| Price shown | "Visits start at $34" (https://sesamecare.com/, seen 2026-09-23); doctor's-note page: "as low as $34" (https://sesamecare.com/complaint/doctors-note). Prices are set per provider on the marketplace. source | "$29.99 flat pricing" / "The price is a flat $29.99" (https://www.sickslip.co/, seen 2026-09-23); "$29.99" (https://www.sickslip.co/doctors-note-for-work and https://www.sickslip.co/real-doctors-note) source |
| How the visit works | Video visits with licensed providers ("MDs, DOs, PAs, and NPs") booked on the marketplace (doctors-note page). Terms: Sesame "facilitates the marketing and sale of health care services by health care providers" and is not itself a provider. | "Complete a short health intake , your symptoms, the dates affected, and who the note is for. Two minutes from your phone." "No video call: the U.S. Department of Health and Human Services counts secure messaging with your provider as telehealth." (https://www.sickslip.co/how-it-works). Terms: a "documentation-focused digital platform designed to facilitate licensed clinician review of absence-related medical documentation". source |
| Promised turnaround | Same-day availability; notes ready "shortly after your visit" (doctors-note page). | "same-day delivery" / "delivered the same day" (homepage, how-it-works); "Most notes are reviewed and delivered the same day, often within hours" (doctors-note-for-work); page title "Ready in Minutes". |
| Physician named on the site | Yes: Dr. Allison Edwards, MD (medical reviewer of the page; individual providers are listed per booking) source | Yes: Adam Z. Kawalek, MD (Board-Certified Internal Medicine) source |
| NPI shown, and what the federal registry returns | Not shown | Shown: 1326223306 (homepage, how-it-works, about, about/dr-adam-kawalek). Federal registry returns: 1326223306, ADAM KAWALEK, M.D., Hospitalist (primary, CA A98208); Internal Medicine (OR CP209872, MD D92157), Active. NPPES lists only three state licenses (CA, OR, MD); the site's 29-state list is not verifiable from NPPES alone. source |
| States claimed | "all 50 states" (doctors-note page). | 29 states listed by name on the homepage FAQ, how-it-works and the physician page (AL, AZ, CA, CO, CT, FL, GA, IL, IN, IA, KS, LA, MD, MA, MI, MS, MO, NE, NY, NC, OH, OK, OR, PA, TN, TX, VA, WA, WI). The federal NPI registry lists three of those licenses (CA, OR, MD); the rest are state medical board records. source |
| Refund policy | Terms: virtual visits may be cancelled up to 3 hours before and in-person up to 24 hours before for full refunds; memberships cancellable up to 48 hours before renewal (https://sesamecare.com/terms-of-service). source | Homepage: "if a note can't be issued, you receive a full refund". Terms: refunds when requests are denied before clinician review, on technical failure, or if an employer rejects documentation; no refund if documentation was issued as submitted and accepted, or if fraudulent information was provided (https://www.sickslip.co/terms). source |
| Guarantee claims | "No insurance needed" / "upfront, affordable pricing" / "no surprise bills" (doctors-note page) , no acceptance guarantee | "No Note, No Charge" / "100% refund if we can't issue your note" (homepage, doctors-note-for-work, real-doctors-note) , no employer-acceptance guarantee text |
| Patient-count claims | "1M+ patients agree" (https://sesamecare.com/) source | "7,300+ notes issued" (homepage and about page, corrected 2026-09-23 to the production count of 7,334 approved notes) source |
| Trustpilot | 4475 reviews, score 4.6; claimed profile; paid Trustpilot subscription; The site itself says: " / 4 / . / 5 / / o / n / / T / r / u / s / t / p / i / l / o / t / " / / ( / h / o / m / e / p / a / g / e / ); (read 2026-09-23) source | 66 reviews, score 4.8; claimed profile; The site itself says: "4.8 on Trustpilot" (homepage, about, doctors-note-for-work, real-doctors-note); (read 2026-09-24) source |
| Better Business Bureau | Rating A+, accredited, 119 closed in last 3 years complaints source | No BBB profile found |
| Domain registered | 2018-07-02, registrar NameCheap, Inc., registrant shown | 2024-02-21, registrar GoDaddy.com, LLC, registrant hidden |
| Company named in the terms | "© 2026 Sesame, Inc. All rights reserved." (footer); terms: "Sesame, Inc. (d/b/a Sesame or SesameCare)", governed by New York law, "200 Broadway, 3rd Floor, New York, NY 10038". | "© 2026 SickSlip, Inc" (footer). Terms and privacy: "SickSlip, Inc., a Delaware corporation"; "Clinical review and issuance of documentation are provided exclusively through SickSlip P.A., a Florida professional association." Address "8605 Santa Monica Boulevard, Suite 227120 West Hollywood, CA 90069" (footer shows "8605 Santa Monica Blvd, Los Angeles, CA 90069"); phone (877) 861-4165. |
| How an employer verifies a note | Not shown | "Scan the QR code" or "call our verification line at (877) 861-4165" (homepage); /verify: "Enter the Document ID from the physician's note to verify its authenticity" plus phone (877) 861-4165 and an AI-assistant connector option; how-it-works: verifier sees document ID, issue date, absence period, return date, certifying physician and NPI, "Patient name and condition are never shown to employers". |
| What the sample note shows | No sample note found. | Sample notes on the landing pages show the physician name, NPI, the state medical license line, dates, a document ID and a verification link. Earlier in 2026 the mock printed placeholder DEA and license strings; removed 2026-09-23. The real PDF prints NPI and the state license number, no DEA number. source |
