Online Medical Certificates Services
Get your medical certificate quickly and easily through our secure online service. Consult with a licensed provider and receive your certificate for work, school, travel, or other needs without the hassle of an in-person visit.
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Quick & Easy Online Medical Certificates: Sick Notes, Travel Notes, ESA Letters, and More
Our online medical certificate service offers a quick and convenient way to obtain the documentation you need without the hassle of an in-person visit. Through our secure telemedicine platform, you can consult with a licensed healthcare provider who will assess your situation and issue a customized medical certificate for work, school, travel, or other needs—fast and easily, from the comfort of your home.
We understand that obtaining the right medical documentation can be time-consuming and stressful. That’s why our service is designed to make it easy for you to connect with a provider who can offer the necessary documentation quickly. With our secure platform, you’ll receive the required paperwork in no time, all from the convenience of your home.
How it works
Three Simple Steps to receive your doctor’s excuse note:
You will only be charged after your note has been approved by the provider.

Step 1:
Sign up and complete our online doctor’s note request form

Step 2:
Physician will review your request within 1 hour of submission

Step 3:
Receive your note within the secure portal.
Four Easy Steps to request a Travel Cancellation letter, Emotional Support Animal (ESA) letter, or a Customized Note.
You will only be charged after your request has been approved by the provider.

Step 1:
Book a 15 minute video appointment with one of our providers

Step 2:
Complete our online medical letter request form sent to you in the email

Step 3:
Attend your video appointment with the Board Certified Physician

Step 4:
Receive your letter within 4 hours of the video visit in the secure portal.
Pricing
Please select the type of note or letter that is most appropriate for your needs:
Doctor’s Excuse for Work or School (Adult)
$39.99/ per visit
- No appointments needed
- Board Certified Physician
- 24/7 secure portal access
- Customer Support
Doctor’s Excuse for Work or School (Child)
$39.99/ per visit
- No appointments needed
- Board Certified Physician
- 24/7 secure portal access
- Customer Support
Doctor’s Excuse for positive COVID-19
$39.99/ per visit
- No appointments needed
- Board Certified Physician
- 24/7 secure portal access
- Customer Support
Travel Cancellation Letter Request
$89.99/ per visit
- 15 minute video appointment
- Board Certified Physician
- 24/7 secure portal access
- Customer Support
Emotional Support Animal (ESA) Letter
$89.99/ per visit
- 15 minute video appointment
- Board Certified Physician
- 24/7 secure portal access
- Customer Support
Customized Note Request
$89.99/ per visit
- 15 minute video appointment
- Board Certified Physician
- 24/7 secure portal access
- Customer Support

