Apply For A Travel & Holiday Cancellation Letter

Please fill in the 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 you need any support, please reach out to us at info@merlinhealth.co.uk - you can expect a response within hours.

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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 you are NOT unwell with any of the following symptoms: thoughts of suicide, self harm or harm to others, inability to swallow, 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 or severe injuries.

Please confirm that you have acknowledged and agree to the above terms *

I have read the above terms and accept them

Your Details

Full Name *

First

Last

Mobile Number *

Email *

Your medical letter will be sent to this email address

Date of Birth *

Sex *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Reason for Letter

Who do you need this letter for?

Airline
Travel Insurance company
Hotel Booking
Holiday Company
Other

What is the name of your airline? *

What is the name of your travel insurance company? *

What is the name of the hotel? *

What is the name of the holiday company? *

If you selected other, please give us further details about why you need this letter: *

Your Travel Plans

When did you plan to travel? *

Where were you planning to travelling to? *

Reason for Altered Travel Plans

When did this issue, sickness or injury start? *

Current Health Status *

When did this issue, sickness or injury end? (please leave blank if currently ongoing)

Please tell us about the main medical issue that has made you apply for this letter: *

Please include as much detail as possible, including a timeline of events if possible.

Have you sought advice from your GP, A&E or another healthcare professional for this issue? *

If yes, who with or where did you seek medical attention? (e.g. GP, A&E etc) *

What diagnosis was made? *

If you are unsure, please write 'Unsure'

Please give us some further details about what happened during this consultation and what the outcome was: *

Can you provide us with any documents confirming that you sought medical attention? (e.g. GP health record, clinic letter, NHS App screenshot etc) *

Please upload any documents or files here: *

Click or drag files to this area to upload. You can upload up to 100 files.

If you selected no, why have you been unable to seek medical attention for this issue? *

Please tell us how you would like to alter your travel plans or booking (e.g. full cancellation, reschedule to another date, seeking flights refund) *

Anything Else? (Optional)

Would you like us to know anything else about your application? (optional)

Would you like to upload any relevant files as part of your application? (optional)

Click or drag files to this area to upload. You can upload up to 100 files.

Identification Confirmation

Please upload an IMAGE of your passport to verify your identity: *

Click or drag files to this area to upload. You can upload up to 100 files.

Additional Documents

We can fill in and sign any additional documents required as part of your travel or holiday cancellation or rescheduling. There is a single additional charge of £25 for any other forms that need signing. If you have any queries regarding this, please email us at info@merlinhealth.co.uk - you can expect a response within hours.

Do you have any additional documents that need signing? *

Please upload any additional documents that need signing here:

Click or drag files to this area to upload. You can upload up to 100 files.

Terms and Conditions

Upon submitting your application, you acknowledge our Terms and Privacy Policy and consent to the following:

(1) 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.

(2) You have comprehended the questions in the questionnaire and answered them honestly.

(3) The requested certificate is solely for the individual with the provided name and details.

(4) Our certificates are intended to confirm your reason for travel or holiday cancellation based upon the evidence available at the time. They are not a guarantee against adverse events. They are not an insurance policy. They are not valid as medical indemnity. They do not represent a medical consultation.

(5) 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.

(6) 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.

(7) You are aware that if an employer or 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.

(8) You have uploaded the relevant evidence and have not purposefully withheld any information.

(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.

Agreement to Terms and Conditions *

I have read and agree to the Terms and Conditions listed above

Checkout

Travel & Holiday Cancellation Letter

Price: £45.00

Travel & Holiday Cancellation Letter and Additional Document(s)

Price: £70.00