
Re the POC is planned to be used (per manufacturer’s recommendation) in case of unanticipated delays. (Alaska Airlines has electrical power onboard some aircraft, but these must not be depended upon to power the device, and are not a substitute for fully charged batteries.) (Passenger signature) (Date) TZ-243 2-5299 (Rev. 2/17) .
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How to fill out the AK TZ-243 online
The AK TZ-243 form is essential for passengers planning to use a portable oxygen concentrator (POC) during their flight with Alaska Airlines. This guide provides clear instructions on how to complete the form online, ensuring all necessary information is accurately provided.
Follow the steps to successfully complete the AK TZ-243 form.
- Click the 'Get Form' button to access the AK TZ-243 form in your preferred online format.
- Enter the physician's name in the designated field at the top of the form.
- Fill in the physician's place of business, including the address, telephone number, and fax number.
- Provide the patient’s name, identifying them as the person who will use the POC.
- Specify the maximum oxygen flow rate in liters per minute (LPM) that the POC will provide, ensuring it conforms to aircraft pressure conditions.
- Indicate the make and model of the POC, referring to the list of approved models if necessary.
- Confirm whether the patient can operate the POC and respond to alarms by selecting 'Yes' or 'No'.
- Circle all situations where the patient will require the use of the device: taxi, take-off, in-flight, and landing.
- Ensure the physician provides their signature and the date on the form before submission.
- Once all sections are filled, review the form for accuracy. Save the changes, download, print, or share the form as needed.
Complete your AK TZ-243 form online today to ensure a smooth travel experience.
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