This medical clearance allows your doctor to consider whether it is safe for you to travel and to apply for travel approval to Air New Zealand’s Paxcare and Aviation Medicine Unit teams. It also allows Air New Zealand to make arrangements for special services as required.

MEDA forms

Medical clearance required prior to travel

No medical clearance necessary but please tell us!


Travelling on other airlines

MEDA forms

Your travel agent can provide you with a medical clearance form known as a Medical Fitness for Air Travel form (MEDA). Alternatively you can download and print the form yourself by clicking on the PDF files below. The Air New Zealand MEDA is based on the International Air Transport Association (IATA) approved form.

Where possible, MEDAs should be submitted 3-14 days prior to travel. We aim to approve MEDAs quickly, however if your request is submitted with three days of intended travel date we can't guarantee approval before your departure. This may be due to logistical and/or medical reasons.

The document consists of three sections:

  • MEDA Part 1 is the form for you or your Travel Agent to complete.

Once both Part 1 and Part 2 have been completed, please return them to your travel agent or Air New Zealand Paxcare MEDA & Special Handling Desk by fax or e-mail. Contact details are on the bottom of the MEDA forms.

Medical clearance required prior to travel

Air New Zealand is committed to improving and facilitating passenger safety. Medical clearance is required if you have a medical condition which results in there being doubt that you can complete the flight safely or which poses a risk to other passengers. We assess your fitness to fly with internationally accepted criteria. Most medical cases are straightforward, but some require individual assessment and you may be asked to travel with a medical escort or supplementary oxygen (fees apply).

Some examples of conditions that require a MEDA include but are not limited to:

  • Recent illness, hospitalisation, surgery or injury including bone fractures
  • Heart disease
  • Lung disease
  • Ear and sinus problems
  • Psychiatric conditions
  • Late pregnancy
  • Any illness that could be contagious at the time of travel (particularly chicken pox, tuberculosis, measles and mumps)
  • You are travelling for medical reasons or treatment

Medical clearance is always required for special medical equipment including:

  • Medical Oxygen (concentrator or bottles)
  • Nebulisers
  • Syringe pumps
  • Stretchers
  • Ventilators

A wheelchair to the aircraft door alone does not require completion of the Part 1 MEDA if requested at the time of booking.

To prevent interference with aircraft systems, all electronic equipment must be approved by Air New Zealand for use on board . It must be approved at least 48 hours beforehand but preferably two weeks prior to travel. Battery powered devices may be used with prior approval in flight (except take-off and landing) if they have self-contained batteries and are no larger than standard cabin baggage items. View more information on the use of special medical equipment.

For your own safety and wellbeing Air New Zealand strongly recommends that when requesting clearance you have your doctor complete the medical clearance MEDA forms.

No medical clearance necessary - but please tell us

A medical clearance is not required for the following conditions but, in order to provide you with the best possible service, it is recommended that you provide Air New Zealand with advance notice of your travelling and seating requirements. When you book your travel, please let us know what kind of assistance you require. Civil Aviation rules require all passengers be able to place their seatback in the upright position when required.

  • Otherwise healthy but have mobility difficulties and need a wheelchair
  • Rehabilitated paraplegic/quadriplegic (you may need a Safety Assistant)
  • Visually impaired or blind
  • Hearing impaired or deaf

Consider completing a MEDA if you have an obvious medical condition that may cause difficulties or challenges during boarding (e.g. new limb casts, resolving chicken pox, late pregnancy).


If you require any medication during flight or in the airports, please remember to pack it in your hand baggage. If you are changing time zones, please discuss how you should adjust your medication doses with your doctor. This is essential for patients with diabetes, epilepsy or other serious medical conditions.

New Aviation Security measures require you to have a printed pharmacy label attached to your medication and it should be carried in the original containers. We recommend you carry a doctor’s letter supporting the need to carry essential liquid medications in containers over 100ml in your hand luggage (pills and capsules are not restricted under the liquid aerosols and gels policy).

If your medication is required to be kept chilled, seek advice from your pharmacist. You will need to provide a suitable container with the cooling agent (ice or dry ice) inside. Our staff cannot take care of medication or store it in aircraft refrigerators.

Please note Dangerous Goods regulations state that dry ice containers cannot contain more than 2kg of dry ice and must not be sealed. A small vent is required to allow the carbon dioxide gas to escape.

All Air New Zealand aircraft carry sharps containers for safe disposal of needles, syringes and medication vials. Please speak with your cabin crew member. Used medical equipment must not be placed in toilets or seat pockets as this is dangerous for other people.

Important: travelling on other airlines

If you are travelling on other airlines, including Air New Zealand's extensive network of partner airlines, you will need to check and comply with the other airlines' regulations. Your travel agent will be able to assist you.