When an airline asks for proof you are fit to fly
Most travellers never need medical clearance to board a flight. But if you are pregnant, recovering from surgery, travelling with a cast or injury, or managing a medical condition, an airline or travel insurer may ask for written confirmation from a physician that air travel is safe for you.
A fit-to-fly letter confirms exactly that. It states that a licensed physician has reviewed your health information and found no medical reason you cannot travel on the dates specified. It does not need to share more than necessary: your airline needs to know you are cleared to fly, not your full medical history.
Timing matters. Some airlines and insurers only accept letters issued within a set number of days, or even hours, before departure. Canada Medical Notes is built for that: submit your request close to your travel date, a licensed Canadian physician reviews it, and your letter arrives the same day, so you are not hunting for a clinic appointment the week you fly.
Pregnancy Travel Clearance – For travel later in pregnancy, when airlines or insurers require confirmation
Post-Surgery Clearance – Confirms you are recovered enough to fly after a procedure
Injury or Cast Clearance – For fractures, sprains or mobility restrictions
Medical Condition Clearance – For stable chronic conditions such as diabetes, heart or respiratory conditions
Recent Illness Clearance – Confirms you are well enough to travel after an illness
Travel Insurance Documentation – Medical confirmation requested by your insurer before or after a trip
✅ Common Reasons for a Fit-to-Fly Letter
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Describe your needs
Share your travel dates and why clearance is needed
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Physician reviews
Licensed physician reviews your health and travel details
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Review & receive
Get your fit-to-fly letter same day
How It Works – Simple 3-Step Process
"I needed a sick note urgently for my employer and got it the same day. The process was incredibly smooth and professional."
Sarah L.
Toronto, Ontario
"As a student, getting to a clinic was impossible during exams. Canada Medical Notes saved me — my university accepted the note without any issues."
Marcus K.
Vancouver, BC
"Fast, reliable, and completely confidential. I've used the service twice now and referred friends. Highly recommend!"
Priya R.
Calgary, Alberta
"Affordable pricing and incredibly fast turnaround. The documentation was accepted by my employer right away."
James W.
Montreal, Quebec
Frequently asked questions
What Is a Fit-to-Fly Letter?
A fit-to-fly letter, also called a medical clearance for air travel or a fitness-to-travel certificate, is an official document prepared by a licensed physician confirming that you are medically able to travel by air. It is commonly requested by airlines and travel insurers for passengers who are pregnant, recovering from surgery or injury, or living with a medical condition that could be affected by cabin pressure, long periods of sitting or limited access to medical care during a flight.
Canada Medical Notes provides same-day fit-to-fly letters prepared by licensed Canadian physicians. If you were also unwell before your trip and missed work, we can prepare a sick leave note for your absence from the same request.
Types of Fit-to-Fly Letters We Prepare
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Pregnancy Travel Clearance: confirms you are fit to fly at your stage of pregnancy, for airlines or insurers that ask for a physician's letter
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Post-Surgery Travel Clearance: confirms you have recovered enough from a procedure to travel by air safely
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Injury and Cast Clearance: for passengers travelling with fractures, casts, sprains or reduced mobility
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Chronic Condition Clearance: for stable conditions such as diabetes, heart or respiratory conditions when an airline asks for confirmation
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Recent Illness Clearance: confirms you are well enough to fly after an illness
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Travel Insurance Documentation: medical confirmation for your insurer before departure or as part of a claim
If your airline requires its own medical information form rather than a letter, our standard medical forms service handles those requests with the same same-day turnaround.
What Your Fit-to-Fly Letter Includes
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Physician's name, credentials and provincial licence number
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Date of virtual medical assessment
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Your name and date of birth as shown on your travel documents
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Statement confirming you are medically fit to travel by air
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Travel dates or validity period covered
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Any recommended precautions (if applicable)
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Physician's signature on official letterhead
Need to show you are fit for work or sport once you are back? See our fitness-to-work certificates.
Why getting your fit-to-fly letter online makes travel easier
Travel plans rarely wait for a clinic appointment. Family doctors often have backlogs of a week or more, and walk-in clinics in most Canadian cities have waits of several hours. When your airline needs a letter dated close to departure, those delays can put your trip at risk.
Canada Medical Notes removes that stress. The process is entirely online: you submit your travel details and the reason clearance is needed, a licensed Canadian physician reviews your request, and your letter is delivered to your inbox the same day. No waiting room, no time off work, and no last-minute scramble before your flight.
Every letter includes the physician's full name, provincial licence number, date of assessment and a clear statement of fitness to travel, formatted the way airline check-in and medical desks expect to see it.
If you are unsure whether your airline needs a letter or its own form, describe your situation in the additional details field when you submit, and the physician will advise on the right documentation.
