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Paid Leave + Disability + FMLA

Get Medical Certification for Paid Leave Online Today

A board-certified medical professional handles your evaluation and paperwork, including paid leave, disability, and ADA.
Fully licensed doctors
100% Money-Back  Guarantee
4.8/5
from 250,000+ patients

ACCEPTED BY ALL MAJOR EMPLOYERS

What Is Paid Leave — And What Else You May Qualify For

Paid leave programs replace a portion of your income when you need time off work for a medical condition, to care for a family member, or to bond with a new child. Multiple programs may apply to you — here's how each one works.
Federal Law

FMLA - Protects Your Job

Up to 12 weeks of leave where your employer must hold your position and continue your health benefits. Take it all at once, intermittently, or as a reduced schedule.
What Does FMLA Cover?
Your own serious health condition
Caring for a family member
Bonding with a new child
Military caregiver or qualifying exigency
State Paid Leave Programs

Paid Leave - Replaces Your Income

Wage replacement when you take time off to care for yourself, seriously ill family member, or bond with a new child.
This benefit is offered by 13 states plus DC.
What Does paid leave Cover?
Duration
4-12 weeks
Compensation
60-90% wages
What Does Paid Leave Cover?
Duration
26-52 weeks
Compensation
55-70% wages

State Disability

Wage replacement when you cannot work due to your own illness, injury, or pregnancy.
This benefit is offered by 5 states plus DC.
ADA Protection

Workplace Accommodations - Makes Work Possible

The Americans with Disabilities Act (ADA) requires employers to provide reasonable accommodations for employees with disabilities, allowing you to continue working while managing your condition.
What Does ADA Cover?
Schedule changes
Remote work
Job Modifications
Employer Disability Benefits

Short-Term Disability (STD)

Employer offered income replacement when you are temporarily unable to work due to illness, injury, or pregnancy.
What Does STD Cover?
Duration
3-6 months
Compensation
55-70% wages
*Wil depend on your employer.

From Initial Approval, to Return to Work We've Got You

Most services hand you forms and disappear. We stay with you through every step.

Real Evaluations by Board Certified Providers

Take our 3 minute quiz, then meet with a licensed provider via video. They evaluate whether you qualify for FMLA, Paid Leave, Disability, ADA Accommodations.

Forms Completed in 48hrs.
Never Miss an HR Deadline.

All forms are completed in 48 hours guaranteed.
Submit forms on time, every time.

HR Has Questions? We Handle It.

If your employer needs clarification, or changes - We take care of it at no extra cost. Free modifications, forever.
One Visit. Everything Handled.
Most people qualify for multiple programs but don't know it. Trust Medical figures out what applies to you and handles all the documentation in one 15-minute video consultation.
FMLA Certification
(job protection)
Paid Leave Documentation
(wage replacement)
Disability Certification
(state SDI or employer STD)
ADA Accommodation Letters
(workplace changes)
Return-to-Work Clearance
(when you're ready)
One Time Flat Fee
No Subscriptions
35% Discount - Limited Time!
$174.99
$269.99
100% money-back guarantee if not approved

What Situations Does Paid Leave Cover?

Coverage depends on your state, your employer, and your specific situation. Here's a quick breakdown of what's typically covered by each program.
Your Situation
Paid Family
Leave
State
Disability
Employer
STD
FMLA
Maternity Leave
Time off for pregnancy, childbirth, and recovery
Yes
Yes
Yes
Yes
Paternity Leave
Time off for fathers to bond with a new child
Yes
No
No
Yes
Caring for a Sick Family Member
Spouse, child, or parent with a serious health condition
Yes
No
No
Yes
Your Own Serious Illness
Cancer, surgery recovery, chronic condition flare-up, etc.
Some states
Yes
Yes
Yes
Mental Health
Anxiety, depression, PTSD, burnout, or other conditions
Some states
Yes
Yes
Yes
Bereavement
Time off after the death of a family member
No
No
No
No
Sick Leave (Short-Term)
A few days off for cold, flu, or minor illness
No
No
No
No
Adoption / Foster Care
Bonding time with a newly placed child
Yes
No
No
Yes
Covered
Depends on state
Not covered by this program
Not sure which programs cover your situation?
TrustMedical evaluates you for all programs in one visit — one price.
HELPING YOU SAVE MONEY

Many Health Insurers Reimburse up to 100%

We provide a superbill you can submit to your insurance for reimbursement. Many patients pay $0 out of pocket.

