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We have received your submission. You will be receiving an email from HealthSource Medical Associates with your doctor’s note signed by one of our Board-Certified physicians licensed in your state. It will come as a secured attachment in the next few minutes.

You will need to enter the following password to access and print your note: RtSd2kih#

Please enter it manually.

There may be system delays or sometimes the email may end up in your spam folder.

If you do not receive your note within the next 15 minutes, please reach out to us by email and we will promptly respond to make sure you get your note in a timely manner.

Please feel free to reach out with any other questions at or 1-888-457-1844.

We also would like to let you know of our other available services powered by HEALTHSOURCE Medical Associates. Are you running out of your chronic medications? Then, check out to get refills on your medications fast and easy!

Be well and stay safe!