Specific service request form

Request assistance for your Virgin Australia flight

You can read about how we’ll handle your personal information below.

Independent travel criteria.

To help you assess whether a request should be made, please review our information on independent travel criteria.

Please review our Medical Clearance Guidelines.

If you have recently had surgery or have a medical condition, you may require clearance to travel.

Please complete this form for each person requesting specific assistance. Details for additional persons can be added once this request is submitted.