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Acceptance Of Passengers With Misc. Medical Conditions


Any condition that questions the passenger's medical stability in flight, or any medical condition that you are unfamiliar with, please document the PNR and queue to Special Assistance Coordinators (SAC) at DFW105/11 for follow up or contact American Airlines Reservations for assistance. The following has been developed as an assessment tool.

 

Blind Or Deaf Passengers
Ask if the passenger needs any special assistance. If the answer is no, document the PNR with "PSGR STATED NO ASST REQD" and add "SSR BLND" for vision impaired or "SSR DEAF" for hearing impaired. If the answer is yes, determine what type of assistance is needed.

For guidance in the airport, add "SSR MAAS" and document assistance. Advise to reconfirm with a gate agent and a flight attendant at all cities. No need to queue Special Assistance Coordinators.

For wheelchair assistance, request the appropriate assistance, document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up.

For any other assistance, simply document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.


 

Blind And Deaf
American Airlines will accept unaccompanied passengers who are both blind and deaf on any flight provided they can read Braille, or communicate with the flight crew. They must be accompanied if they are unable to read Braille, or unable to communicate with crew members. Braille emergency procedures cards are available on all flights. The passenger can ask flight attendants if needed.

 

Body Casts
  • A customer in a body cast can be accommodated provided they are under 48 inches (121 centimeters) tall (48 inches is equivalent to 3 seats across a S80 aircraft).
  • Customers who require the seat to be reclined for takeoff and landing or who request to lie down during all phases of the flight must have a medical certificate.
    • The customer must be accommodated in seating other than the exit row or the row immediately in front of or behind the exit row.
    • Reclining customers cannot protrude into the aisle. They must purchase additional seats with a maximum of up to three seats. They must purchase the seat directly behind the occupied seat and all seats between that seat and the window to ensure vacancy for safety purposes.
    • Additional seats required to accommodate the individual in the body cast will be sold at the same price as the original ticket.
    • A person in a body cast cannot share a seat, i.e., putting head or legs on the companion's lap.
    • An attendant is required and any assistance other than normal aisle chair assistance must be provided by the attendant. The customer must make a reservation and purchase a seat for their attendant.
  • Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.
Important Note: These guidelines pertain to American Airlines only. Due to the size of American Eagle® commuter aircraft, customers in a body cast cannot be accommodated. )


 

Body Fluids
SAC clearance is required. Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Comatose Individuals
Anyone who is comatose will not be accepted for travel on American Airlines and American Eagle. For safety reasons, passenger must be able to comprehend and follow emergency procedures.

 

Contagious Diseases
SAC clearance is required. Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance. Passengers traveling with chicken pox must have lesions that are completely scabbed over, or present a medical certificate advising they are non-contagious.

Passengers with the following diseases may require a medical certificate:
  • Cholera
  • Diphtheria
  • Hepatitis A (infectious)
  • Impetigo
  • Lice
  • Measles (German and Red)
  • Meningitis
  • Mumps
  • Polio
  • Tuberculosis (TB)
  • Typhoid


 

Electrical Outlets
Electrical outlets are not available on any aircraft for medical equipment. All medical equipment must be battery operated - no exceptions. If customer is requesting to use electric medical equipment in flight, document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Fractures And Broken Bones
Passengers may travel within three days of injury with a doctor's statement advising they are stable for air travel. Broken limbs must be able to fit in the airline seat without the limb protruding into the aisle. If the broken limb is unable to fit passengers may purchase an additional seat as an alternative to not traveling. Casts made of plaster, plastic or fiberglass are acceptable. Air splints are not advised.

Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Intravenous
Customers with an Intravenous (IV) line should have a medical certificate stating that they are medically stable for flight. Any request for use of an IV including infusions, pumps, or other equipment must be coordinated with SAC. Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Language Barrier
Passengers who are concerned about communication due to a language barrier (but do not need WCHS, WCHC) should bring written instructions in the language of the country(s) they are visiting to assist airport personnel in providing whatever assistance they will need. No SAC involvement is needed. Select SSR code "LANG" to alert airport personnel.

