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Special Assistance

Information for passengers with reduced mobility

If you have a disability of any kind or your mobility is reduced, for example because of age or temporary injury, airlines may offer a range of free services to help you at the airport and on board of the flights. We have put together this document to provide answers to questions you may have about your journey, which will help you book with confidence. We strongly encourage you to read the policy of you operating carrier regarding customers with disabilities.

Who to contact for special assistance?

We recommend you contact the involved airports and airline directly and request special assistance when you fly, as needed. To ensure such special assistance is available to you, you need to book your flight and request such services from your operating carrier at least 48 hours in advance of your scheduled departure. If you have trouble contacting the airport or airlines to request such services, please call our customer service team, and we will endeavor to notify the airport and the airlines of your request for special assistance.

Will I need someone to travel with me?

In order to meet safety requirements, the airlines may deny your reservation or require you to travel with a companion for your own safety and that of other passengers. That person would be responsible for assisting you in the event of an emergency if you are unable to help yourself.

Generally, the people who are likely to need a companion are those who:

  • have a severe learning or cognitive disability which prevents them from understanding or reacting to safety instructions; or are both blind and deaf so they are unable to understand and react to safety instructions; or have a disability that prevents them from moving without assistance to reach an emergency exit.

To decide whether you are self-reliant or need to travel with a companion, think about whether you can manage the following activities without help. Can you:

  • fasten and unfasten your seat belt?
  • leave your seat and get yourself to an emergency exit (this does not need to be by walking)?
  • put on an oxygen mask?
  • feed yourself?
  • lift yourself from a passenger seat to an on-board wheelchair?
  • use the toilet facilities unaided?
  • administer your own medicine?
  • breath without being reliant on supplementary oxygen?

If you do need someone to travel with you, that person must be over 18 years old and physically capable of helping you in an emergency. Such person can travel with a maximum of 2 passengers requiring additional special assistance.

If in doubt, please make sure that you contact the airline and ask if you would be required to have a carer travelling with you.

Wheelchair Users and Mobility Aids

It is your responsibility to provide sufficient information about your wheelchair/mobility aid and batteries prior to travel. Airlines policies on carrying wheelchairs and mobility aids can be found on their websites or by calling the airline directly or by contacting us. In addition, under the Air Carrier Access Act and Department of Transportation rules that implement it, domestic and international airlines must provide boarding, deplaning and connecting assistance, including both personal and equipment, to passengers with disabilities who have requested it.


Stretchers are not carried on-board Thomas Cook Airlines flights. For other airlines, please contact the airline directly.


For safety reasons customers are not permitted to carry their own oxygen for use on-board. Please contact the airline directly for more information.


Customers carrying syringes and/or needles must carry a doctor's note or a repeat prescription as confirmation of medical requirement. Please read the following important advice about travelling with medication.

We recommend that you carry enough medical supplies to cover use in-flight, plus sufficient for 2-3 days use upon arrival. The remainder should be packed in the hold, (the temperature of which is maintained between 4 and 5 degrees centigrade).

Have a letter from your GP confirming the name and type of medication being carried, with prescribed doses. The letter should state what the medication is for and any other medical items required. For example, syringes or EpiPens, that might otherwise be questioned by local security or customs.

The medication should be in its original packaging, clearly pharmaceutically labelled identifying it as prescribed and belonging to you.

It is advisable to obtain a repeat prescription from your GP and take this with you when you travel abroad so that medication can be replaced in event of loss, damage or having insufficient supplies.

Please be aware that some medication may contain ingredients that are considered illegal in other countries. You are advised to check with the Embassy of the country you are going to.

Needles and Syringes

The carriage of needles and syringes is permitted onboard for the treatment or control of medical conditions. However, you must also carry supporting documentation in the form of either:

A letter from your GP confirming the type of medication and what it is for. Or,

If you do not have a GP's letter, the medication must have a printed pharmaceutical label identifying it as prescribed and belonging to you.

A "sharps" box to dispose of needles safely and hygienically is available onboard - please ask the crew.

Hearing Impaired

If you are hearing impaired and require assistance, please contact us or the airline directly (see the "Whom should I contact" section above). If required, an escort can be provided to and from the aircraft. Airlines offer separate briefing or subtitled in flight safety video about safety procedures for deaf and hard of hearing customers on-board. If you are hearing impaired, please contact us so that we can make the necessary arrangements.

Visually Impaired

If you are blind or visually impaired and are unable to travel without assistance you may need to travel with a care provider who must purchase a seat. The assistance that airlines offer visually impaired passengers may include an escort to and from the aircraft, individual safety briefings, and assistance during the flight. Please contact the airline or call us for specific details.

Expectant Mothers

Each airline has its own policy with regard to expectant mother. Please check with each airlines' policy to ensure boarding is possible. Expectant mothers should be generally accepted without a medical certificate up to the end of the 27th week of pregnancy. Between 28 and 34 weeks of pregnancy a medical certificate may be required. This must confirm the expected date of delivery and confirm fitness to fly (doctors letter must have been written no earlier than 6 weeks before the outbound date of travel).

Expectant mothers may not be accepted under any circumstance after 34th week of pregnancy on international flights and within 30 days of their delivery date on domestic US flights.

In the case of a multiple pregnancy the pregnancy should generally not be beyond the 32nd week at the time of the return inbound flight.

Please contact the airline for its specific policy.

Cruise lines will not accept passengers who have entered their 24th week* of pregnancy or beyond. All pregnant women are required to provide a letter to state both mother and baby are in good health and fit to travel.