Real Stories From Real Patients

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Verified TrustMedical patient review
Kelsey B.
‍Pennsylvania
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March 24, 2025
A service you can trust!
"My entire experience was easy, quick & extremely pleasant! Now the BEST part is you're dealing with REAL HUMAN BEINGS! I will absolutely recommend My Trust Medical to everyone..hopefully you all have the pleasure of having Michael &/or James in your corner as I had today! They are both dolls!"
Verified TrustMedical patient review
Wesley B.
Alabama
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April 8, 2025
The customer service was awesome
"Recently received a note from Trust Medical and the service was incredible! The note was delivered to me promptly and I even received exceptional support for a follow-up concern!"
Verified TrustMedical patient review
Maria G.
South Carolina
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March 21, 2025
They take away the stress.
"I genuinely love this website. It’s the second time I used it and I never been more grateful that something like this exists. It goes through a legit doctor so you don’t have to worry about false documents. And it literally the cost of me same amount as my co-pay without any extra charge."

Backed by the country's leading Medical Leave & Labor Law Experts

Trust Medical's world-leading experts and advisors enable us to deliver high-quality medical leave evaluations, certifications, and support at scale. Their combined medical and labor law expertise guides our standards and makes it easier for millions of patients to take the time they need to fully recover and get back to their day to day lives.
Board-certified 20+ years experience in medical specialties
Industry innovations Published studies in top medical journals
Policy expertise Deep knowledge of FMLA, ADA, and state leave laws
Board-certified FMLA healthcare provider
Dr. Benjamin Wallace
Board Certified DO — Emergency Medicine
Specializes in comprehensive primary care with expertise in chronic disease management and preventive medicine.
Board-certified FMLA healthcare provider
Dr Asad Niazi
Board Certified MD — Internal Medicine
Specializes in comprehensive primary care with expertise in chronic disease management and preventive medicine.
Board-certified FMLA healthcare provider
Dr. Jason Buchwald
Board Certified MD — Emergency Medicine
Emergency medicine specialist with deep expertise in acute care evaluations and medical certifications.
Board-certified FMLA healthcare provider
Dr. Abhishek Patel
Board Certified DO — Osteopathic Medicine
Whole-patient approach specialist focused on musculoskeletal conditions, chronic pain, and rehabilitation.
Board-certified FMLA healthcare provider
Dr. Benjamin Wallace
Board Certified DO — Emergency Medicine
Specializes in comprehensive primary care with expertise in chronic disease management and preventive medicine.
Board-certified FMLA healthcare provider
Dr Asad Niazi
Board Certified MD — Internal Medicine
Specializes in comprehensive primary care with expertise in chronic disease management and preventive medicine.
Board-certified FMLA healthcare provider
Dr. Jason Buchwald
Board Certified MD — Emergency Medicine
Emergency medicine specialist with deep expertise in acute care evaluations and medical certifications.
Board-certified FMLA healthcare provider
Dr. Abhishek Patel
Board Certified DO — Osteopathic Medicine
Whole-patient approach specialist focused on musculoskeletal conditions, chronic pain, and rehabilitation.