 

Magnets
Household and medical magnets no longer pose a safety threat to American Airlines aircraft. These items are no longer restricted. They can be worn in the cabin of the aircraft, or may be taken as carry on or checked baggage.

 

Medical Equipment
Only use battery-operated equipment during flight. Powerports located on some aircraft for computer usage may not be used to operate any medical assistive devices due to safety reasons. All equipment must be within carry-on restrictions. All equipment must be coordinated with SAC. Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Medication
For domestic travel (within the U.S., between the U.S. and Canada, or between U.S./Canada and Puerto Rico/U.S. Virgin Islands) a pillbox used to carry various pills in pill form is accepted without prescription. For international travel, medication must have a corresponding prescription and it is recommended to have a medical certificate for customs.

 

Obese Customers
If the passenger advises they may not be able to sit in one seat, advise they may need to buy an additional seat. If the passenger qualifies for a discount, (e.g., DS10, GMT) for the first seat, they will pay the same fare for the additional seats, minus any PFC charges. SAC coordination is not necessary unless the passenger needs assistance to the seat. If assistance is needed, document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Seat Belt Extension
Seat belt extensions are available on all flights. The passenger needs to ask a flight attendant or gate agent for them. They cannot be reserved in advance. No need to queue Special Assistance Coordinators.

 

Peanut Allergies
Pretzels are served in the Main Cabin - not peanuts, however, we cannot guarantee that customers will not be exposed to peanuts due to other customers who may bring them on board. There may also be trace elements of unspecified peanut ingredients in meals and snacks, including pretzels. For these reasons, advise customers to consider exposure when accepting in-flight meals or they may choose to bring their own meals. No need to queue Special Assistance Coordinators. Advise customers to take all necessary medical precautions in event of exposure.

 

Pregnant Women
Pre-Delivery Domestic Travel:
This includes travel within the United States, between the United States and Canada, or between the United States/Canada and Puerto Rico/U.S. Virgin Islands (USVI).
  • A medical certificate is required if travel is within four weeks of the delivery date in an uncomplicated pregnancy.
  • Travel is not permitted when requested within seven days before the delivery date without a medical certificate.
  • Medical certificates must be dated within 48 hours of the travel origination date.
  • If SAC clearance is required as indicated above, document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.
Pre-Delivery International Travel:
International travel is defined as nonstop flights to/from Europe, Central/South America and Asia.
  • Travel is not advised within 30 days of the due date, unless the passenger is examined by an obstetrician within 48 hours of the outbound departure and certified in writing as medically stable for flight.
  • Travel within 10 days of the due date on international travel must have SAC clearance.
  • If SAC clearance is required as indicated above, document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.
Post-Delivery:
A medical certificate dated within 48 hours of scheduled departure will be required for all domestic and international travel initiated within seven days after delivery for both mother and child. Late-term pregnant passengers should be seated only in non-exit seating.


 

Refrigerants For Medical Supplies
There is no refrigeration on American or American Eagle aircraft. Passengers who require refrigeration for medical supplies or food are welcome to bring their own container, providing it fits within carry-on dimensions. Ice can be provided by the airline but customer must have a leak proof container. Also, storage of medication is not available.

 

Service Animals
Service animals will be accepted in the cabin when transported by a customer with a disability, handler, or transporter. Service animals are permitted to accompany a customer with a disability in any seat in which the person sits, unless the animal obstructs an aisle or other area that must remain unobstructed in order to facilitate an emergency evacuation.

We will accept the following as evidence that an animal is a service animal: an identification card, other written documentation, presence of harnesses or markings on harnesses, tags, or the credible verbal assurances of the individual with a disability using the animal when providing physical support for their disability or being transported by a handler or transporter.

Service animals do not require a pet PNR. If a passenger traveling with a service animal requests the bulkhead seat, document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.


