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.

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

CPSO-registered physicians can refuse to issue sick notes. Here's why it happens and what alternatives exist in Ontario.

## Can a Doctor Refuse to Give You a Sick Note in Ontario? **Yes.** A CPSO-registered physician can refuse to issue a sick note if they determine it's not medically appropriate. This is a sign of medical integrity — the physician is exercising proper clinical judgment. ### Why a Doctor Might Refuse 1. **No medical justification** — The physician doesn't believe your condition warrants time off 2. **Insufficient information** — You haven't provided enough details about your symptoms 3. **Requesting retroactive notes** — Asking for a note covering past dates without prior assessment 4. **Requesting specific durations** — Asking for time off that isn't medically supported 5. **Ethical concerns** — Suspicion of fraudulent request ### Your Rights When Refused If a doctor refuses your sick note request: - You can seek a **second opinion** from another physician - You can ask the doctor to **explain their reasoning** - You can provide **additional information** about your symptoms - You can try a **different service** that may assess your situation differently ### How MedLetter Handles This At MedLetter, our CPSO-registered physicians review every request individually. If a physician determines a sick note is not appropriate, we provide a **full refund**. This ensures: - Physicians maintain clinical independence - You're never charged for a note that isn't issued - The process remains medically ethical ### Tips for a Successful Request 1. **Be honest and specific** about your symptoms 2. **Explain how symptoms affect your work** — not just that you feel unwell 3. **Provide relevant dates** — when symptoms started, when you need off 4. **Don't exaggerate** — physicians can tell, and it reduces trust **Need a sick note? [Start your request →](/get-started/sick_note)** — If our physician can't issue one, you get a full refund.