Updated August 2026, Current Ontario ESA and CPSO telemedicine standards.
What Is the Best Online Doctor for Sick Notes in Ontario? The best online sick note services in Ontario offer same-day delivery, CPSO-registered physicians, official medical letterhead, and full refund if declined. MedLetter delivers most notes within 2 hours for $49, with no video call required. All notes comply with Ontario Employment Standards Act requirements.
Looking for a sick note online Canada service? MedLetter provides sick note Alberta — get your online doctor sick note delivered same-day for $49. No clinic visit needed.
Online Sick Note Services in Ontario: A Complete Comparison
More Ontario residents are turning to online services for sick notes. But which service is best? Here's our honest comparison.
Top Online Sick Note Services in Ontario
| Service | Price | Delivery Time | CPSO Physician | Specializes in Notes |
|---------|-------|---------------|----------------|---------------------|
| MedLetter | $49 | same day | Yes | Yes |
| Maple | $49-79 | Same day | Yes | No (general telehealth) |
| Tia Health | $20-50 (note fee) | 1-5 days | Yes | No (general telehealth) |
| Felix | $39-49 | Same day | Yes | No (prescriptions focus) |
| Telus Health MyCare | $20-50 (note fee) | 1-7 days | Yes | No (general telehealth) |
What to Look for in an Online Sick Note Service
1. CPSO Registration, The physician must be registered with the College of Physicians and Surgeons of Ontario
2. Delivery speed, If you need it today, delivery same day is essential
3. Employer acceptance, The note should be on official letterhead with physician credentials
4. Privacy, Your medical information should be protected under PHIPA
5. Cost transparency, No hidden fees or surprise charges
MedLetter vs. Maple: Head-to-Head
MedLetter:
- Purpose-built for medical documentation
- Flat $49 fee, no surprises
- 1-4 hour same-day delivery
- Optimized for employer acceptance
- Available 7 days/week
Maple:
- General telehealth platform
- $49-79 depending on service
- Same-day but no guaranteed timeframe
- May require a video consultation
- Good for general health concerns too
Why Specialized Services Win for Sick Notes
General telehealth platforms like Maple and Tia Health are excellent for medical consultations, but they're not optimized for documentation. You may need to:
- Wait for a video appointment slot
- Explain that you "just need a note"
- Navigate a system designed for diagnosis and treatment
MedLetter is purpose-built for New sick-note requests are temporarily paused while we review our service. We are not accepting new orders at this time., meaning:
- The process is streamlined for notes and letters
- Physicians understand employer requirements
- Delivery is typically completed within hours
- The format is optimized for employer acceptance
Are Online Sick Notes Legal in Ontario?
Yes. Online sick notes from CPSO-registered physicians are:
- Legally valid under Ontario law
- Accepted by Ontario employers (including Shopify, TD Bank, RBC, Amazon, Loblaws, and government agencies)
- Compliant with the Regulated Health Professions Act
- Protected under PHIPA privacy legislation
How to Get an Online Sick Note in Ontario
1. Visit MedLetter and select "Sick Note"
2. Fill out a brief medical questionnaire
3. A CPSO-registered physician reviews your information
4. Receive your sick note digitally same day
5. Present to your employer (digital or printed)
Weekend and Evening Options: When Panic Sets In
We've all been there. It's Sunday night, you've been battling a fever all weekend, and your boss at TD Bank or Shopify just emailed demanding a sick note by Monday morning. Or perhaps you called in sick on a Tuesday without one, and now HR at the Ontario Public Service is asking for documentation. When panic sets in and local walk-in clinics in Toronto, Mississauga, or Brampton are closed, you need urgent solutions.
This is where online services shine. Unlike traditional clinics that operate on strict 9-to-5 schedules, platforms like MedLetter offer weekend and evening options. Whether you're in Ottawa, Hamilton, London, Kitchener, or Windsor, you can request a note at 10 PM on a Sunday and have it ready for your employer by Monday morning. This same-day option is a lifesaver for those unexpected illnesses that don't adhere to business hours.
Understanding Ontario's Employment Standards Act (ESA)
Under the Employment Standards Act (ESA) Section 50, employees in Ontario have specific rights regarding sick leave. The Working for Workers Act has also introduced changes to how employers can request medical documentation. It's crucial to understand that while employers can ask for a sick note, they must do so reasonably.
Major employers like RBC, TTC, and OPG are well-versed in these regulations, but smaller businesses might not be. Having a professionally formatted note from a CPSO-registered physician ensures that your documentation meets all legal requirements, protecting your rights under the ESA.
The Role of CPSO Telemedicine Guidelines
The College of Physicians and Surgeons of Ontario (CPSO) has established clear telemedicine guidelines that govern how doctors can provide care virtually. These guidelines ensure that the standard of care remains high, even when you're not in the same room as your doctor.
When you use a service like MedLetter, you're benefiting from these rigorous standards. The physicians are trained to assess your symptoms accurately through virtual means, ensuring that the sick note you receive is not only legally valid but also medically sound. This compliance with CPSO guidelines is what makes online sick notes just as reliable as those obtained in person.
Cost Comparison: Online vs. In-Person
| Option | Average Cost | Time Spent | Convenience |
|--------|--------------|------------|-------------|
| MedLetter | $49 | 10 mins | High (From home) |
| Walk-in Clinic | $20-$50 | 2-4 hours | Low (Travel & waiting) |
| Family Doctor | $20-$40 | 1-2 hours | Medium (Requires appointment) |
As you can see, while the monetary cost might be similar, the time and convenience factors heavily favor online options, especially when you're already feeling unwell.
Frequently Asked Questions
Can I get a sick note online in Ontario?
Yes. CPSO-licensed physicians can assess patients through virtual consultations and issue legally valid sick notes accepted by Ontario employers (including Shopify, TD Bank, RBC, Amazon, Loblaws, and government agencies).
How much does an online sick note cost in Ontario?
MedLetter charges a flat $49 for a sick note with same-day delivery. This includes the physician assessment and official documentation.
Will my Ontario employer accept an online sick note?
Yes. The College of Physicians and Surgeons of Ontario recognizes virtual care. Online sick notes are legally equivalent to in-person notes.
How long does it take to get a sick note from MedLetter?
Most sick notes are delivered within 2-6 hours of submission. Same-day delivery is standard.
What if my employer rejects the online sick note?
If your employer rejects a note from a CPSO-registered physician, they may be in violation of the ESA. You can provide them with information regarding the validity of telemedicine in Ontario.
Do I need a video call to get a sick note?
Not always. Depending on your symptoms and the service you use, a secure messaging assessment or a brief phone call may be sufficient under CPSO guidelines.
Can I get a sick note for a mental health day?
Yes. Mental health is a valid reason for a sick day. A CPSO-registered physician can assess your situation and provide appropriate documentation.
Is my medical information secure online?
Yes. Reputable services like MedLetter comply with the Personal Health Information Protection Act (PHIPA), ensuring your data is encrypted and secure.
Related: Sick Note Ontario, Complete City Guide | Ontario Sick Note Cost 2026 | Understanding ESA Section 50
See Also
Ready to get your sick note? New sick-note requests are temporarily paused while we review our service. We are not accepting new orders at this time. — delivered same-day by a licensed Canadian physician.