Physicians Statement for Portable Oxygen Concentrator (POC) Use Dear Physician, We kindly ask that you please complete and sign the form below for your patient whom is requesting to use their Portable Oxygen.

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How to fill out the Hawaiian Airlines Oxygen Form online

Completing the Hawaiian Airlines Oxygen Form online is a straightforward process that ensures your medical needs are met while traveling. This guide will provide you with clear and detailed instructions to navigate through each section of the form effectively.

Follow the steps to fill out the Hawaiian Airlines Oxygen Form online

  1. Press the ‘Get Form’ button to obtain the Hawaiian Airlines Oxygen Form and access it in your preferred digital editor.
  2. Begin by entering your reservation or confirmation number in the designated field. This number is essential for identifying your booking.
  3. Input the details of your departing flights, including Flight #1, Flight #2, Flight #3, and the date of departure in the provided format.
  4. Next, fill in the details for your returning flights in the same manner as the departing flights, ensuring to include the correct dates.
  5. Provide your travel contact phone number, including the area code and country code, to ensure the airline can reach you if necessary.
  6. The next section must be completed and signed by your treating physician. They should verify your need for a Portable Oxygen Concentrator (POC) for travel.
  7. Ask your physician to confirm your ability to travel and your capacity to respond to the device's cautions and warnings without assistance.
  8. If applicable, have your physician indicate whether you will have a Safety Assistant with you during the flight.
  9. Your physician must verify that the use of the POC is medically necessary during your trip and that you understand the responsibilities associated with it.
  10. Ensure your physician initials appropriate statements regarding the usage of the POC during all phases of the flight.
  11. Request your physician to provide the oxygen flow rate setting for your POC, specifying if it is pulse flow or continuous flow.
  12. Finally, ensure your physician fills out their name, contact details, and signs the form. The printed date must be within thirty days of your scheduled departure.
  13. Once all sections are complete, save your changes. You may download, print, or share the form as needed.

Complete your Hawaiian Airlines Oxygen Form online today to ensure your travel needs are met.

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Questions & Answers

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What form do I need to take oxygen on a plane?

You must have a signed, written Medical certificate for Portable Oxygen Concentrator use. We suggest you print the Medical certificate for POC use form available on our website.

Inogen offers three travel-friendly, FAA-approved portable oxygen concentrator models, which means that each model is approved for use on airplanes by the FAA.

Contact your airline for instructions on arranging oxygen service. Airlines are not required to provide oxygen service and many do not. Passengers may carry portable oxygen concentrators ( POCs ).

Passengers may not carry their own oxygen (compressed oxygen or liquid oxygen) in checked baggage, in carry-on baggage or on their person. Products such as "canned oxygen," "recreational oxygen" and "flavored oxygen" are also prohibited.

Per the Federal Aviation Administration, certain portable oxygen concentrators are permitted onboard the aircraft, including Inogen One, Sequal Eclipse, Airsep Lifestyle. See a list of Portable Oxygen Concentrators that meet FAA specifications for inflight use.

At this time, the FDA has not approved or cleared any oxygen concentrators to be sold or used without a prescription. When using an oxygen concentrator: Do not use the concentrator, or any oxygen product, near an open flame or while smoking.

If you need oxygen in flight, you must take a portable oxygen concentrator with you, and , you must let your airline know ahead of time. They may require a doctor's letter to verify the need for the POC on the plane.

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