I don't know specifically what they can do other than they can't do anything if you never try.
Re taking off work and getting an appointment, if you are as unsafe as you are saying, I'd say take the day off in anticipation regardless. You've been pretty stressed for a while and time off even without an appointment might be good for you.
It's not your problem how they handle you not being there. That's their problem. And hopefully you can just say it's for medical reasons. Dunno about there but at least here they aren't allowed to ask specifics.
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