Paid Leave Benefits by State

15 states plus DC offer paid leave programs that can replace your income while you're off work. Click your state to see exactly what you qualify for.
State
Max Weekly Benefit
Duration
Wage Replacement
Covers
State
California
Max Weekly Benefit
$1,765/wk
Duration
Up to 52 weeks
Wage Replacement
70-90%
Own Illness
Pregnancy
Family Care
Bonding
State
New York
Max Weekly Benefit
$1,228/wk
Duration
12 weeks
Wage Replacement
67%
Own Illness
Pregnancy
Family Care
Bonding
State
New Jersey
Max Weekly Benefit
$1,119/wk
Duration
Up to 26 weeks
Wage Replacement
85%
Own Illness
Pregnancy
Family Care
Bonding
State
Washington
Max Weekly Benefit
$1,647/wk
Duration
18 weeks
Wage Replacement
Up to 90%
Own Illness
Pregnancy
Family Care
Bonding
State
Massachusetts
Max Weekly Benefit
$1,230/wk
Duration
26 weeks
Wage Replacement
Up to 80%
Own Illness
Pregnancy
Family Care
Bonding
Colorado
Max Weekly Benefit
$1,381/wk
Duration
12-16 weeks
Wage Replacement
Up to 90%
Own Illness
Pregnancy
Family Care
Bonding
State
Connecticut
Max Weekly Benefit
$1,016/wk
Duration
12 weeks
Wage Replacement
Up to 90%
Own Illness
Pregnancy
Family Care
Bonding
State
Oregon
Max Weekly Benefit
$1,636/wk
Duration
12-14 weeks
Wage Replacement
Up to 100%
Own Illness
Pregnancy
Family Care
Bonding
State
Rhode Island
Max Weekly Benefit
$1,077/wk
Duration
Up to 30 weeks
Wage Replacement
~60%
Own Illness
Pregnancy
Family Care
Bonding
State
Minnesota
Max Weekly Benefit
$1,372/wk
Duration
20 weeks
Wage Replacement
Up to 90%
Own Illness
Pregnancy
Family Care
Bonding
State
DC
Max Weekly Benefit
$1,190/wk
Duration
12 weeks per type
Wage Replacement
Up to 90%
Own Illness
Pregnancy
Family Care
Bonding
State
Delaware
Max Weekly Benefit
$900/wk
Duration
6-12 weeks
Wage Replacement
80%
Own Illness
Pregnancy
Family Care
Bonding
State
Maine
Max Weekly Benefit
$1,144/wk
Duration
12 weeks
Wage Replacement
Up to 90%
Pregnancy
Family Care
Bonding
State
Maryland
Max Weekly Benefit
$1,000/wk
Duration
12 weeks
Wage Replacement
Up to 90%
Own Illness
Pregnancy
Family Care
Bonding
State
Hawaii
Max Weekly Benefit
$765/wk
Duration
26 weeks
Wage Replacement
58%
Own Illness
Pregnancy
Don't see your state?
You likely still qualify for FMLA, short-term disability, or your employer's leave plan.

Coming Soon

New and expanding state programs in 2026–2028
Last updated March 2026
May 2026
Jul 2026
2027–28
2027–28
Maine
New Program
12 weeks at up to 90% wage replacement.
New Jersey
Expansion
Expanding to employers with 15+ employees. Eligibility reduced to 3 months.
Washington
Expansion
Job restoration expanding to 15+ (2027) then 8+ employees (2028).
Maryland
New Program
Contributions begin 2027.
Benefits expected 2027–2028.

Common reasons people think they don't qualify

Most of these are myths. Here's what the law actually says.
Takes less than 5 minutes

What Happens to Your Job and Your Paycheck When You Take Paid Leave

Two separate protections. One covers your income, the other covers your job. Most people qualify for both.
Your Paycheck
Will I still get paid if I take leave?
Yes — if your state has a paid leave or disability program, or your employer offers short-term disability insurance. You will typically receive 50–90% of your wages while on leave.
Programs that pay you:  Paid Family Leave, State Disability, Employer Short-Term Disability
Your Job
Can I get fired for taking leave?
No — FMLA protects your job for up to 12 weeks. Your employer must hold your position and keep your health insurance active the entire time.
Programs that protect you: FMLA (federal, employers with 50+ employees)

How FMLA and Paid Leave Work Together

They run at the same time, not back-to-back. For up to 12 weeks you are both getting paid and your job is protected.
FMLA
Paid Leave
Week 1
Week 12
Week 26+
Job protected + health insurance
50–90% of your wages deposited
Both protections run simultaneously — you do not have to choose one or the other.

