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.

Missed a University Exam in Ontario? How to Get a Doctor's Note

Ontario universities require medical documentation for missed exams. Here's how to get a note quickly — even without a family doctor.

## Missed a University Exam in Ontario? Getting a Doctor's Note Missing a university exam due to illness is stressful. Ontario universities have strict policies about deferred exams, and most require a physician's note. ### Ontario University Policies #### University of Toronto - Requires "Verification of Student Illness or Injury" form - Must be completed by a licensed physician - Submit within the faculty's deadline (varies by college) - Online physician notes are accepted #### Western University - Requires Student Medical Certificate (SMC) - Must be submitted within 48 hours - Note must cover the date of the exam - Accepts notes from any CPSO-registered physician #### McMaster University - McMaster Student Absence Form (MSAF) for absences under 5 days - Medical documentation required for longer absences - Must be from a registered healthcare provider #### Queen's University - Requires medical documentation for academic consideration - Submit through Student Wellness Services - Accepts notes from CPSO-registered physicians #### Other Ontario Universities (York, Ryerson/TMU, Ottawa, Waterloo, Guelph) - Similar policies — medical note required for deferred exams - Timelines vary (24 hours to 1 week) - All accept notes from CPSO-registered physicians ### What the Note Should Include - ✅ You were assessed by a physician - ✅ You were unable to attend on the specific date - ✅ The physician's name and CPSO credentials - ❌ Your specific diagnosis (not required at most schools) ### MedLetter for Ontario Students - **Same-day delivery** — meet your university's deadline - **$49** — affordable for students - **No family doctor needed** — CPSO-registered physician reviews your request - **Accepted by all Ontario universities** **[Get your exam sick note →](/get-started/sick_note)** — Same-day delivery for Ontario students.