Apply For A Chickenpox Recovery Fit-to-Fly CertificatePlease fill in the medical questionnaire below and one of our doctors will review the information submitted. If you are applying for your child, please fill in their details. Once approved, your medical certificate will be sent to your email address. If you need any support, please reach out to us at info@merlinhealth.co.uk - you can expect a same-day response.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.IMPORTANT (1) Before filling in this application, you agree that you fully understand that Merlin Health is NOT an emergency or medical consultation service, and should you require urgent medical attention or a medical consultation, you should contact your GP, attend your nearest A&E, or call 999. (2) Before filling in this application, you confirm that the person who this certificate is for is NOT unwell with any of the following symptoms: thoughts of suicide, self harm or harm to others, inability to swallow, reduced alertness, face drooping on one side, slurred speech, unable to hold up both arms, weakness or numbness down one side, chest pain or tightness, difficulty breathing, heavy bleeding, severe injuries, signs of dehydration Please confirm that you have acknowledged and agree to the above terms *I have read the above terms and accept themYour DetailsPlease note: If this certificate is for your child, please fill in their details in this sectionName *FirstLastMobile Number *Email *Your certificate will be sent to this email addressDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sex *Please selectMaleFemaleOtherAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeIs this certificate for yourself?YesNo, it is for my childNo, it is for someone elseIf you selected someone else, please tell us who this is for here: *About Your FlightDate of Flight *Name of Airline *Destination you are travelling to: *About Your SymptomsWhen did the symptoms start? *Please describe the symptoms experienced: *Have you sought medical attention for these symptoms with your GP or another healthcare professional? *YesNoIf yes, please give us further details regarding the outcome of the consultation you had: *When was the last day any new spots appeared? *Have you had a fever at any point over the past 48 hours? *YesNoIdentification ConfirmationPlease upload a clear image of the passport of the person this certificate is for: * Click or drag files to this area to upload. You can upload up to 100 files. If this certificate is for your child, please upload a clear image of YOUR Identification Document (e.g. passport or driving license) for verification * Click or drag files to this area to upload. You can upload up to 100 files. An Image or Video of the RashPlease upload clear IMAGES or a VIDEO of the rash for the doctor to see here: * Click or drag files to this area to upload. You can upload up to 100 files. Anything Else? (Optional)Would you like us to know anything else about your application? (optional)Would you like to upload any other relevant files as part of your application? (optional) Click or drag files to this area to upload. You can upload up to 100 files. Terms and ConditionsUpon submitting your application, you acknowledge our Terms and Privacy Policy and consent to the following: (1) You have comprehended the questions in the questionnaire and answered them honestly. (2) The requested certificate is solely for the individual with the provided name and details. (3) You are aware that our certificates are intended to confirm you or your child have no contraindications to flying based on the available medical evidence. They are not a guarantee against adverse events. They are not an insurance policy. They are not valid as medical indemnity. (4) You are aware that at Merlin Health, we do not offer a diagnosis, consultation or treatment service. No liability is accepted for any adverse events affecting you or any other party at any point in time. (5) You agree to absolve both Merlin Health and our doctors of any liability for any adverse events affecting you, your child or any other party at any point in time. (6) You are aware that Merlin Health is not a replacement for a doctor's visit, nor is Merlin Health your primary doctor or GP, and healthcare professionals at Merlin Health are unable to access your NHS or regular GP medical records. (7) You have uploaded the relevant evidence and have not purposefully withheld any information. (8) You are aware that if our doctor feels that your chickenpox has not scabbed over, you will be issued with a 'not fully recovered' certificate, which you may be able to use to support flight rearrangements or travel insurance claims. We are unable to issue any refunds once your application has been reviewed by a doctor. (9) You are aware that Merlin Health is unable to process refunds once our doctor has reviewed your request and you've been sent a letter written by them. (10) You agree to consult with your regular doctor, GP or nearest Emergency Department for further medical advice regarding the medical issue you have described today. (11) You are aware that if a third party does not accept or rejects a Merlin Health letter or certificate, for any reason, neither Merlin Health nor our Doctors are responsible for any costs incurred. (12) If you are applying on behalf of your child, you agree that you have parental responsibility and have uploaded a valid identification document for yourself. Agreement to Terms and Conditions *I have read and agree to the Terms and Conditions listed aboveCheckoutChickenpox Recovery Fit-to-Fly CertificatePrice: £45.00Submit