What if I need more than 12 weeks?

In some states, disability benefits continue well beyond FMLA's 12-week window. In California, state disability pays for up to 52 weeks. After week 12, federal job protection under FMLA ends — but many states have their own job protection laws that may extend coverage.
FMLA
Paid Leave
12 weeks
Check your state for extended protection
Continues paying — up to 52 weeks in CA
Check your state's specific programs and protections. Duration, wage replacement, and job protection laws vary by state.

How FMLA and Paid Leave Work Together

They run at the same time, not back-to-back. For up to 12 weeks you are both getting paid and your job is protected.
Small employer (under 50 people)
State paid leave = income replacement
No FMLA (federal, requires 50+ employees)
Check your state — many states have their own job protection laws that cover smaller employers.
State without paid leave (TX, FL, etc.)
FMLA protects your job for 12 weeks
No state income replacement
Check your employer — they may offer short-term disability insurance that would replace a portion of your income.
Either way, TrustMedical evaluates your full situation and completes the documentation for every program that applies to you.
Not sure which programs apply to you?
TrustMedical evaluates your situation and completes the medical certification for every program you are eligible for — one visit, one price.

Frequently Asked Questions

Is this service legally compliant?

Yes! We only work with board certified doctors and we match you to a provider who is licensed in your state. Every provider thoroughly reviews your intake and then makes a decision on whether to approve a doctors note. Employers love us because of our strict adherence to all laws as well as the fact that our service is powered by real people who you can get on the phone with quickly to verify the authentcity of our notes.

What sets Trust Medical apart?

People trust us. We recognize the importance of your job and your academic standing, which is why we adhere to the highest standards of integrity and ensure we're fully compliant.

Additionally, we know this process can be anxiety inducing, which is why we take pride on our customer support and we make it extremely easy to speak to us and help you get your issues resolved.

We believe so much in what we do that we offer an 100% money back guarantee.

All of our doctors credentials are public and easily verifiable. Additionally, all of our certifications & evaluations are completed to the highest standard and contain all the details your employer or school needs to feel confident.

We set the standard for FMLA certifications.

What is a doctor's note?

A doctor's note is an official medical document that verifies your need for time off work or school. It's issued by a licensed healthcare provider and typically includes their credentials, contact information, examination date, and when you can return to work. This documentation serves as professional communication between your medical provider and employer while protecting your privacy.

Will my employer accept this doctor’s note?

Yes, employers accept 99.9% of Trust Medical doctor's notes. Our notes include all required components: comprehensive intake/evaluation, board certified doctor licensed in your state, official letterhead, licensed physician's signature, provider contact details, and clear return-to-work dates. We offer a 100% acceptance guarantee because our notes meet all legal and professional standards.

Who can write a doctor's note?

Trust Medical is a telehealth service that provides certified medical excuse notes. We connect clients with licensed healthcare professionals to ensure authenticity. Our goal is to make obtaining necessary documentation fast and reliable.

Is this service compliant with privacy laws?

Yes, all our notes are fully HIPAA compliant. They include only essential work-related information without disclosing private medical details unless specifically requested. Our board-certified physicians ensure complete privacy compliance.

When is a doctor's note required?

Common situations requiring doctor's notes include:

- Simple absences
- Medical appointments
- Return-to-work clearance
- FMLA documentation
- Workplace accommodations

Please note that Trust Medical is only able to support simple absences (i.e. 5 days or less). For anything else or if you have a more serious medical condition please consult the appropriate resource.

