Parents/Guardians seeking medical care assistance for their child must download this
form and have the child's doctor retype it on the doctor's letterhead. A copy of this
document must be submitted to ICMF and the original must be handcarried with patient on the airline(s).
Click Here For A Downloadable PDF Copy Of This 'Can Fly'
Questions? Email: ICMFHOPE@Aol.Com
(DOCUMENT MUST BE FILLED OUT IN ENGLISH AND MUST
BE TYPED, EXACTLY AS SHOWN HERE,
ON DOCTOR'S BUSINESS LETTERHEAD)
TO WHOM IT MAY CONCERN:
Patient's Address: ___________________________________
I certify that I am the attending Physician for the above
referenced since _____________________________________.
I certify that __________________________________ does not
carry any communicable diseases and his/her immunizations
are up to date. Copy of these records are provided.