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.

How to Get a Doctor's Note Without a Family Doctor in Ontario

Over 2.5 million Ontarians don't have a family doctor. Here are your options for getting medical documentation.

## How to Get a Doctor's Note Without a Family Doctor in Ontario Ontario's family doctor shortage affects over **2.5 million residents**. If you need a sick note but don't have a GP, here are your options. ### The Ontario Family Doctor Crisis - **2.5+ million Ontarians** lack a family doctor - Wait times for new patient acceptance: 1-3 years in many areas - Northern Ontario and rural communities hit hardest - The shortage is projected to worsen through 2030 ### Your Options for Getting a Sick Note #### 1. Walk-In Clinic - **Pros:** In-person assessment, widely available in urban areas - **Cons:** 2-4 hour waits (GTA), may charge $20-40 for notes, limited hours - **Best for:** Complex situations requiring physical examination #### 2. Online Physician Service (MedLetter) - **Pros:** Same-day delivery, no wait, $49 flat fee, available 24/7 - **Cons:** Not suitable for emergencies or conditions requiring physical exam - **Best for:** Standard sick notes, return to work letters, stress leave documentation #### 3. Telehealth Ontario (811) - **Pros:** Free, available 24/7 - **Cons:** Nurses cannot issue sick notes, may refer you elsewhere - **Best for:** Triage and advice, not documentation #### 4. Ontario Health Teams / Urgent Care - **Pros:** Extended hours, multidisciplinary care - **Cons:** Long waits, not all issue sick notes - **Best for:** Genuine medical concerns beyond documentation #### 5. Virtual Walk-In Clinics (Maple, Tia Health) - **Pros:** Video consultation - **Cons:** Higher cost ($50-100+), inconsistent availability - **Best for:** When you want a video consultation ### Why MedLetter Is the Best Option If you need a sick note and don't have a family doctor: - **No family doctor required** — CPSO-registered physician reviews your request - **Same-day delivery** — most notes delivered within 6 hours - **$49 flat fee** — no surprise charges - **Available 24/7** — submit your request anytime **[Get your sick note now →](/get-started/sick_note)**