Work or school absence note: reviewed online, no appointment.
Out sick for up to 3 days? Answer a short online questionnaire (about 2 minutes). A licensed medical provider reviews it and, if appropriate, your signed note is emailed to you the same day*!
- $49 flat fee
- Same-day delivery for requests before 8 PM ET
- For absences of up to 3 days
- Full refund if we can't issue a note
No appointment needed. About 2 minutes to complete. *Requests submitted before 8pm EST receive note the same day. Requests submitted after 8pm EST receive notes the next day.
Full refund if we can't issue a note for your situation.
Three easy steps. No appointment required.
This is a fully asynchronous service. There is no video call or in-person visit. Complete the questionnaire, pay securely, and a licensed medical provider will review your request. Submit before 8 PM EST and your signed note is emailed the same day. Requests submitted after 8 PM EST are completed the next day.
Tell us about your symptoms
Tell us about your symptoms and the dates you need covered (about 2 minutes).
Pay $49 securely
Pay $49 securely online. No appointment needed.
Provider reviews and emails your note
A licensed medical provider reviews your request. Submit before 8 PM Eastern and your signed note is emailed the same day, if appropriate. Requests after 8 PM ET are completed the next day.
Same-day delivery for requests before 8 PM ET.
Full refund guarantee
If the provider can't issue a note for your situation, you're refunded $49 in full. Refunds are processed within 24 hours; your bank may take additional time to post the refund.
Sample absence note
Precision Medical Docs
records@precisionmedicaldocs.com | 1-888-885-6322
Patient Name: Sample Patient
Date of Birth: 01/01/1990
Date: 03/10/2026
To Whom It May Concern:
This letter confirms that the above-named patient has been medically evaluated by Precision Medical Docs on 03/10/2026 regarding a recent acute illness/injury. Based upon the clinical information obtained and reviewed, the patient's condition has resulted in a temporary inability to perform their usual work duties during the following period:
The patient may return to work on 03/10/2026, provided symptoms have sufficiently improved to safely perform their usual job duties.
Please contact our office if additional verification is required. Additional medical information will only be released when authorized by the patient or otherwise permitted by law.
Sincerely,
Provider Name, APRN
Precision Medical Docs
License No. 0000000
State of (State)
Sample only. Names, dates, and numbers are placeholders.
Genuine short-term illness or minor injury
Eligible conditions
- Cold or flu
- COVID-19
- Sore throat
- Cough
- Sinus infection
- Stomach symptoms
- Mild fever
- Migraine
- Muscle pain
- Mild childhood illness
Not for
- Absences due to non-medical reasons
- Absences longer than 3 days — see FMLA or Short-Term Disability
- Emergencies — seek in-person care for severe symptoms
Signed, licensed, private, and refundable
- Signed by a licensed nurse practitioner
- Licensed in the state where you're located
- Private — your health information stays in our secure clinical system
- Refund: if the provider can't issue a note for your situation, you're refunded $49 in full. Refunds are processed within 24 hours, and your bank may take additional time to post the refund.
Notes are issued only when clinically appropriate after review. Acceptance is up to your employer or school.
What it is
A work or school absence note is a brief letter from a licensed nurse practitioner confirming that a recent short absence (up to 3 days) was due to an acute illness or minor injury. It lists the dates of absence and is signed and dated by the reviewing provider.
Why you may need it
Some employers and schools ask for a medical note before an absence is excused, even for a short illness. Without one, an absence may be marked unexcused, which can affect pay, attendance records, or grades. Policies vary, so check your employer's or school's requirements.
Illnesses we commonly document
- Cold or Flu
- COVID-19
- Sore Throat
- Cough
- Sinus Infection
- Stomach Symptoms
- Mild Fever
- Migraine
- Muscle Pain
- Mild Childhood Illness
- Other short-term acute illnesses / minor injuries
Reviewed by a licensed provider
Licensed Medical Provider
Every request is reviewed by a licensed medical provider licensed in the state where you are located. Notes are signed and dated by the reviewing provider.
Need documentation for a longer absence?
This service covers short absences of up to 3 days. For longer absences, ongoing conditions, or job-protected leave, see these services instead:
Notes for a child's school absence
Parents can submit a request on behalf of a minor child. Complete the questionnaire describing the child's illness and the dates of absence. The clinician will review the submission and provide a note suitable for submission to the school.
What the note includes
The absence note includes the patient's name, the dates of absence, a statement that the request was reviewed by a licensed nurse practitioner, and the provider's signature. Specific diagnoses are generally omitted unless clinically relevant and the patient has consented to disclosure.
Common questions
Absence note requirements vary by employer and school district. This page is for informational purposes only. Always confirm your specific employer's or school's documentation requirements before submitting a request.
Out sick and need a note?
Complete a short questionnaire online. A licensed medical provider reviews your request and, if appropriate, emails your signed note the same day for requests before 8 PM Eastern. No appointment, no waiting room.
Full refund if we can't issue a note for your situation.