Get Medical Verification Statement - United Airlines

Filling out the Medical Verification Statement for the use of a Portable Oxygen Concentrator on United Airlines is a crucial process for travelers who require supplementary oxygen. This guide will provide clear and supportive instructions on how to complete the form online, ensuring that your needs are adequately addressed.

Follow the steps to successfully complete the Medical Verification Statement.

1. Click ‘Get Form’ button to obtain the Medical Verification Statement and open it in your preferred online editor.
2. In the specified section, input the printed name of the passenger who requires the Portable Oxygen Concentrator. Ensure the name is spelled correctly as it appears on their identification.
3. Confirm the medical necessity by checking the appropriate statements provided in the form. This includes specifying whether the POC is required during all phases of the flight or only during certain portions.
4. Fill in the oxygen flow rate setting for the POC in liters per minute (LPM), taking into consideration the cabin’s air pressure under normal operating conditions.
5. Complete the physician's name, state license or registration number, telephone number, fax number, and address. Ensure all information is accurate and clearly printed.
6. Have the physician sign and date the form, confirming their verification of the passenger's medical need for the POC.
7. Once all fields are completed, save your changes. You can then download the completed statement, print it, or share it as needed.

Take the next step in your travel preparations by completing the Medical Verification Statement online.