| Price shown | Homepage: "Doctor's / Sick Note $29 Same day", also "Doctor's / Sick Note $29–35 Same day", "Medical Certificate / Forms $35+ Same day–48h" (https://www.usmedicalnotes.com/, seen 2026-09-23) | Pricing page: Doctor's/Sick Note $29; School/College Note $29; Return-to-Work $35; Medical Certificate $35; Jury Duty Excuse $35; Gym/Contract Cancellation $35; Medical Forms from $49; FMLA from $49; Travel/Trip Cancellation from $49; Rush upgrade "$10 extra for priority review within 2 hours" (https://www.usmedicalnotes.com/pricing) | "$29" "one flat price · no subscription" (https://www.usmedicalnotes.com/doctors-note-for-work) 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 | "Fill out a short online form or chat with us , takes about 2 minutes" (homepage); how-it-works references "a real telehealth assessment" without specifying video/phone. | "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 | "Most notes in hours" / "Most notes are delivered within hours" (homepage); "Most doctor's notes are delivered the same day , frequently within a couple of hours of your request" (how-it-works). | "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 | No physician named on the pages read | 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 | Homepage lists California, Texas, Florida, New York plus cities; /locations page title says "All 50 States" with dedicated pages only for Texas, California, Houston TX; about page: "Licensed in multiple states"; "every note we issue comes from a provider licensed in the state where you're located". | 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 | "You only pay if a licensed provider issues your note , full money-back guarantee otherwise." (pricing). Terms: "If a provider determines that documentation is not clinically appropriate and none is issued, you are eligible for a refund as described in our Refund Policy." /refund-policy returned 404 on 2026-09-23. | 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 | "100% Money-back if not issued" (homepage); "Money-back if no note is issued" (work page) | "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 | Not shown | "7,300+ notes issued" (homepage and about page, corrected 2026-09-23 to the production count of 7,334 approved notes) source |
| Trustpilot | HTTP 404 , no Trustpilot profile exists for this domain. Site shows "4.9★ Rated by patients" and "★★★★★ Rated by patients nationwide" with no source or count; /reviews page shows 10 on-site testimonials with no aggregate.; (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 | No BBB profile found | No BBB profile found |
| Domain registered | 2026-08-31, registrar Wix.com Ltd., registrant hidden | 2024-02-21, registrar GoDaddy.com, LLC, registrant hidden |
| Company named in the terms | Not stated. Terms: "governed by the laws of the state in which US Medical Notes is organized" (state unnamed); no entity type or address. Footer: "© 2026 US Medical Notes. All rights reserved." Privacy policy lists phone "(888) 555-0100" and no email or address. | "© 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 | "Your note includes the provider's name, credentials, and contact details, so the people who receive it can verify it's real." (how-it-works). Homepage FAQ heading "Can my employer verify it?" with no rendered answer. | "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. How-it-works: documentation is "signed, dated, and carrying verifiable provider details"; NPI, license, QR not mentioned. | 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 |