How It Works
From a few questions to a signed letter
Here's exactly what happens — from a short health intake to a physician-signed Letter of Medical Necessity in your inbox, ready to submit to your HSA or FSA.
The Process
Three steps, one physician
01
Tell us about your health
Answer a few quick questions about your health and the membership or expense you want covered. Two minutes from your phone — no clinic visit.
02
A real doctor reviews your case
A board-certified physician reviews your answers, confirms whether a qualifying condition applies, and decides if a Letter of Medical Necessity is appropriate.
03
Your signed letter hits your inbox
If appropriate, your physician-signed Letter of Medical Necessity arrives by email — ready to submit to your HSA or FSA administrator for reimbursement.
What You Get
A real MedSlip letter
Adam Z. Kawalek, MD
Board-Certified, Internal Medicine
NPI 1326223306
State medical license shown on every issued letter
State medical license shown on every issued letter
Scan to verify
Letter of Medical Necessity
April 6, 2026REF MS-2026-06A-7F3B9
To whom it may concern,
This letter certifies that [Patient Name] has been evaluated by the undersigned physician and has a medical condition for which regular physical exercise is recommended as part of the treatment plan. A fitness/gym membership is therefore medically necessary and qualifies as medical care under IRC §213(d).
This letter is valid for 12 monthsand may be submitted to the patient's HSA or FSA plan administrator for reimbursement. Should verification be required, please scan the QR code above.
This letter certifies that [Patient Name] has been evaluated by the undersigned physician and has a medical condition for which regular physical exercise is recommended as part of the treatment plan. A fitness/gym membership is therefore medically necessary and qualifies as medical care under IRC §213(d).
This letter is valid for 12 monthsand may be submitted to the patient's HSA or FSA plan administrator for reimbursement. Should verification be required, please scan the QR code above.
Adam Z. Kawalek, MD · Board-Certified Internal Medicine
Electronically signed · 2026-04-06 16:42:07 UTC · SHA-256: 7f3b9a2e…c41d
CONFIDENTIAL · This document contains protected health information and is intended solely for the recipient identified above. Unauthorized access, use, disclosure, or distribution is prohibited under 45 CFR § 164 (HIPAA Privacy Rule).
ID: MS-C9SDESES3WSsupport@medslip.co
01
Physician Credentials
Full name, NPI number, and state license clearly displayed for verification.
02
Diagnosed Condition
Your qualifying condition — often with its ICD-10 code — stated as the basis for medical necessity.
03
Electronic Signature
Digitally signed with timestamp — legally equivalent to a handwritten signature.
04
12-Month Validity
The recommended treatment duration is stated clearly, so your plan knows the letter covers the year.
Coverage
Licensed in 30+ states
AL
Alabama
Active through 2027
AZ
Arizona
Active through 2027
CA
California
Active through 2026
CO
Colorado
Active through 2027
CT
Connecticut
Active through 2027
FL
Florida
Active through 2027
GA
Georgia
Active through 2027
IL
Illinois
Active through 2027
IN
Indiana
Active through 2027
IA
Iowa
Active through 2027
KS
Kansas
Active through 2027
LA
Louisiana
Active through 2027
MD
Maryland
Active through 2027
MA
Massachusetts
Active through 2027
MI
Michigan
Active through 2027
MS
Mississippi
Active through 2027
MO
Missouri
Active through 2027
NE
Nebraska
Active through 2027
NY
New York
Active through 2027
NC
North Carolina
Active through 2027
OH
Ohio
Active through 2027
OK
Oklahoma
Active through 2027
OR
Oregon
Active through 2027
PA
Pennsylvania
Active through 2027
TN
Tennessee
Active through 2027
TX
Texas
Active through 2027
VA
Virginia
Active through 2027
WA
Washington
Active through 2027
WI
Wisconsin
Active through 2027
Don't see your state? Contact us — we're actively expanding.
Verification
How your letter is verified
Every MedSlip letter carries a unique QR verification code. If your plan administrator wants to confirm it, a quick scan lands here — verifying the letter was issued and signed by a licensed physician, without exposing your clinical details.
Ready when you are
Get your letter today
Reviewed and signed by a board-certified physician — delivered the same day.
How It Works
From a few questions to a signed letter
The Process
Three steps, one physician
01
Tell us about your health
Answer a few quick questions about your health and the membership or expense you want covered. Two minutes from your phone — no clinic visit.
02
A real doctor reviews your case
A board-certified physician reviews your answers, confirms whether a qualifying condition applies, and decides if a Letter of Medical Necessity is appropriate.
03
Your signed letter hits your inbox
If appropriate, your physician-signed Letter of Medical Necessity arrives by email — ready to submit to your HSA or FSA administrator for reimbursement.
What You Get
A real MedSlip letter
Adam Z. Kawalek, MD
Board-Certified, Internal Medicine
NPI 1326223306
State medical license shown on every issued letter
State medical license shown on every issued letter
Scan to verify
Letter of Medical Necessity
April 6, 2026REF MS-2026-06A-7F3B9
To whom it may concern,
This letter certifies that [Patient Name] has a medical condition for which regular exercise is recommended, making a fitness/gym membership medically necessary under IRC §213(d).
Valid for 12 months — submit to your HSA or FSA plan administrator for reimbursement.
This letter certifies that [Patient Name] has a medical condition for which regular exercise is recommended, making a fitness/gym membership medically necessary under IRC §213(d).
Valid for 12 months — submit to your HSA or FSA plan administrator for reimbursement.
Adam Z. Kawalek, MD
Electronically signed · 2026-04-06 16:42 UTC
CONFIDENTIAL · Protected health information. Distribution prohibited under 45 CFR § 164 (HIPAA).
01
Physician Credentials
Full name, NPI number, and state license clearly displayed for verification.
02
Diagnosed Condition
Your qualifying condition — often with its ICD-10 code — stated as the basis for medical necessity.
03
Electronic Signature
Digitally signed with timestamp — legally equivalent to a handwritten signature.
04
12-Month Validity
The recommended treatment duration is stated clearly, so your plan knows the letter covers the year.
Coverage
Licensed in 30+ states
AL
Active through 2027
AZ
Active through 2027
CA
Active through 2026
CO
Active through 2027
CT
Active through 2027
FL
Active through 2027
GA
Active through 2027
IL
Active through 2027
IN
Active through 2027
IA
Active through 2027
KS
Active through 2027
LA
Active through 2027
MD
Active through 2027
MA
Active through 2027
MI
Active through 2027
MS
Active through 2027
MO
Active through 2027
NE
Active through 2027
NY
Active through 2027
NC
Active through 2027
OH
Active through 2027
OK
Active through 2027
OR
Active through 2027
PA
Active through 2027
TN
Active through 2027
TX
Active through 2027
VA
Active through 2027
WA
Active through 2027
WI
Active through 2027
Don't see your state? Contact us — we're actively expanding.
Verification
How your letter is verified
Every MedSlip letter carries a unique QR code. A quick scan confirms it was issued and signed by a licensed physician — in seconds, with your clinical details kept private.
Ready when you are
Get your letter today
Reviewed and signed by a board-certified physician — delivered the same day.
Get my letter →