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Getting Through US Security

(** indicates a policy/program that has been changed or removed by the Trump administration)

1. TSA Cares
(855)787-2227 is a helpline that provides travelers with disabilities, medical conditions and other special circumstances additional assistance during the security screening process. You may also request assistance through the TSA screening checkpoint by completing this form. Call 72 hours prior to traveling with questions about screening policies, procedures and what to expect at the security checkpoint.


2. Travelers requiring special accommodations or concerned about the security screening process at the airport may ask a TSA officer or supervisor for a Passenger Support Specialist who can provide on-the-spot assistance.
  • TSA Passenger Support
    From the TSA website: "TSA offers screening information and assistance to travelers upon request through TSA Cares at (855) 787-2227. TSA Cares is designed to assist travelers with disabilities and medical conditions and others who may need additional assistance with screening. TSA Cares is staffed, to provide travelers information on what to expect during the screening process, from 8 a.m. to 11 p.m. ET, Monday through Friday, and from 9 a.m. to 8 p.m. ET on weekends and holiday.
    Through TSA Cares, a traveler may request the services of a TSA Passenger Support Specialist (PSS), who can provide assistance through security screening.  A PSS is a TSA officer who has received specialized training, including how to effectively assist and communicate with individuals with disabilities or medical conditions; and travelers who need additional screening assistance. Requesting PSS service does not exempt you from security screening."
    • TSA Cares is a helpline (855) 787-2227 or submit an online form
    • Passenger Support Specialists
    • Disabilities and Medical Conditions-Alzheimer’s, Dementia, and more
    • TSA Notification card
    • Screening for Passengers 75 and Older

3. TSA announces measures to implement gender-neutral screening at its checkpoints **

4. Inform the TSA officer if you or your traveling companion have Alzheimer’s disease, dementia, aphasia, or brain injury and require assistance with the screening process. You may provide a TSA notification card or other medical documentation to inform the TSA officer.

5. TSA officers can screen travelers with Alzheimers disease, dementia, aphasia or traumatic brain injuries without separating them from their traveling companions. You and/or your companion can inform the TSA officer about the best way to approach and conduct the screening, especially if it is necessary to touch the passenger during the screening. If your companion provides assistance during screening, he/she will need to be rescreened. You or your traveling companion may ask to be screened in a private screening area.

6. TSA policy concerning TSA officers at checkpoints wearing masks is subject to change and should be monitored so you know what to expect. According to prior policy, all TSA officers at checkpoints wore masks and gloves due to COVID-19 policies. TSA officers optionally wore eye protection and clear plastic face shields at some locations. If the person living with dementia is frightened and discomforted by interacting with someone whose face is partially obscured, the officer may be willing to lower their mask and maintain social distance while interacting with you. This will depend on current TSA policy. 
 
7. Travelers may be asked to lower face masks to verify their identity at security checkpoints. Be prepared for this​.

8. If you get to the airport and find that official ID is missing, politely explain the situation to the TSA agent.  An alternative form of ID may be sufficient. 


9. Ensure that the person with dementia is completely ready to go through security by removing a jacket, water bottle, emptying pockets, etc. Ask what needs to come off (some airports want watches off) so that extra time and screening are unnecessary. Let each TSA agent know that you are with a person living with dementia - by conversation, TSA Notification Card, Companion Card or the Sunflower lanyard.

10. To avoid removing any tracking devices when going through security, inform the TSA agent that the person living with dementia is wearing a medically necessary device and that It cannot be removed for medical reasons.  Any questions about the device can be resolved by visual inspection. It is most helpful to prepare for this circumstance by describing the device when filling out a TSA Notification Card about the person living with dementia.

11. Have the person living with dementia go through TSA screening sitting in a wheelchair whenever possible.  They do not need to walk through the scanner, even if physically able, as those instructions may cause more confusion.  Stay next to them until the agent comes to open the door or gate to take them through in the chair. 

12. Try to go through the scanner at the same time, so you can immediately meet the person living with dementia on the other side. Keep their attention focused on you (use eye contact!) and offer reassurances and explanations about the process.  

13. If the pat-down procedure is required converse amicably while keeping the person living with dementia engaged and comfortable during the process.  Pick up belongings after the pat down.

14. Screening for Passengers 75 and Older

Passengers 75 and older can receive some form of expedited screening through risk-based intelligence-driven security that allows TSA to better focus resources on passengers who more likely pose a risk.

Screening Benefits
  • ​You may leave on your shoes and light jacket during screening.
  • If you alarm during security screening, you may be required to remove your shoes for further screening or undergo a pat-down. You can request to be seated during this portion of the screening.
  • Passengers 75 and older who are unable to stand for screening will be screened through other security methods.
  • Should you travel with medical devices and/or implants, other screening procedures may apply.

Items 1-5, and 14 are from the TSA website. Consult this site for up-to-date information about traveling with special needs.
Items 8-9, 11-13 adapted with permission from Carol Giuliani - Senior Travel Companion Services, LLC
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  • Dementia-Friendly Airports - Details
    • What is a Dementia-Friendly Airport?
    • Current Status of Dementia-Friendly Airports
    • Regulations and Guidance for Hidden Disabilities Air Travel >
      • United States
      • United Kingdom
      • Australia
      • European Union
      • Canada
      • International Air Transport Association (IATA)
    • Tools for Becoming a Dementia-Friendly Airport
  • Training Resources
    • Delivering Dementia-Friendly Customer Service
    • Dementia Basics for Air Travel Industry Workers
    • Airport Scenarios - Teepa Snow/DFAWG Collaboration
    • For Air Travelers
  • About Us
    • Members
    • Participating Airports
    • Projects >
      • TSA Security Screening Guidance >
        • Screening Passengers with Dementia (Part 1)
        • Screening Passengers with Dementia (Part 2)
        • In the Words of an Individual Living with Dementia - What He Would Like You to Know
      • Survey
      • Interviews
    • Logo
  • Media
    • Local Media
    • National Media
    • Presentations
    • Academic Publications
  • Resources for Travel
    • Know Your Rights
    • Flight Process Start to Finish >
      • 1. Before Booking Flights
      • 2. Booking Flights
      • 3. Preparing for Flight
      • 4. Arriving at the Airport
      • 5. Getting Through US Security
      • 6. Navigating to Your Gate and Boarding the Plane
      • 7. Flying
      • 8. Arriving at Your Destination
    • Tools for Travel
    • Travel Tips
    • Covid-19 Air Travel Policies
  • Contact Us