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About MedSlip
SickSlip P.A.
Florida Physician Practice Association

Your healthy spending, turned into medical care

We built MedSlip on a simple idea: the money you spend staying healthy — starting with your gym — should be payable with the HSA and FSA dollars you've already set aside.

Our practice

The practice behind the platform

MedSlip is a digital health platform that connects board-certified physicians with people who want to put their HSA and FSA dollars toward the things that actually keep them healthy.

We focus on one thing and do it properly: the Letter of Medical Necessity — the physician-signed document that makes a gym membership, and other wellness expenses, eligible for HSA/FSA reimbursement under IRC §213(d).

Every letter is signed by a board-certified physician with a verifiable NPI, names your diagnosed condition, and is protected under HIPAA. No templates. No AI signatures. No automation pretending to be a doctor.

30+
U.S. states served
Same-day
Most letters issued
100%
Physician-reviewed
$40
Flat, transparent price
Adam Z. Kawalek, MD
Physician, Internal Medicine
Board-Certified Internal MedicineNPI 1326223306Licensed in 30+ U.S. statesLegitScript Certified
View full physician bio →
Meet Our Founder

Dr Adam Zvi Kawalek

"
Why I built this

After 15+ years as a hospitalist and internist, I watched patients do all the right things for their health — join a gym, work on their weight, manage their blood pressure — and pay for every bit of it with after-tax money, while thousands of dollars sat unused in their HSA and FSA accounts.

The tax code actually allows those dollars to cover a gym membership when a physician documents it as treatment for a diagnosed condition. The only thing standing between most people and that benefit is a single piece of paper — a Letter of Medical Necessity — that almost no one knows how to get.

I built MedSlip to close that gap: a real physician review, done properly and affordably, that turns the healthy spending you're already doing into pre-tax medical care. No waiting room, no upselling — just the documentation you're entitled to.

Education & Training
1999
Bachelor of Arts
Brown University · Double major: Biology & History
2005
Doctor of Medicine
Icahn School of Medicine at Mount Sinai · Distinction in Research
2007
Internal Medicine Residency
NYU Langone Medical Center
2008
Internal Medicine Residency
Cedars-Sinai Medical Center / UCLA
Clinical Experience
Hospitalist
Cedars-Sinai Medical Center
2009 – Present
Hospitalist & Faculty
Johns Hopkins University Medical Center
2021 – 2022
Clinical Instructor of Medicine
Johns Hopkins School of Medicine
2022
Associate Clinical Professor
UCLA / Western University of Health Sciences
2016 – 2019
Expert Reviewer
California Medical Board
2019 – 2021
Medical Lead — COVID-19 Response
Acuity International
2020 – 2021
Ready when you are
Get your letter today
Reviewed and signed by a board-certified physician — delivered the same day.
About MedSlip

Your healthy spending, turned into medical care

We built MedSlip on a simple idea: the money you spend staying healthy — starting with your gym — should be payable with the HSA and FSA dollars you've already set aside.

SickSlip P.A.
Florida Physician Practice Association
Our practice

The practice behind the platform

MedSlip is a digital health platform that connects board-certified physicians with people who want to put their HSA and FSA dollars toward the things that actually keep them healthy.

We focus on one thing and do it properly: the Letter of Medical Necessity — the physician-signed document that makes a gym membership, and other wellness expenses, eligible for HSA/FSA reimbursement under IRC §213(d).

Every letter is signed by a board-certified physician with a verifiable NPI, names your diagnosed condition, and is protected under HIPAA. No templates. No AI signatures. No automation pretending to be a doctor.

30+
U.S. states served
Same-day
Most letters issued
100%
Physician-reviewed
$40
Flat, transparent price
Meet Our Founder

Dr Adam Zvi Kawalek

Adam Z. Kawalek, MD
Physician, Internal Medicine
Board-Certified Internal MedicineNPI 1326223306Licensed in 30+ U.S. statesLegitScript Certified
View full physician bio →
Why I built this

After 15+ years as a hospitalist and internist, I watched patients do all the right things for their health — join a gym, work on their weight, manage their blood pressure — and pay for every bit of it with after-tax money, while thousands of dollars sat unused in their HSA and FSA accounts.

The tax code actually allows those dollars to cover a gym membership when a physician documents it as treatment for a diagnosed condition. The only thing standing between most people and that benefit is a single piece of paper — a Letter of Medical Necessity — that almost no one knows how to get.

I built MedSlip to close that gap: a real physician review, done properly and affordably, that turns the healthy spending you're already doing into pre-tax medical care. No waiting room, no upselling — just the documentation you're entitled to.

Education & Training
1999
Bachelor of Arts
Brown University · Double major: Biology & History
2005
Doctor of Medicine
Icahn School of Medicine at Mount Sinai · Distinction in Research
2007
Internal Medicine Residency
NYU Langone Medical Center
2008
Internal Medicine Residency
Cedars-Sinai Medical Center / UCLA
Clinical Experience
Hospitalist
Cedars-Sinai Medical Center
2009 – Present
Hospitalist & Faculty
Johns Hopkins University Medical Center
2021 – 2022
Clinical Instructor of Medicine
Johns Hopkins School of Medicine
2022
Associate Clinical Professor
UCLA / Western University of Health Sciences
2016 – 2019
Expert Reviewer
California Medical Board
2019 – 2021
Medical Lead — COVID-19 Response
Acuity International
2020 – 2021
Ready when you are
Get your letter today
Reviewed and signed by a board-certified physician — delivered the same day.
Get my letter →
Get my letter