Written by a parent, not a doctor. Nothing here is medical advice.

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Miracle Flights

Child Patient Medical Flights

What you get

Round-trip commercial flights for your child’s medical care away from home, with up to two adult parents, guardians, or relatives. Open now, but funds are limited, so ask early.

Who starts it
You, with a document from your doctor
How it’s sent
Online, on their website
Your time
An hour or so, plus waiting for the document
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 17 or under.
  • A new application and medical verification must arrive at least 14 days before each trip.
  • Baggage and optional airline fees are not covered.

  1. Ask your doctor for the documentStart here. This is the part that takes the longest.

    Miracle Flights needs a signed confirmation of the diagnosis from your doctor. It has to cover 3 things. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to Miracle Flights’s Child Patient Medical Flights. They offer round-trip commercial flights for our child’s medical care away from home, with up to two adult parents, guardians, or relatives, and they are taking applications now while funds last.

They need a signed confirmation of the diagnosis from you. It has to cover nature of change, updated appointment date, and updated release date. Their form and instructions are here: https://miracleflights.org/request-a-flight/

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.

  2. Fill in their applicationIt is on their website.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    Eligibility screen
    Will the patient be 17 years old or younger at the time of the medical appointment that you need help traveling toCan the patient/applicant and all accompanying passengers safely travel on a commercial airplaneDoes the patient/applicant and all accompanying passengers have the required identification and/or documentation to get through TSA and travel on a commercial airplaneDo you currently live in the U.S. AND do you have a confirmed medical appointment scheduled? (We do not provide international travel in or out of the U.S.)Is your requested departure flight date at least 14 days awayWhat type(s) of government assistance are you currently receivingDo you have your IRS 1040 documents from last year to upload on this application as proof of household income and household sizeHow many people are in your householdWhat is your approximate gross household incomeI have read and understand the risks of same-day air travel for passengers undergoing medical procedures involving anesthesia
    Flight request details
    If approved, will this be your first time using Miracle FlightsIs your requested departure date at least 14 days awayWhat Type of Travel Is ThisScheduled Medical Appointment DateDeparture DateAirport of Origin (Flying From)Alternate Airport of Origin (Flying From)Destination Airport (Flying To)Alternate Destination Airport (Flying To)Return Date
    Show the rest of the form (8 more sections)
    Child patient information
    First NameMiddle NameLast NameDate of BirthAge of patient at time of departing flightGenderStreet AddressCityStatePostal CodeCountyCountryHome PhoneCell PhoneEmailPrimary DiagnosisType of TreatmentDoes the child patient presently have medical insurance coverageMedical Insurance Company NameSubscriber ID #, Policy #, or Member ID #Group #Full Name of Treatment SiteTreatment Site City and StateTreatment Site Phone NumberTreatment Site Fax NumberFull Name of Primary Treatment Site DoctorOxygen RequiredWill you be flying with a service dogWheelchair RequiredBirth Certificate or Proof of Legal Guardianship Required for Child Patient (17 and under)
    Patient demographics
    Patient Ethnicity (Select all that apply)Highest level of education completed (by adult patient OR parent/guardian of child patient filling out this form)Marital Status (of adult patient OR parent/guardian of child patient filling out this form)Employment Status (of adult patient OR parent/guardian of child patient filling out this form)Military Service (parent/guardian of child patient)Military Member (parent/guardian of child patient)How did you hear about us
    Child patient waiver
    Patient Name (as it appears on government issued identification)Waive Right to Pursue Legal ActionConsent for Medical TreatmentConsent to Receive Emails and SMS MessagesPhoto/Video ReleaseSignature (if minor, by parent/guardian)Signer NameRelationship to Patient
    Passenger 2
    Passenger 2 - First NamePassenger 2 - Middle NamePassenger 2 - Last NamePassenger 2 - Relationship to PatientGenderPassenger 2 - Cell PhonePassenger 2 - EmailPassenger 2 - Address is the same as the patientPassenger 2 - Street AddressPassenger 2 - CityPassenger 2 - StatePassenger 2 - Postal CodePassenger 2 - CountryPassenger 2 Waiver of ResponsibilityPassenger Name (as it appears on government issued identification)Waive Right to Pursue Legal ActionPhoto/Video ReleaseSignatureName of SignerSigner EmailRelationship to Passenger 2
    Passenger 3
    Will patient require a third passengerPassenger 3 - First NamePassenger 3 - Middle NamePassenger 3 - Last NamePassenger 3 - Relationship to PatientGenderPassenger 3 - Cell PhonePassenger 3 - EmailIs Passenger 3 returning on a different date than Patient/Passenger 1Explain why Passenger 3 is requesting a different return date than Patient/Passenger 1Passenger 3 Return DatePassenger 3 - Address is the same as the patientPassenger 3 - Street AddressPassenger 3 - CityPassenger 3 - StatePassenger 3 - Postal CodePassenger 3 - CountryPassenger 3 Waiver of ResponsibilityPassenger Name (as it appears on government issued identification)Waive Right to Pursue Legal ActionPhoto/Video ReleaseSignatureName of SignerSigner EmailRelationship to Passenger 3
    Income certification
    Number of People in HouseholdAnnual Family/Household IncomeAll sources of income for the householdUpload proof of income - IRS 1040 and/or proof of government assistance programEligibility is determined by total family income and size
    Flight request acknowledgements
    Cancelling or Amending FlightsNo Call No Show AcknowledgmentPersons of Size AcknowledgmentSignatureName of SignerSigner EmailRelationship to Patient
    Treatment-site verification · your care team fills this in
    Are you submitting this form to document a change to a current medical tripIf this is a change, which of the following best describes the change to the current medical tripDescribe the change to the existing medical trip and provide any relevant detailsFirst and last name of person completing this formFor the person completing this form, which of the following best describes your role at the treatment siteI am completing this form on behalf ofTreatment Physician's Full NameFirst and last name of patientPatient date of birthWork phone number of person completing this formWork email address of person completing this formName and address of treatment facilityDescription of patient's scheduled medical treatment(s)When is the patient's first scheduled appointment/treatment dateWhen is the estimated first available date the patient can travel home by commercial airlineCan the patient safely board a commercial flight to travel to the treatment site and back homeAre there any special requirements for the patient as they travel on a commercial airplane? Check all that applyDenial of ServiceCertificationSignature (treatment site physician - M.D., D.O., or PA-C or provider representative on behalf of treatment site physician)Name of treatment site physician (M.D., D.O., or PA-C)Appointment Documentation (optional)

    Have ready

    • Child birth certificate or legal guardianship proof.
    • Most recent federal tax return pages and applicable income documents.
    • Passenger documents required to clear TSA.

  3. Submit it on their websiteSend the document with your application, or the way they ask.

    • Submit the family application online.
    • Treatment-site staff separately submit the verification form.
    • Both forms and all documents must arrive at least 14 days before departure.

After you send

Retain the family confirmation email. Confirm the treatment-site form was submitted. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published