Apply For A Fit-to-Cruise Medical CertificatePlease fill in the medical questionnaire below and one of our doctors will review the information submitted. Once approved, your medical certificate will be sent to your email address. If we are unable to provide you with a certificate, you will be issued with a full refund. 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.Your DetailsName *FirstLastMobile Number *Email *Your certificate will be sent to this email addressDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sex *Please selectMaleFemaleOtherAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeYour Medical HistoryAre you currently pregnant? *YesNoDo you have any pre-existing medical conditions? *YesNoIf yes, please give us further details here: *Do you currently take any medications? *YesNoIf yes, please list the medications you take here: *Do you have any allergies? *YesNoIf yes, please give us further information here: *Have you undergone any significant medical or surgical procedures within the last 6 months? *YesNoIf yes, please give us further information here: *Do you have any restrictions to your physical mobility? *YesNoIf yes, please give us further information here: *About Your PregnancyIs your antenatal care taking place in the United Kingdom? *YesNoWhere is your antenatal care taking place? (e.g. name of the NHS Trust, Health Centre or Health Service) *How many weeks pregnant are you currently? *When is your estimated delivery date? *How many weeks pregnant will you be on the date you plan to travel? *Please note that we cannot issue a certificate for a gestation of 36 weeks or greaterIs your pregnancy single or multiple? *SingleMultipleHave you experienced any complications, adverse events or medical issues during your pregnancy so far? *YesNoIf yes, please give us as much detail as possible here: *Have you been advised NOT to travel by any healthcare professional at any point? *NoYesIf you selected yes, please give us further details about why you were advised NOT to travel here: *Have you informed your midwife or obstetrician that you intend to travel by cruise ship? *YesNoDid your midwife or obstetrician consider you safe to travel by cruise ship? *YesNoIf you selected no, please tell us why your midwife or obstetrician did not consider you safe to travel by air: *Have you ever been advised by a healthcare professional that your pregnancy is complicated or high-risk? *YesNoIf you selected yes, please give us further details about why this is the case: *What was your BMI at the start of your pregnancy? *Underweight: Below 18.5Healthy: 18.5 - 24.9Overweight: 25.0 - 29.9Obese: 30 or aboveWhat was your last antenatal clinic blood pressure? *Below 90/60 mmHgBetween 90/60 and 140/90 mmHgAbove 140/90 mmHgWhen was this blood pressure taken? *Less than 1 month ago1-3 months agoMore than 3 months agoDo you have or have you ever had any of the following conditions? (please select at least one option) *I have never had any of these conditionsA history of blood clots (deep vein thrombosis)High blood pressureDiabetes Mellitus or Gestational DiabetesSickle cell disease or traitComplicated previous pregnancyMiscarriage after 18 weeksPrevious early onset labour (< 37 weeks)A heart or lung conditionEpilepsyPre-eclampsia or EclampsiaAbnormalities of the placentaAny blood disordersSevere AnaemiaIf you selected any of the conditions above, please give us as much detail as possible about them here: *Do you have a low-lying placenta? *YesNoIf you selected yes, please give us as much detail as possible here: *Do you have a low PAPP-A? *YesNoIf you selected yes, please give us as much detail as possible here: *Is this an IVF pregnancy? *YesNoDo you have any other medical conditions that were not listed above? *YesNoIf yes, please give us further details about the medical condition(s) you have: *Do you currently take any medication? *YesNoIf yes, please list your medications here: *Have you been advised to take aspirin during your pregnancy? *YesNoIf you have been advised to take aspirin during your pregnancy - please tell us the reason why here: *Your Travel PlansPurpose of Travel *Please select an optionHoliday/LeisureBusinessOtherIf you selected Other, please give us further detail here: *Where are you travelling to? *Date of Outbound Trip *Name of Cruise Company *Identification ConfirmationPlease upload a clear image or scanned copy of your passport * Click or drag files to this area to upload. You can upload up to 100 files. Antenatal or Maternity Notes*Please read this section carefully* To issue you with a fit-to-cruise certificate, the doctor must be satisfied that your pregnancy is uncomplicated. To prove this, you must submit: Maternity Notes: We need to see the latest notes your midwife or doctor have written during your recent antenatal appointments. They will usually include details about how your pregnancy is progressing at each appointment and whether there have been any complications. If you do not have these, please get in touch with your midwife to obtain them. Without this information, we are unable to issue you a medical certificate. *Please Note: Simply submitting the results of a scan, or brief details about your pregnancy are insufficient and do not confirm that your pregnancy is uncomplicated. If your antenatal care is taking place in the United Kingdom, you should have access to your maternity notes, which can be hand written or digital depending upon which part of the country your care is taking place in. If you do not have access, please get in touch with your midwife to arrange access to these notes. Please upload a scanned copy, photographs or screenshots of your Maternity Notes here: * Click or drag files to this area to upload. You can upload up to 100 files. NHS Summary Care RecordAn NHS Summary Care Record is a document that summarises important health information from your medical records. You can obtain this through your GP surgery, or you can download/screenshot it from your NHS app or online healthcare records. If you are unsure about how to obtain this, please get in touch with your GP surgery or email us at info@merlinhealth.co.uk.Please upload a copy or images of your NHS Summary Care Record here: * Click or drag files to this area to upload. You can upload up to 100 files. Additional DocumentsPlease note - there is a one-off additional fee of £25 for any additional documents that need signing.Do you have any additional documents that need signing? *YesNoIf yes, please upload your additional document(s) 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)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 understand the potential risks of travelling, including the risk of adverse health events, and take full responsibility for your decision. Merlin Health and our doctors accept no liability for any adverse events at any point in time. (4) You agree to absolve both Merlin Health and our doctors of any liability for any adverse events affecting you or any other party at any point in time. (5) You are aware that at Merlin Health, we do not offer a consultation service and our reports simply confirm that you have not reported any contraindications to travelling and nor does the evidence you have supplied us reveal any such contraindication to the best of our knowledge. This is not a form of medical consultation, diagnosis or treatment. No liability is accepted for any adverse events affecting you or another party at any point in time. (6) You are aware that our certificates are intended to confirm you have no contraindication to travelling 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. (7) 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. (8) You agree that no other healthcare professional has cautioned you against taking this trip. (9) You have uploaded relevant medical notes you have available and have not purposefully withheld any information. (10) 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. (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. Upon 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 understand the potential risks of travelling while pregnant, including the risk of adverse events to yourself and your baby, and take full responsibility for your decision. Merlin Health and our doctors accept no liability for any adverse events at any point in time. (4) You agree to absolve both Merlin Health and our doctors of any liability for any adverse events affecting you, your unborn child or any other party at any point in time. (5) You are aware that at Merlin Health, we do not offer a consultation service and our reports simply confirm that you have not reported any contraindications to travelling while pregnant and nor do your maternity notes reveal any such contraindication to the best of our knowledge. This is not a form of medical consultation, diagnosis or treatment. No liability is accepted for any adverse events affecting you or your baby at any point in time. (6) You are aware that our certificates are intended to confirm you have no contraindication to travelling 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. (7) 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. (8) You agree that you have informed your midwife or obstetrician that you intend to travel and they have not cautioned you against doing so. (9) You have uploaded the relevant maternity or antenatal notes you have available and have not purposefully withheld any information. (10) You are currently receiving antenatal care in the United Kingdom with a registered provider. (11) 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. (12) 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. Agreement to Terms and Conditions *I have read and agree to the Terms and Conditions listed aboveCheckoutFit-to-Cruise CertificatePrice: £45.00Fit-to-Cruise Certificate Price: £70.00Submit