Can a Doctor Refuse to Give You a Sick Note in BC?

Yes, BC doctors can refuse sick notes. Learn why refusals happen, what to do if refused, and alternative options for getting documentation.

Yes, Doctors Can Refuse


In British Columbia, physicians are not obligated to provide sick notes.

Common Reasons for Refusal


  • Haven't seen you recently and can't assess your condition

  • Don't believe symptoms warrant time off

  • Policy against backdating notes

  • Request seems for convenience rather than medical necessity

  • Too busy (especially during flu season)


What to Do If Refused


1. Ask for their specific reason
2. Address their concerns if possible
3. Seek a second opinion
4. Consider an online service
5. Document the refusal

When Online Services Help


MedLetter can be helpful when your family doctor is unavailable or you've been refused by a walk-in clinic doctor who doesn't know your history.

Important Note


MedLetter physicians conduct genuine medical assessments. If a physician determines your situation doesn't warrant a sick note, they may decline — and you'll receive a full refund.

BC Employment Standards: Your Rights

Under British Columbia's Employment Standards Act (Part 6, Division 6), employees who have been employed for at least 90 days are entitled to 5 paid sick days and 3 unpaid sick days per year. Key points:

  • Employers cannot require a doctor's note for absences of 3 days or fewer under the ESA

  • For absences exceeding 3 consecutive days, employers may reasonably request medical documentation

  • The BC Human Rights Code protects employees from discrimination based on disability or health conditions

  • WorkSafeBC claims are separate from sick leave entitlements


Statistics: Healthcare Access in BC

According to the BC Ministry of Health (2025-2026 data):

  • Approximately 1 in 5 British Columbians lack a regular family doctor

  • Average walk-in clinic wait time in Metro Vancouver: 2-4 hours

  • Rural BC communities often have no walk-in clinic within 50 km

  • Virtual care visits in BC increased by over 300% since 2020


Practical Steps for BC Employees

1. Know your collective agreement - Many BC unions (BCGEU, HEU, CUPE) have additional sick leave provisions beyond the ESA minimum
2. Document your absence - Keep records of when you notified your employer and any symptoms
3. Understand the timeline - Most employers accept notes provided within 5 business days of your return
4. Check your benefits - Extended health plans often cover virtual medical consultations

When a Sick Note May Not Be Required

BC law does not require a sick note for:

  • The first 3 days of absence (ESA Section 49.1)

  • Bereavement leave

  • Jury duty

  • Personal emergencies covered under other leave categories

Related: [Sick Note Vancouver](/online-sick-note-vancouver) | [Sick Note Surrey](/online-sick-note-surrey) | [Online Sick Note BC](/online-sick-note-bc)

Frequently Asked Questions

Can I get a sick note online in British Columbia?
Yes. CPSBC-licensed physicians can assess patients through virtual consultations and issue legally valid sick notes accepted by all BC employers.

How much does an online sick note cost in BC?
MedLetter charges a flat $49 for a sick note with same-day delivery. This is often faster and more affordable than visiting a walk-in clinic.

Will my BC employer accept an online sick note?
Yes. The College of Physicians and Surgeons of BC recognizes virtual care. Online sick notes are legally equivalent to in-person notes.

How many paid sick days do I get in BC?
BC employees are entitled to 5 paid sick days per year after 90 days of employment, plus 3 additional unpaid sick days.