Doctors Fit To Travel Note


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How to write a Doctors Fit To Travel Note? Download this Doctors Fit To Travel Note template that will perfectly suit your needs.

Our collection of online health templates aims to make life easier for you. Our site is updated every day with new health and healthcare templates. By providing you this health Doctors Fit To Travel Note template, we hope you can save precious time, cost and efforts and it will help you to reach the next level of success in your life, studies or work!

Can patient travel in a sitting position for the duration of flight ITEM 3 NO YES Whether infectious Note: Non autonomous pax must be accompanied by an able-bodied passenger familiar with his/her needs NO YES Whether patient has full control of bowels bladder NO YES Diagnosis of condition: Present Symptoms: Whether patient displays suicidal tendencies or is subject to fits of violence NO YES Page 1 of 3 Wheelchair Needed ITEM 4 OWN Wheelchair Collapsible Power Driven NO YES WCHC needed, advise if autonomous or non-autonmous on board Battery type (Spillable) NO NO NO NO YES YES YES YES Non-autonomous on board Categories are: Autonomous on board WCHR (wheelchair ramp) WCHS (wheelchair step) WCHC (wheelchair Cabin) Wheelchair category: (If answer is ‘YES’, then you should fill in the next columns)..

This Doctors Fit To Travel Note is intuitive, ready-to-use and structured in a smart way. Try it now and let this Doctors Fit To Travel Note sample inspire you.

We certainly encourage you to download this Doctors Fit To Travel Note now and use it to your advantage!


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