To get a Doctor’s note, simply fill out this form. Full Name * Email * Amount (USD) * 1 day sick note - USD 502 day sick note - USD 603 day sick note - USD 654 day sick note - USD 705 day sick note - USD 756 day sick note - USD 807 day sick note - USD 85Over 7 days - USD 1001 month - USD 150 Enter Date of Birth Enter Phone Number Enter Country Enter State, City & Address GenderMaleFemaleOther Enter Hospital Reporting Date Doctor Sick note Duration1 day sick note2 day sick note3 day sick note4 day sick note5 day sick note6 day sick note7 day sick noteOver 7 days1 month Enter Medical Issue * are compulsory ResetPay