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Who needs a doctor’s note?

Who needs a doctor’s note?

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Nationwide
Coverage

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HIPAA
Compliant

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200+
Doctors

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Nationwide
Coverage

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HIPAA
Compliant

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200+
Doctors

What is your name?

We need the name of the parent/guardian authorized to request the note on behalf of the patient in order to approve requests on behalf of someone else.

Please enter your first name.
Please enter your last name.

What is the patients name?

Please provide the name of the person you are requesting the note on behalf of.

Please enter your first name.
Please enter your last name.

What is the patients date of birth?

What is the patients date of birth?

Please select a date.

I, @GuardianFirstName @GuardianLastName, authorize the release of medical information and the issuance of a doctor's note for, @MinorFirst-Name @MinorsLastName. I confirm that I am either:

  • The legal parent or guardian of the patient (if the patient is a minor), OR

  • The legally authorized representative (such as someone with power of attorney or other legal authority) for the patient (if the patient is an adult)

    and have the authority to make this request.

Please provide the patient's symptoms and medical details when requesting a note.


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Are you over the age of 18?

Are you over the age of 18?

Note: Patient's under the age of 18 will need a guardian to be the point of contact for our doctors. 

Note: Patient's under the age of 18 will need a guardian to be the point of contact for our doctors. 

Is this your first time requesting a doctors note?

Is this your first time requesting a doctors note?

We'll walk you 

through the process

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💡 Complete our 3 minute quiz.
🩺 A licensed doctor reviews your intake.
📩 Receive your note today.

Unfortunately, we cannot provide doctor's notes for patients under 18 years old. 


Please have your parent or legal guardian complete this request form.

Unfortunately, we cannot provide doctor's notes for patients under 18 years old. 


Please have your parent or legal guardian complete this request form.

What do you need a doctor's note for?

What do you need a doctor's note for?

Please confirm this is for a basic absence note only

Please confirm this is for a basic absence note only

Note: We cannot help with insurance claims, FMLA, disability, work restrictions, or worker's compensation.

Note: We cannot help with insurance claims, FMLA, disability, work restrictions, or worker's compensation.

What is the medical reason for your note?

What is the medical reason for your note?

We won’t disclose any personal details on your doctors note per HIPAA regulations.

We won’t disclose any personal details on your doctors note per HIPAA regulations.

Unfortunately we cannot provide the documentation you require.

Unfortunately we cannot provide the documentation you require.

Please follow the below link, so we can redirect you to the proper service.

IMPORTANT: Trust Medical is for mild illness only

This form is NOT a diagnosis or medical advice. It is only meant to help document your absence from work,school, or similar. DO NOT continue if you have any of the following symptoms. 

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Fever over 103°F 

id-34e52887

Difficulty breathing

id-a78cd78a

Chest pain

id-eeda7e1f

Confusion or disorientation

id-99517173

Symptoms lasting over 10 days 

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Severe abdominal pain

id-84d6f740

Sudden dizziness

id-f6577986

Uncontrolled bleeding

id-e2cf4340

Severe allergic reaction

id-cf52d801

Thoughts of harming self or others

IMPORTANT: Trust Doc is for mild illness only

This form is NOT a diagnosis or medical advice. It is only meant to help document your absence from work/school. DO NOT continue if you have any of the following symptoms. 

id-8d81c3a1

Fever over 103°F 

id-1dda7085

Difficulty breathing

id-92ba5221

Chest pain

id-c12a27c3

Confusion or disorientation

id-69c98e17

Symptoms lasting over 10 days 

id-f83116b8

Severe abdominal pain

id-b58ed70e

Sudden dizziness

id-a2c387c6

Uncontrolled bleeding

id-f19dab7f

Severe allergic reaction

id-830ca76f

Thoughts of harming self or others

IMPORTANT: Trust Doc is for mild illness only

This form is NOT a diagnosis or medical advice. It is only meant to help document your absence from work/school. DO NOT continue if you have any of the following symptoms. 

id-00315ea0

Fever over 103°F 

id-bd69e557

Difficulty breathing

id-7af78a63

Chest pain

id-97ab43d4

Confusion or disorientation

id-9b1f7f7a

Symptoms lasting over 10 days 

id-c1204485

Severe abdominal pain

id-dc190394

Sudden dizziness

id-1ef3214c

Uncontrolled bleeding

id-063ee757

Severe allergic reaction

id-23e1d9c4

Thoughts of harming self or others

What type of injury are you recovering from? (Select one)

Your doctor's note WILL NOT include information about your illness or symptoms.

Describe your injury.

Your doctor's will use this information to review your doctors note request.

Please specify an answer

What general health issue are you experiencing? (Select one)

What general health issue are you experiencing? (Select one)

Your doctor's note WILL NOT include information about your illness or symptoms.

Select your cold/flu symptoms (choose all that apply).

Select your cold/flu symptoms (choose all that apply).

Select your symptoms (choose all that apply).

Select your symptoms (choose all that apply).

Select your allergy symptoms (choose all that apply).

Select your allergy symptoms (choose all that apply).

Select your digestive symptoms (choose all that apply).

Select your digestive symptoms (choose all that apply).

Select your menstrual symptoms (choose all that apply).

Select your menstrual symptoms (choose all that apply).

Select your mental health/stress symptoms (choose all that apply).

Select your mental health/stress symptoms (choose all that apply).

Select your migraine symptoms (choose all that apply).

Select your migraine symptoms (choose all that apply).

Select your Covid-19 symptoms (choose all that apply).

Select your Covid-19 symptoms (choose all that apply).

Over the past two (2) weeks, have you had thoughts of suicide?

If yes, please contact emergency services or go to your nearest emergency room immediately. Trust Medical cannot provide the urgent care you need right now.

