Covid Recovery Letter

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I am filling this form on behalf of someone else

Untitled checkboxes field

What is the type of test described on your positive Covid-19 certificate?

Did you have any possible symptoms (fever greater than 37.7c, vomiting or diarrhoea, nausea, headaches, runny nose or respiratory problems) of Covid-19?

Have you had symptoms in the last 48 hours?

Have you been advised to isolate, or do you have a medical condition that may prevent you from travelling safely?

What are you planning to use your Covid Recovery Letter for?

Please confirm that your first positive test is dated between 7 days and 30 days ago, and your flight is also within 30 days of your test

Please confirm that you have not had a fever or respiratory symptoms in the last 72 hours

Yes - I need a Qantas form AND a Standard Covid Recovery Certificate (additional £49 fee)

No - I just need a Standard Covid Recovery Certificate

Please tell us if you need a Qantas Past Positive Clearance form completing

Were you hospitalised due to Covid-19?

I need to add an extra stop: Flight details - Sector 2

I need to add an extra stop: Flight details - Sector 3

I need to add an extra stop: Flight details - Sector 4

I am the patient (or) their legal guardian/representative/parent, that the details entered are true and correct to the best of my knowledge, and the test certificate/notification is an original and has not been edited in any way

I confirm that I have reviewed the guidance of the destination, country or organisation and that my symptoms and test meets their requirements

I understand that I must follow the covid isolation guidelines in both my departure and destination countries, and I confirm that I have had no symptoms for more than 48 hours.

I understand that if my test, or the start of my symptoms, was less than 11 days ago, that I must wear a mask at all times when I am travelling

I understand that the information needs to be reviewed by a doctor and my covid recovery letter can only be issued if, in their expert opinion, the doctor feels it is appropriate to do so

I understand that if any of the information provided changes, or I become unwell, I will seek a medical opinion and follow their advice on continued use of the certificate

I understand that the timescales for delivery may be affected if the data I enter does not match the test certificate, or if the validity of the test certificate cannot initially be confirmed by one of the team of doctors.

I confirm I agree with the Medicspot terms and conditions of service

Personal Details

Patient First Name

Patient Last Name

Email Address

Patient Date of Birth

Patient Full Address

Patient Postcode

Patient Country

Contact Telephone Number

Sex on Passport

Passport/ID Number