What if I need adjustments to the note?

While minor adjustments like date corrections are possible, we cannot alter medical assessments or add false information. Any changes must be based on legitimate medical evaluation. That said, we understand that sometimes you may want to disclose additional information about your illness and volunteer that information. In those cases, please reach out to our support team so we can assist you.

Can I get a doctor's note online?

Yes, you can get a legitimate doctor's note online through Trust Medical. Our process involves a a comprehensive intake form that allows the board certified doctors on our team to determine whether your situation warrants a doctors note. We can then provide proper documentation within minutes.

What does the verification process for employers look like?

Employers can verify certifications through our provider contact information. The verification process confirms the authenticity of the forms while maintaining your medical privacy under HIPAA regulations. The verification service is available during business hours from 8am-8pm, Monday through Sunday.

Can my employer request a doctor's note?

Yes, employers have the legal right to request doctor's notes for medical absences. However, they can only verify the note's authenticity and basic information - not your private medical details.

Do employers verify doctor’s notes?

Often, yes. HR departments routinely confirm that the note:

- Lists a licensed clinician’s name, signature, and license number.
- Includes a direct phone or email
so they can call for verification.
- Matches the stated dates and work restrictions to attendance records.

Trust Medical notes come with a verification line powered by real humans (8am-8pm Monday through Sunday) and secure email, so employers can confirm authenticity in seconds.

What should a doctor's note say?

A proper doctor's note includes:

1) Healthcare provider's information
2) Evaluation date
3) Work absence duration
4) Return-to-work date
5) High level reason for the absence
6) Any relevant restrictions and
7) Provider's signature. It should not include detailed medical information unless specifically requested and the client has authorized it in writing.

Can I pay for doctors note with insurance?

Trust Medical's services are out-of-pocket to ensure the fastest and most cost-effective possible service. While traditional doctor visits for medical notes might be covered by insurance, we've chosen a direct payment model to eliminate insurance delays as well as costly operations that go along with billing insurance. This means we can provide same-day (within minutes) documentation and almost always at a cheaper cost.

How fast can I get a doctor’s note?

During business hours (8am-8pm EST), you'll receive your note within minutes of completing your consultation. All other requests are processed first thing by next business day.

What conditions qualify for a doctors note?

Common qualifying conditions include:

- Acute illnesses (flu, infections, viruses)
- Injuries requiring recovery time
- Medical appointments and procedures
- Mental health needs
- Chronic condition management
- Family medical care requirements

Each situation is evaluated by our licensed physicians to determine appropriate documentation needs.

What are the consequences of forging a doctor's note?

Forging a doctor's note is illegal and carries serious consequences:

- Employment termination
- Legal prosecution for fraud
- Professional license impacts
- Potential criminal charges
- Civil liability

Instead of risking these consequences, get a legitimate note from licensed providers for just $29.99. Our process is fast, legal, and guaranteed to be accepted or your money back.

Can I get a doctors note without seeing a doctor?

Yes — you can get a valid doctor’s note without going to a clinic, but you cannot get one without a clinician. U.S. law requires that a licensed healthcare provider review your case and decide that a note is medically appropriate.

With asynchronous telehealth, you fill out a brief online questionnaire; a licensed U.S. clinician reviews your answers the same day and issues a signed PDF note if medically appropriate—no video call needed. That review is required for legal validity, but the whole process takes minutes on your phone or laptop.

Is an online doctors note valid?

Yes—if it’s written by a U.S-licensed clinician and contains the same elements as a paper note. A valid online note must:

1. Come from a clinician licensed in your state (MD, DO, NP, or PA).
2. Document a legitimate telehealth evaluation (asynchronous form or live visit).
3. Include all required details: date of service, time off or work restrictions, clinician’s signature and license number, and a phone/email for HR or school verification.

Trust Medical’s notes meet every one of these requirements, so employers and schools accept them just like an in-office note.