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MEDIF - latam.com

MEDIFS tandard medical information form for air travelAnswer ALL the questions. Write an (x) in the boxes YES or NO. PRINT or TYPE your of passengerProposed itineraryOffice or agencyDoes the passenger need a wheelchair? PROPOSED COMPANION: name, sex, age, profession and job, segments if they aren t the same as the passengers , in the case of an unqualified person, note: TRAVEL COMPANIONThe passenger responsible for hiring transportation services for boarding and disembarkation, to/from the ambulance to the airplane seatOther landpreparation needsPreparations for delivery at the airport of departurePreparations for delivery in points of connectionPreparations for assistance at point of arrivalOther preparations or important information Please specifyPlease specifyPlease specifyPlease specifyPlease specifyIf you answered YES, specify below ea

MEDIF Standard medical information form for air travel Answer ALL the questions. Write an (x) in the boxes “YES” or “NO.” PRINT or TYPE your answers.

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