Frequently Asked Questions
We hope this FAQ helps clarify your questions about our online medical certificate service. If you have any further inquiries, feel free to reach out!
An Online Medical Certificate Service allows you to obtain official documents, such as doctor’s excuse notes, travel cancellation certificates, and Emotional Support Animal (ESA) letters, from licensed healthcare providers through a secure online platform. These documents are valid and can be used for work, school, travel, housing, and other personal matters that require official medical documentation.
We provide three main types of medical certificates:
- Doctor’s Excuse Note: A valid certificate explaining why you need time off from work, school, or other commitments due to illness or medical conditions.
- Travel Cancellation Note: A note from a licensed healthcare provider verifying that illness or injury has affected your ability to travel, which can be used for travel insurance claims or airline requests.
- Emotional Support Animal (ESA) Letter: A letter from a licensed mental health professional confirming that you have a legitimate need for an emotional support animal, which can be used for housing or travel accommodations.
To get a medical certificate, follow these simple steps:
- Sign Up & Complete Your Form: Register with our service and fill out a brief medical questionnaire.
- Consult with a Licensed Provider: Depending on the type of certificate you need, you’ll either have a video consultation or submit your medical information (for certain types of notes)
- Receive Your Certificate: After the consultation or review, we’ll issue your official medical certificate in our secure portal.
A doctor’s excuse note is a medical certificate from a licensed healthcare provider that confirms you were unwell and needed time off from work or school. You might need one for your employer or school that requires proof of illness.
Yes, our doctor’s note can be used for a wide range of illnesses and conditions, including but not limited to:
- Cold or flu
- Migraine or headache
- Gastrointestinal issues
- Mental health conditions (e.g., anxiety, stress, depression)
If you are feeling unwell and require time off, our service can provide you with a valid doctor’s note.
Our doctor’s notes are issued by licensed healthcare providers and are legally valid. However, each employer or institution may have different policies, so we recommend checking their requirements beforehand. Most workplaces and schools accept valid medical documentation from licensed providers.
Once our healthcare provider has reviewed your information and has approved your request for a doctor’s excuse note, your doctor’s note will be provided to you in our secure portal within one hour.
A travel cancellation note is a document from a licensed healthcare provider explaining that an illness, injury, or a medical condition prevents you from traveling. This note is often required for insurance claims, to request a refund from airlines, or to cancel non-refundable bookings due to medical reasons.
Yes, you can request a travel cancellation note for a wide range of medical issues that prevent you from traveling. These include:
- Acute illness (flu, cold, etc.)
- Injury or medical emergencies
- Severe mental health concerns (e.g., anxiety, depression)
Please make sure to consult our healthcare provider to ensure your condition qualifies for a travel cancellation note.
Our travel cancellation notes are issued by licensed healthcare providers who follow standard medical protocols. While most airlines and insurance companies accept these types of notes, we recommend contacting the relevant company beforehand to confirm their specific documentation requirements.
You’ll receive your travel cancellation note within 4 hours after your video consultation. In urgent cases, you can request an expedited service, and we will do our best to accommodate you.
An ESA letter is a document from a licensed mental health professional that confirms your need for an emotional support animal. This letter allows you to request accommodations for your ESA in housing (even in no-pets buildings) and on airlines that accept ESA animals.
Conditions that may qualify for an ESA include, but are not limited to:
- Anxiety
- Depression
- Post-Traumatic Stress Disorder (PTSD)
- Panic attacks
- Chronic stress
- Emotional or psychological conditions affecting daily functioning
A licensed mental health professional will review your condition and determine if an ESA can be beneficial to your treatment.
To receive an ESA letter, follow these steps:
- Complete the Online Assessment: Fill out a brief questionnaire about your mental health condition.
- Consult with a Licensed Mental Health Professional: Schedule an online video consultation with one of our licensed physicians to discuss your need for an ESA.
- Receive Your ESA Letter: If approved, we’ll send you your ESA letter, which can be used for housing and travel accommodations.
Yes, an ESA letter from a licensed health professional is legally recognized. It is accepted by housing providers (under the Fair Housing Act) and airlines (under the Air Carrier Access Act) as valid documentation for an emotional support animal. However, always check with your landlord or airline to ensure they accept ESA letters.
After your consultation with a licensed health professional, your ESA letter will be provided within 4 hours of your video visit in our secure portal.
Yes, all consultations and medical certificates are processed through secure, HIPAA-compliant platforms to protect your privacy. We ensure that all personal health information is kept strictly confidential.
No, you do not need insurance to use our service. We offer affordable, flat-rate pricing for all medical certificates. However, if you have insurance, some plans may reimburse you for the cost of your certificate—please check with your insurer.
If you need follow-up care or additional documentation, you can schedule a follow-up consultation with the healthcare provider. If necessary, a new medical certificate or further recommendations can be issued.
We strive to provide excellent service and accurate certificates. If you are not satisfied with your certificate or believe an error was made, please contact us within 5 days of receiving your document. We will review your case and offer a refund or reissue the certificate as needed.
For any questions or concerns, you can contact our customer support team via email at info@hsma.sprucecare.com or phone at 737-307-1026 or through messaging in our secure portal. Our team is available to assist you during our office hours.