Too sick to go in, and your employer or school wants a note? A Texas-licensed clinician reviews your illness online and, if time off is medically appropriate, writes your note. No extra charge on a $59 visit.
Yes, for adults 18 and older in Texas. Too sick to go in, and your employer or school wants a note? A Texas-licensed clinician reviews your illness online and, if time off is medically appropriate, writes your note. No extra charge on a $59 visit. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $59, or use insurance. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have a fever of 103°F or higher, or a fever lasting more than 3 days, you need to be seen in person today instead (at our Dallas–Fort Worth clinics, or urgent care near you), and you don't pay the online fee.
Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026
A doctor's note, also called a work excuse or sick note, confirms that a licensed clinician evaluated you, which days you should be excused, and when you can expect to return. A routine note doesn't need to name your diagnosis. Texas has no statewide paid sick leave law for private employers, so most employers set their own rules about when they need a note: check your handbook or ask HR before your visit.
Your name, the date of your visit, the days you should be excused, when you can expect to return, any short-term limits such as no heavy lifting, and the name and contact details of the Passion Health clinician who wrote it. Your diagnosis stays off unless you ask for it.
Usually, yes. Guidance from the U.S. Equal Employment Opportunity Commission says an employer may ask for a note to confirm a sick day, and a routine note shouldn't need more medical detail than that. Schools set their own rules, so check with the school office.
A note can cover up to 2 days before your visit when your history supports it. It always shows the real date of your visit: we never backdate a note.
FMLA or disability certification, return-to-work or fitness-for-duty clearance, workers' compensation, work physicals and accommodation forms need a visit at a Passion Health clinic or with your own clinician. And Passion Health never sells notes: a note is written only after a clinician reviews your case.
Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.
Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.
About 3 minutes: what's keeping you home, when it started and what you do for work or school. Emergency questions come first.
A Texas-licensed Passion Health clinician reads everything and calls you if they need more.
If time off is medically appropriate, you get a note with the days you should be excused. If you need treatment, a prescription goes to the pharmacy you choose.
A 48-hour check-in and 14 days of secure messaging. If you need to be seen, a same-day visit at our Dallas–Fort Worth clinics, or clear advice on where to go near you.
Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.
Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.
Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.
Labs and imaging, if needed, are billed separately, and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.
A 48-hour check-in message and 14 days of secure messaging. If you're not improving, we book a same-day clinic visit, or, if you're not near one of our clinics, tell you where to be seen near you.
The flat cash rate is $59 for a quick evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.
No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.
A Texas-licensed Passion Health clinician reviews every intake and decides whether a note is appropriate — not software. Texas law lets the clinician evaluate a short illness from your answers, and they call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.
Your note comes from a Texas-licensed Passion Health clinician after a real evaluation, with our phone number so your employer can confirm it. Some employers and schools have their own rules about online notes, so check first if you're not sure.
No, not unless you ask. A routine note shows the days you should be excused, when you can expect to return and any short-term limits.
Yes, up to 2 days before your visit, when your history supports it. The note always shows the real date of your visit; we never backdate.
For a short illness, usually 1 to 3 days. If you need more time off, your clinician may want to follow up with you or see you in person first.
Not online. Those forms need a visit at a Passion Health clinic in Dallas–Fort Worth or with your own clinician.
No. Your clinician writes a note only if time off is medically appropriate. If they don't accept your case for online care, the full fee is refunded.
No. When your clinician finds it appropriate, the note is part of your visit.
A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).
Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician
Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.
Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.