Q: Do I need a Dr excuse to call in sick to work? Is there a maximum of days I can be absent before I need an excuse?
A: If you are an at will employee, you could be fired if your employer doubts you were really sick. As a practical matter, a doctor's note is reasonably good evidence that you were actually sick. Some employers are explicit about wanting to see doctors' notes. If you have a disability or a medical emergency which requires you to be gone, you might be covered by discrimination laws or other laws.
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