Are MedLetter documents legitimate?

Yes. Every letter is reviewed and signed by a physician registered with the College of Physicians and Surgeons of Alberta (CPSA). Our documents include the physician's CPSA registration number, official letterhead, and signature.

How quickly will I receive my letter?

Most letters are delivered within 2-4 hours during business hours. Some complex requests may take up to 24 hours.

What provinces does MedLetter serve?

MedLetter serves patients in Alberta, British Columbia, and Ontario. Our physicians are licensed with the CPSA, CPSBC, and CPSO respectively, providing medical documents to patients within their jurisdictions.

What is an Emotional Support Animal (ESA) letter?

An ESA letter is an official document from a licensed physician stating that you have a mental health condition that benefits from the companionship of an emotional support animal. This letter can be used for housing accommodation requests.

How much does a sick note cost?

A sick note from MedLetter costs $49 CAD. This is a one-time flat fee with no hidden costs.

Are Online Sick Notes Legal in Ontario? (2026 Guide)

The CPSO fully supports telemedicine-issued medical documentation. Here's the legal framework and why employers must accept online sick notes.

## Are Online Sick Notes Legal in Ontario? **Yes, absolutely.** Online sick notes issued by CPSO-registered physicians are fully legal and carry the same weight as notes issued during in-person visits. ### The CPSO Position on Telemedicine The College of Physicians and Surgeons of Ontario (CPSO) has clear policies supporting virtual care: - Virtual consultations are considered equivalent to in-person visits - Physicians can issue medical documentation based on virtual assessments - The standard of care applies equally to virtual and in-person encounters - Physicians must use their clinical judgment regardless of the medium ### Why Online Sick Notes Are Legally Valid 1. **Same licensing requirements** — The issuing physician must be registered with the CPSO 2. **Same clinical standards** — The physician must conduct an appropriate assessment 3. **Same documentation standards** — The note must include the physician's name, license number, date, and relevant information 4. **Same legal weight** — Courts and tribunals treat virtual medical documentation identically ### Can My Employer Refuse an Online Sick Note? **No.** An employer cannot refuse a legitimate sick note solely because it was issued via telemedicine. This would be: - Contrary to CPSO policies - Potentially discriminatory (limiting access to healthcare) - Against the spirit of Ontario's ESA If an employer refuses your online sick note: 1. Point them to CPSO telemedicine policies 2. File a complaint with the Ontario Ministry of Labour 3. Contact the HRTO if discrimination is involved ### How MedLetter's Online Sick Notes Work 1. Complete a 5-minute health questionnaire 2. A CPSO-registered physician reviews your information 3. If appropriate, your sick note is issued and delivered within 6 hours via email 4. The note includes the physician's full credentials and CPSO registration **[Get your legal, physician-reviewed sick note →](/get-started/sick_note)**