate you as quickly as possible.

Does a fit to fly letter guarantee I can board?

A physician-issued fit to fly letter significantly reduces the risk of being denied boarding, but it does not legally guarantee boarding. The final decision rests with the airline. Some airlines have their own Medical Information (MEDIF) forms that must be completed in addition to a physician letter. If you have a serious or unusual medical condition, contact your airline's medical desk directly in advance of travel to confirm their requirements.

Get Your Fit to Fly Certificate

Same-day and next-day available. Peel Travel Clinic & Saldanha Health Centre, Mississauga.

Call (905) 890-2757

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Disclaimer: Airline medical policies vary and change frequently. A physician fit to fly letter does not guarantee boarding — final decisions rest with the airline. This page is for general guidance only and does not replace a consultation with our physician. Please book an appointment to discuss your specific situation.