Unfit For Travel Cancellation Form

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Your Details

Full name of the person who requires the letter *

First Name

Last Name

Email *

Mobile *

Date of birth *

Sex *

Male

Female

Home Address *

County *

Country *

Post Code *

Medical History

Departure Date *

Date

Return Date *

Date

Have you had any significant illnesses, surgeries, or medical treatments in the past six months? If yes, please specify. *

Yes

Are you currently under treatment for any medical conditions? If yes, detail the condition and treatment. *

Yes

Do you have any chronic conditions (e.g., heart disease, respiratory issues, diabetes)? If yes, please specify. *

Yes

Current Health Status

Are you experiencing any symptoms or health issues currently that could affect your ability to travel? If yes, please describe. *

Yes

Are you taking any medications that could impair your ability to travel safely? If yes, please list them and explain their effects. *

Yes

Impact on Travel

How do you anticipate your current health condition will impact your ability to travel or remain seated for extended periods? *

Do you require special accommodations or medical assistance during your travel? If yes, please specify. *

Yes

Proof of Identification (Passport or Driving Licence) *

Checkout

Package Plans:

Basic: within 2-3 days 19.99 GBP

*Applications will be reviewed and if approved, a certificate signed by an Irish doctor will be sent via email within 2-3 days.

Standard: within 24 hours 24.99 GBP

*Applications will be reviewed and if approved, a certificate signed by an Irish doctor will be sent via email within 24 hours.

RECOMMENDED: within 12 hours 29.99 GBP

*Applications will be reviewed and if approved, a certificate signed by an Irish doctor will be sent via email within 12 hours.

EXPRESS: within 6 hours (available 8am-8pm) 34.99 GBP

*Applications (if received between 8am-8pm) will be reviewed and if approved, a certificate signed by an Irish doctor will be sent via email within 6 hours.

ULTRA FAST: within 2-4 hours (available 9am-5pm) 39.99 GBP

*Applications (if received between 9am-5pm) will be reviewed and if approved, a certificate signed by an Irish doctor will be sent via email within 2-4 hours.

Payment Method:

Have you sought medical care from your GP or local A&E for your medical issue? *

Stripe Payment

Terms

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

You are NOT seriously unwell with any of the following symtoms: chest pain, shortness of breath, unable to swallow fluids or saliva, weakness or numbness down one side, slurred speech.
You have comprehended the questions in the questionnaire and answered them honestly.
The requested letter is solely for the individual with the provided name and details.
updoc is not a replacement for a doctor's visit, nor is updoc your primary doctor or GP, and your Partner Practitioner may be unable to access your NHS or regular GP medical records.
updoc facilitates access to private medical letters and does not issue Med3 notes, which are obtainable through your NHS GP for UK government benefits.
updoc is unable to process refunds once your Partner Practitioner has reviewed your request and you've been sent a letter written by them. No exceptions.
updoc cannot complete additional forms requested by your workplace, educational institution, or any other interested party.
If your symptoms persist or you have not fully recovered, you agree to consult with your regular doctor or GP for further medical advice.

Do you agree to the above Terms? *

Agree

Get Unfit for Travel Cancellation Certificate

Your Details

Medical History

Current Health Status

Specific Travel Concerns

Impact on Travel

Checkout

Payment Method:

Terms

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