TELEHEALTH

We offer prescription and administrative health services such as form completion and notes within 24 hours via text!

*Requires set up of Spruce account for secure communication. Get started by requesting a service below!

Velvet Symbiosis

Services & Documentation Support

Secure, self-pay services reviewed by a licensed Nurse Practitioner. From attendance documentation and form completion to travel guidance and treatment for select common conditions — no waiting rooms or appointments.

Attendance & Admin
Attendance Documentation

Essential (1–3 days) and extended (4–7 days) attendance documentation for work, sports, events or school, reviewed case by case.

View attendance options →
Travel & Prevention
Travel Letters & Health Guidance

Travel interruption or cancellation letters, plus personalized non-prescription travel health guidance and vaccine education.

Explore travel services →
Treatment & Guidance
Prescriptions, Forms & Ask an NP

Treatment for UTI, yeast infection, cold sores, conjunctivitis, poison ivy, and paronychia. Also includes form review, immigration documentation guidance, care navigation, vaccine review, and Ask an NP services.

See all services →
How It Works

Fast, Secure, and Simple

Start your request online, continue by secure message, and receive documentation, guidance, or treatment for select common conditions without a waiting room.

1
Start your request

Choose the service you need and begin your request through our secure messaging link.

2
Complete your intake

Answer a few questions about your symptoms, dates needed, pharmacy, or documentation request so your case can be reviewed appropriately.

3
NP review

A licensed Nurse Practitioner reviews your request, may ask follow-up questions, and determines whether documentation, guidance, or prescription treatment is appropriate.

4
Receive your results

Your completed document, care guidance, or prescription decision is sent digitally by secure message. Prescriptions are sent to your pharmacy when clinically appropriate.

Ready to Request a Medical Note?

Secure, fast, documentation-only telehealth. Choose your note type, complete a quick form, and receive your signed PDF digitally.

Documentation provided based on patient reported information. Documentation and notes are not a substitute for full medical evaluation and are for short-term, non-emergency needs only. For urgent concerns, please seek in-person medical care.

Contact Us

Interested in working together? Fill out some info and we will be in touch shortly. We can’t wait to hear from you!