Resources: Sample Travel Letter for Tube and IV Consumers |
Sample Travel Letters
Click on the links to download a copy of the following sample letters in MS Word; or copy and paste the text below. If you are traveling to a country where English is not commonly spoken, you should consider translating your letter into the native language. Several online translation services are available free of charge. Sample Letter for Tube-fed Consumer (text to copy and paste)Date
To Whom It May Concern:
My patient, patient name , requires specialized nutrition support to sustain his/her life. He/She has an enteral feeding tube placed in his/her abdomen and sustains his/herself by pumping a nutritional formula through this tube.
** If you will need to pump formula during the flight add: Because of his/her medical condition, he/she will need to infuse formula through his/her tube during the flight.
He/She may be traveling with any combination of the supplies listed below:
These supplies are medically necessary and could be difficult to obtain while he/she is away from his/her local physicians and suppliers; therefore I request that he/she be allowed to carry them with him/her .
Please do not hesitate to contact me at (_____) _____ – ________ if you have any questions or need additional information.
Very sincerely, physician’s name physician’s title
Sample Letter for IV-fed Consumer(text to copy and paste)Date
To Whom It May Concern:
My patient, patient name , requires specialized nutrition support to sustain his/her life. He/She has a central venous catheter placed in his/her chest/neck/arm/leg and sustains his/herself by pumping a nutritional formula through this catheter.
** If you will need to infuse during the flight add: Because of his/her medical condition, he/she will need to infuse fluids through his/her catheter during the flight.
He/She may be traveling with any combination of the supplies listed below:
These supplies are medically necessary and will be difficult to obtain while ___he/she___ is away from ___his/her___ local physicians and suppliers; therefore I request that he/she be allowed to carry them with him/her .
Please do not hesitate to contact me at (_____) _____ – ________ if you have any questions or need additional information.
Very sincerely, physician’s name physician’s title |