Unfortunately we cannot provide the documentation you require. Please contact emergency services or go to your nearest emergency room immediately.

Immediate Crisis Support

  • Call 911 immediately if you or someone else is in immediate danger or has attempted suicide

  • Go to your nearest emergency room

  • Stay with someone you trust until you can get help

Additional Mental Health Resources

Please review our mental health resources linked here  and we encourage you to seek the appropriate help for your needs.

Our services are HIPAA compliant.

Our doctors notes are HIPAA compliant.

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Doctors notes include: the doctor's full name, credentials, contact information, and letterhead.

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We protect your privacy: When you need time away from work or school, we handle your information with care. We verify your absence while keeping your health information confidential. As required by HIPAA privacy laws, we only confirm attendance dates – never your medical details or diagnosis.

Our customers have rated us 4.9 out of 5 stars for our 100% issue resolution rate and 99% doctor's note acceptance rate.

We limit doctor's note requests to 5 days of absence within any 30-day period

We limit doctor's note requests to 5 days of absence within any 30-day period

How many days do you need to be excused?

How many days do you need to be excused?

For compliance, excusal requests are limited to a maximum of 5 days within a 30-day period.

What day will you be absent?

What day will you be absent?

We need the exact date(s) you will be absent to include in your doctor's note.

Please select a date.

What date will you return?

What date will you return?

We need to include your return date in your doctor's note.

Please select a date.

What is the first day you will be absent?

What is the first day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the second day you will be absent?

What is the second day you will be absent?

We need the exact date(s) you will be absent to include in your doctor's note

Please select a date.

What date will you return?

What date will you return?

We need to include your return date in your doctor's note.

Please select a date.

What is the first day you will be absent?

What is the first day you will be absent?

Please select a date.

What is the second day you will be absent?

What is the second day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the third day you will be absent?

What is the third day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What date will you return?

What date will you return?

We need to include your return date in your doctor's note.

Please select a date.

What is the first day you will be absent?

What is the first day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the second day you will be absent?

What is the second day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the third day you will be absent?

What is the third day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the fourth day you will be absent?

What is the fourth day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What date will you return?

What date will you return?

We need to include your return date in your doctor's note.

Please select a date.

What is the first day you will be absent?

What is the first day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the second day you will be absent?

What is the second day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the third day you will be absent?

What is the third day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the fourth day you will be absent?

What is the fourth day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What is the fifth day you will be absent?

What is the fifth day you will be absent?

We need the exact dates you will be absent to include in your doctor's note.

Please select a date.

What date will you return?

What date will you return?

We need to include your return date in your doctor's note.

Please select a date.

How soon do you need a doctors note?

How soon do you need a doctors note?

We'll match you to a doctor with the right availability that meets your timeline.

What state are you in?

What state are you in?

We'll match you to a doctor licensed in your state. 

Is having a money back guarantee important to you?

Is having a money back guarantee important to you?

We've got your back!

We've got your back!

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TrustMedical is the only doctors note service that offers a 100% money back guarantee if you run into issues with your note for any reason.

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Did you know less than 1% of notes written by our medical team are rejected by work or schools?

Are you nervous about presenting your doctors note?

Are you nervous about presenting your doctors note?

We've helped 170,000+ people

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Our customers rate us 4.9 out of 5 stars for our 100% issue resolution rate.

What is your email?

What is your email?

This email is where we'll send your approved doctors note.

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Please enter a valid email.

What is your date of birth?

What is your date of birth?

Please select a date.

What is your name?

What is your name?

We need this information to include in your letter.

Please enter your first name.
Please enter your last name.

What is the name of your school or employee? 

What is the name of your school or employee? 

We need this information to include in your letter.

Please check your information.

Please check your information.

Before you continue, please make sure your information is correct.

Full Name: @firstname @lastname

Date of Birth: @DOB

State: @state

Email: @email

IMPORTANT: We use this information for your doctor's note.

By continuing, I agree to TrustDoc's terms & conditions, privacy policy, HIPAA consent and telehealth consent.

By continuing, I agree to TrustDoc's terms & conditions, privacy policy, HIPAA consent and telehealth consent.

How did you hear about Trust Medical?

How did you hear about Trust Medical?

Thank you! You are almost there.

Thank you! You are almost there.

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Secure your spot with one of our doctors by checking out on the next page.

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We'll match you to a licensed doctor in your state.

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Receive a confirmation via email that your doctor is reviewing your intake form.

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Receive your doctor's notes within the hour.


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You've been approved!

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What You Get With Your Doctor's Note?

The perfect option for when you are missing school or work.

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Licensed Doctor

A licensed MD in your state will review your form.

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Fast Delivery

Your approved note will arrive within 30 minutes.

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Satisfaction Guarantee

We'll refund you 100% if you run into any issues.

24/7 Support

Your employer or school can reach us 24/7 for verification at our support email or 202-681-1080.

What happens next?

Dr. Jason Buchwald

Dr. James Buchwald

Let's get you that doctor's note so you can focus on feeling better!

1

We match you to a licensed doctor in your state who will review your form.

2

Expect letter delivery within 30 minutes.

3

We'll send your letter to your email along with support information should your employer or school require verification.

Order Summary

Original Price $42.85
30% Off Limited Time -$12.86
Final Price $29.99
Safe & secure checkout
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*Your doctor's note will be sent to this email.
100% Risk-free

Money Back Guarantee

If your Doctor's Note is not approved by your school or work, we will refund 100% of your payment. We have <1% rejection rate.

Jessica S.
★★★★★

"The process was incredibly smooth and professional. I received my doctor's note quickly and had no issues with my employer accepting it. Highly recommended!"

Jessica S.

Verified patient

Please click continue to get connected with your doctor.

Please click continue to get connected with your doctor.

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