How Much Does a Sick Note Cost in BC? (2026)

If you need a sick note in British Columbia, you're probably wondering what it will cost. The answer depends on where you get it: walk-in clinics charge $30-$75, telehealth services charge $49-$69, and MedLetter charges a flat $49 with same-day delivery. But here's the important question: do you actually need to pay for one at all?

Under BC's Employment Standards Act, employers CANNOT require a sick note for your first 8 protected sick days (5 paid + 3 unpaid). If you haven't used all 8 days, you may not need to spend anything. However, if you've exhausted your protected days or want to avoid workplace conflict, here's what you'll pay.

Sick Note Costs by Provider in BC (2025)

Here's a breakdown of what you'll pay for a sick note from different providers in BC. Note that costs vary by location and clinic.

• Family doctor: $20-$30 (if you have one, many don't charge, some charge for forms)
• Walk-in clinic: $30-$75 (plus 3-5 hour wait, if accepting patients)
• Telehealth (Maple, Tia Health): $49-$69 (requires video call, may have wait)
• MedLetter: $49 flat fee (online review, no wait, same day delivery)
• Emergency room: Not appropriate for sick notes (4-8+ hour wait)
• Nurse practitioner clinic: $20-$50 (limited availability)

Hidden Costs of Getting a Sick Note

The sticker price isn't the full cost. When you factor in lost wages, transportation, and time, the true cost of a walk-in clinic visit is much higher.

• Lost wages: 3-5 hours at a walk-in = $60-$150 in lost income
• Transportation: Gas, parking, or transit = $5-$20
• Childcare: If you need coverage while at the clinic = $20-$50
• Stress and energy: Being sick in a waiting room for hours
• Risk of getting sicker: Exposure to other ill patients in the waiting room
• Total true cost of walk-in visit: $100-$300+ when all factors included
• MedLetter total cost: $49, from your couch, in your pajamas

When You Don't Need to Pay for a Sick Note at All

Before spending money on a sick note, check your rights under BC's Employment Standards Act. You may not need one at all.

• First 8 sick days per year: No note required (5 paid + 3 unpaid)
• If your employer asks for a note within the 8 protected days: They're violating the law
• You can politely inform your employer of their ESA obligations
• However, many workers prefer to provide a note to avoid conflict ($49 for peace of mind)
• After 8 days: Employer can request 'reasonable evidence', a note may be needed

Why MedLetter Is the Best Value in BC

At $49, MedLetter offers the best combination of speed, convenience, and legitimacy for BC residents who need a sick note.

• $49 flat fee, no hidden charges, no consultation fees
• Delivered same day, fastest option available
• Online review required, complete a 5-minute questionnaire
• No clinic visit, stay home and rest while sick
• CPSBC-registered physician, fully legitimate documentation
• Accepted by BC employers, legally equivalent to in-person notes
• Available 24/7, submit anytime, including evenings and weekends

FAQ

How much does a sick note cost at a walk-in clinic in BC?

Walk-in clinics in BC typically charge $30-$75 for a sick note, plus you'll wait 3-5 hours. Some clinics charge more for same-day notes.

Can I get a free sick note in BC?

If you have a family doctor, they may not charge for a sick note. However, over 1 million BC residents don't have a GP. Also, remember that for your first 8 sick days, you don't need a note at all.

Is $49 a fair price for an online sick note?

Yes. MedLetter's $49 includes physician review and same-day delivery. Walk-in clinics charge similar amounts but require 3-5 hours of your time.

Do I have to pay for a sick note if my employer requires one?

For your first 8 sick days, your employer CANNOT require a note. If they do require one (after 8 days), the cost is typically your responsibility unless your employer or benefits plan covers it.