LifeLine Pilots Flight Request

Flight Request Application

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See if you qualify for free medical and compassion flights.

Click on Yes, No, or Don't know in response to these important questions.

1.  Is this your first flight or request with LifeLine Pilots?*

If you have flown or made a request with LifeLine Pilots in the past, please call the office at 800-822-7972 to schedule your next flight.

2.  Is your donated flight needed after Wednesday, November 20th?*

Generally, we require 5 business days advance notice to find a volunteer pilot for your flight. In some cases, we can accommodate shorter term requests.
You don’t need to know the exact date of your appointment in order to complete the flight request, however, we will need to have a firm appointment before we can start looking for volunteer pilots for your flight. Please be aware that we generally require 5 business days advance, but we can sometimes accommodate shorter term requests.

3.  Do you have, or can you get a physician's medical release?* Help: What is a medical release and why do I need one?"

Before we can start looking for volunteer pilots to fly you, we will need to have a physician verify that the passenger is medically stable and able to fly in a small, unpressurized aircraft and that a passenger's condition will not affect the safety of the flight.
Before we can start looking for volunteer pilots to fly you, we will need to have a physician verify that the passenger is medically stable and able to fly in a small, unpressurized aircraft and that a passenger's condition will not affect the safety of the flight. Please see the help text if you need further clarification.

4.  Are 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 flight?*

LifeLine Pilots flights are generally flown by volunteer pilots in their own aircraft. Our pilots are not medically trained and their aircraft are not equipped to accommodate medical equipment. To comply with FAA regulations, any passenger must be able to sit up and fasten a seatbelt around them. For this reason, the passenger must meet these criteria in order to use LifeLine Pilots. If you are not ambulatory, we can sometimes accommodate you on a commercial flight.
please call the office at 800-822-7972 to get more specifics about what is involved with boarding a small aircraft.

5.  Do you have a financial need or a compelling reason why you can't use public transportation?*
Help: What do you mean by financial need or compelling reason?

LifeLine Pilots flights are flown by volunteer pilots who donate their time as well as the costs of the flight. LifeLine Pilots is a charitable service serving people in need. For this reason, we require that passengers have a financial need, or have a compelling reason why they cannot travel commercially.
Please consult the help text to get more specifics about what we mean by financial need or other compelling reasons.

6.  Where will this flight begin and end?

You don’t need to know the exact location of your appointment in order to complete the flight request, however, we will need to have a firm appointment before we can start looking for volunteer pilots for your flight. Please be aware that if the location falls outside our territory, we may need to refer you to another organization.
We were not able to find the zipcode you entered in our database. Please note that the passenger lives outside LifeLine Pilots's territory. Please complete your flight request, and we will refer it to the appropriate organization in your area.
Please note that the passenger lives outside LifeLine Pilots's territory. Please complete your flight request, and we will refer it to the appropriate organization in your area.
Please note that the flight you’ve requested is longer than we can generally accommodate in our small private aircraft. Please complete your request, and we will advise if we can accommodate the request with a commercial airline partner or if another charitable organization may be able to help you.