 

Hawaii Service Animal Quarantine
Service animals, seeing eye animals and hearing ear animals will be allowed to travel to/from Hawaii in the cabin without quarantine but with some restrictions as listed below. However, emotional support animals entrance into Hawaii differ from their service animal policy and American's acceptance policy. Therefore, customers must be advised to contact the Animal Quarantine Branch for acceptance of their emotional support animals.

Document the PNR once these customers have been notified as listed below:

Animal Quarantine Branch 08-83-7151, 808-483-7161 (fax)
HAVD CUST TO CTC ANIMAL QUARANTINE RE EMOTIONAL SUPPORT ANIMAL ACCEPTANCE

For Service Animals to enter into Hawaii without quarantine, the following criteria is required:
  1. Customer must contact the Animal Quarantine Branch regarding special instructions for qualifying their service animal or an exempted guide dog into the State of Hawaii. For internet users see Hawaii Animal Quarantine for more details.
  2. Customer must provide a standard health certificate issued not more than 30 days prior to arrival in Hawaii. In addition, they must have a physician's statement certifying what service the animal provides to assist with their disability
  3. Customer must contact the Animal Quarantine Branch at least 24 hours in advance of arrival with information and location as to where the dog will be staying.
  4. Upon arrival into Hawaii, advise customer the animal must be taken to the Animal Quarantine Holding Facility for verification of compliance with required documentation and to examine the animal for external parasites. If all is in order, the animal will be released at that point.
  5. Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Japan Service Animal Quarantine
Japan quarantine laws subject all arriving animals to a minimum of 14 day quarantine. However, a special exemption is in place to waive the 14 days quarantine for service animals provided prior notification to Tokyo is made and documents presented are accurate. Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

 

Great Britain Service Animal Quarantine
On April 29, 2004, Great Britain changed its policy to allow service animals to travel in the cabin. American Airlines is now in the process of working on an agreement with the UK government for approval to allow these animals to travel. Until approval has been given, we cannot accept service animals to the UK in the cabin, checked, or as air freight. We anticipate obtaining approval soon.

 

Special Food Requests
Passengers may bring their own food if they are concerned about eating. They need to be advised there is no way to heat or chill the food (except ice). American Airlines cannot request specific food items to be included or excluded for any meal service, e.g., shellfish or red meat.

 

Stretchers
American Airlines does not accept passengers on stretchers. Please refer to air ambulance service:

AMR Service Flight Center (Phoenix)
Domestic/International
1-800-280-3822


 

Syringes, Needles And/Or Injections
Legitimate intra-muscular or subcutaneous medical treatments are permitted in flight provided no assistance in administration is required from the flight crew, and the shot is administered in a discreet manner by the passenger. The need for in-flight injections other than insulin should be confirmed by a medical certificate.

The passenger is responsible for needle recapping and proper disposal in a personal unit. If they do not have one, they need to alert the flight attendant, who will dispose of it properly. Syringes and needles must have corresponding medication containing a professionally printed label or a manufacturer or pharmaceutical label.

Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.


 

Travel Attendants

American Airlines and American Eagle will not require qualified disabled individuals to travel with attendants as a condition of acceptance for transportation, except for the few conditions noted below. American Airlines and American Eagle will not require an attendant solely because of inaccessible aircraft lavatories or perceived needs for extensive special assistance for personal needs.

Exceptions Calling For Attendants:
American Airlines may require a qualified disabled individual meeting any of the following criteria to have an attendant for travel if an attendant is essential for safety.
  • A person who, because of a mental disability, is unable to comprehend or respond appropriately to safety instructions.
  • A person with a mobility impairment so severe that the person is unable to assist in their own evacuation of the aircraft.
  • A person who has both severe hearing and severe vision impairments, and who is unable to establish some means of communication with the flight crew to receive a safety briefing.

 

Unable To Sit Upright
Customers who are unable to sit upright are not accepted for travel. See information for body casts for the only exception to this rule.

 





Ventilators
All ventilator accommodations are handled through SAC. They will determine if the model and battery can be accepted on the aircraft. Document the PNR and queue to Special Assistance Coordinators at DFW105/11 for follow-up or contact American Airlines Reservations for assistance.

Updated August 26, 2014



 




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