Get ready to apply
LifeLine Pilots
Free Medical Flights
What you get
Help with up to two approved companions for a child passenger and volunteer-pilot flight to non-emergency medical care. Open now, but funds are limited, so ask early.
- Who starts it
- You, with their part of the form from your doctor
- How it’s sent
- Online, on their website
- Your time
- About 15 minutes, plus waiting for the form
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Passenger must be able to use a small nonpressurized aircraft safely.
- Flights depend on volunteers, weather, aircraft, and safety.
- Flights are not emergency transport or air ambulance service.
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Ask your doctor for their part of the formStart here. This is the part that takes the longest.
LifeLine Pilots needs a signed medical form from your doctor. It has to cover 4 things. Copy this message, or say it in person at the next visit.
Hi [doctor’s name], We’d like to apply to LifeLine Pilots’s Free Medical Flights. They offer help with up to two approved companions for a child passenger and volunteer-pilot flight to non-emergency medical care, and they are taking applications now while funds last. They need a signed medical form from you. It has to cover medical stability for flight, ability to fly in a small unpressurized aircraft, whether the condition affects flight safety, and needed in-flight medical equipment. Their form and instructions are here: https://lifelinepilots.org/patient-information/ Could you do that when you have a chance? I can send you the link, or bring a printout to our next visit. Thank you for everything you do for us. [your name] · [phone]
Copying is the only thing this page does with your text. Nothing is saved. -
Fill in their applicationIt is on their website.
Open their application ↗ Checked Aug 27, 2026What the form asks for
Flight Request start-screen and preparation factsIs this your first flight or request with LifeLine PilotsIs your donated flight needed after Friday, September 4thDo you have, or can you get a physician's medical releaseAre you able to board a small aircraft on your own and sit up in a seat with a seat belt fastened around you? Are you able to travel without medical care during the flightDo you have a financial need or a compelling reason why you can't use public transportationHome Zip CodeDestination city only and Destination StateDoctor's name and fax numberFirm appointment informationAll names, phone numbers, and weightsHave ready
- LifeLine Pilots liability release signed before travel.
- Firm medical appointment details required before Mission Coordinators can look for volunteer pilots.
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Submit it on their websiteSend their part of the form with your application, or the way they ask.
- First-time passengers submit the official online request; returning passengers call 800-822-7972.
- Provide the physician contact and firm appointment when available; LifeLine Pilots obtains the physician release.
After you send
Reply promptly to Mission Coordinators about traveler weights, companions, equipment, route, and appointment changes. Call 800-822-7972 immediately for changes to an arranged flight and keep a backup plan because volunteer availability and weather can cancel a mission. If you have not heard back in two weeks, write and ask whether it arrived.
