To request for specific services, please fill in our form.

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

Please complete this form for each person requesting specific assistance. Details for additional persons can be added once this request is submitted. To help you assess whether a request should be made, please review our information on independent travel criteria. If you have recently had surgery or have a medical condition, you may require clearance to travel. Please review our Medical Clearance Guidelines. We will be in touch to discuss your request and to advise of any additional terms and conditions which may apply to your booking.

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Assistance information
Please complete the sections that apply to your needs.

Virgin Australia Airlines Pty Ltd is collecting your personal information to process and respond to your request. We may share your information with other companies in the Virgin Australia Group, such as Velocity Frequent Flyer Pty Ltd. We ask that you only  share sensitive information with us, such as health information, where it is necessary for your request. If you do, you consent to us collecting and using that sensitive information to respond to your request. If you’re including personal information about anyone else, please make sure you have their permission. We’ll handle personal information in accordance with our Privacy Policy. It includes details about making a privacy complaint or an access or correction request, and when we may share personal information with third parties (including those located overseas).