Passengers who require a medical certificate
- Passengers with medical conditions that pose a potential risk to flight safety (such as active vomiting, severe shortness of breath, uncontrolled rapid breathing accompanied by shortness of breath, extreme pallor and cold sweats accompanied by weakness severe enough to prevent standing, a severely pained facial expression due to any cause, suspected confusion, uncontrolled agitation with sudden and unpredictable movements that could harm others, active bleeding or injuries that may indicate recent trauma, etc.),
- Passengers who have undergone any type of heart, vascular, chest, or brain disease or related surgeries (bypass, angiography, heart surgery, brain surgery, etc.) within 10 (ten) days of the flight departure; or who have undergone orthopedic or major abdominal surgeries and wish to submit a statement regarding their condition or have a special request,
- Passengers who require the use of medical devices (oxygen tanks, portable respiratory devices) during the flight.
Passengers unfit to fly due to medical conditions
Passengers with disabilities or health issues are accepted for travel unless they fall into one of the following categories, or unless the airline’s procedures specify otherwise.
- Infants less than 48 hours old are not accepted for travel.
- Pregnant passengers are not accepted for travel starting from the beginning of the 36th week of a single pregnancy or the beginning of the 32nd week of a multiple pregnancy.
- Passengers who require the use of electric or air-pressurized equipment during the flight—other than oxygen cylinders provided by the airline and medical devices approved by the airline—are not accepted for travel.
- Passengers who are determined to be unable to follow the cabin crew’s instructions in the event of an inflight emergency (for example, a passenger who cannot understand or follow instructions provided during the check-in process at the counter) will not be permitted to board the flight unless accompanied by a companion. If accompanied by a companion, they will be permitted to board the flight without a doctor’s note.
- Passengers who have medical certificates stating that they require personal care or nursing services during the flight will not be permitted to board the flight unless accompanied by a qualified personal care assistant and/or nurse.
- Passengers who have medical certificates or declarations indicating contagious and communicable diseases such as rubella, measles, mumps, meningitis, hand-foot-and-mouth disease, whooping cough, scabies, chickenpox, monkeypox, or tuberculosis will not be permitted to board the flight under any circumstances during the contagious period. However, these passengers may be permitted to board if they present a doctor’s note stating, “There is no risk of the disease spreading to other passengers.”
- Passengers who, due to their physical or medical condition, are deemed to pose a direct threat to the health or safety of other passengers and/or their belongings, to the aircraft, or to the crew will not be permitted to board. (This includes aggressive or uncontrollable behavior, hallucinations or delusions, a tendency to harm oneself or others, extreme agitation). Such passengers will not be permitted to board the aircraft under any condition or circumstance, even if accompanied by a companion.
Passengers who must travel with an attendant/companion
To ensure that they can safely complete their journey and follow safety instructions in an emergency, some passengers may need to fly with an attendant.
Whether a passenger requires an attendant can be assessed based on their ability to provide consistent and context-appropriate answers to questions, follow instructions, and independently complete check-in procedures.
In addition, if the passenger’s medical certificate or evaluation indicates the need for an attendant, the passenger is permitted to board only if accompanied by their attendant. For passengers who have medical conditions that require being accompanied on the flight by a healthcare professional (such as a doctor, paramedic, or nurse, as specified in the report) during the flight, that person must meet the criteria below.
- The attendant must be present with the passenger throughout the entire flight, including takeoff, flight, and landing,
- The attendant is expected to have the physical and cognitive abilities necessary to assist the passenger in an emergency.
Cabin crew members do not provide companion services for passengers.
Passengers with Neurodevelopmental Diversity
Passengers with neurodevelopmental diversity (e.g., autism, ADHD (attention-deficit/hyperactivity disorder), intellectual or learning disabilities) are not required to provide a medical certificate; however, if these passengers require additional support in understanding safety instructions, responding appropriately to emergencies, or managing sensory challenges, they must travel with a companion.
Individuals in these situations may exhibit different behaviors—such as impulsivity, inattention, or an inability to sit still for long periods—due to social communication differences or stresses triggered by factors like light, sound, smell, crowds, or changes in environment. Passengers should not be asked questions regarding illness, medical diagnoses, etc., and they are not required to present a medical certificate.
However, if these passengers are traveling without a companion, their facility to understand safety instructions, to respond appropriately to emergencies, and/or to manage sensory difficulties can be assessed during the check-in process as follows:
- Providing consistent and context-appropriate answers to questions,
- Being able to follow instructions,
- Being open to guidance,
- Remaining calm amid noise, waiting, or crowds,
- If the passenger can complete the check-in process independently, they will be accepted for the flight without an escort; except in cases that pose a serious threat to flight safety, the passenger will be permitted to board the flight.
Passengers reporting an allergy
- We cannot guarantee that other passengers will not bring food or other items that may contain allergens into the cabin and/or consume such items during the flight.
- Due to the cabin ventilation system, it is not possible to completely prevent food-derived particles from spreading throughout the aircraft.
- It is not possible to completely eliminate all types of allergens from the aircraft cabin.
- Passengers must consult their physician regarding their fitness to fly under these conditions.
- Passengers must carry their own medication (e.g., an epinephrine auto-injector, etc.) along with the medication prescription.
- Passengers are responsible for taking the necessary personal precautions during the flight.
- Passengers at risk of a severe allergic reaction must travel with a companion who can assist with administering medication in an emergency.
- Passengers are solely responsible for any health issues that may arise during the flight.
Should you travel alone or with a companion?
Passengers with disabilities or reduced mobility can travel alone if they are able to meet their personal needs independently.
Passengers who are unable to understand safety instructions, respond appropriately to emergencies, manage sensory challenges, or meet their personal needs independently are required to travel with a companion.
