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.

Online Sick Note vs Walk-In Clinic in BC: Full Comparison

With BC's healthcare crisis, walk-in clinics have 3-5 hour waits. Here's how online sick notes compare on every metric.

## Online Sick Note vs Walk-In Clinic in BC: Which Is Better? British Columbia's healthcare system is under enormous strain. Walk-in clinic wait times in Metro Vancouver regularly exceed 3 hours. Here's how online sick notes compare. ### Head-to-Head Comparison | Factor | Online (MedLetter) | Walk-In Clinic | |--------|-------------------|----------------| | **Wait time** | 0 minutes | 2-5 hours | | **Delivery** | Same day (1-4 hrs) | Immediate (after wait) | | **Cost** | $49 flat | $20-50 (varies) | | **Hours** | 24/7 | Limited (9am-5pm typical) | | **Travel required** | No | Yes | | **Physical exam** | No | Yes | | **Legal validity** | Full (CPSBC physician) | Full | | **Employer acceptance** | Same as in-person | Standard | ### When to Choose Online - Standard sick note for 1-5 days off - You're too sick to travel to a clinic - Walk-in clinics near you are full - You need a note outside business hours - You're in a rural area with limited access ### When to Choose Walk-In - You need a physical examination - Your condition may require treatment - You need a prescription - Your absence is related to a workplace injury (WorkSafeBC) - You're unsure if your condition is serious ### The Reality of BC Walk-In Clinics in 2026 - **Metro Vancouver**: 3-5 hour average wait - **Victoria**: 2-4 hour average wait - **Kelowna/Interior**: 2-3 hour average wait - **Northern BC**: Limited availability, some communities have no walk-in - **Many clinics close early** when capacity is reached ### The Bottom Line For a standard sick note, spending 3-5 hours at a walk-in clinic when you're already unwell doesn't make sense. Online sick notes provide the same legal documentation without the wait. **[Get your sick note in minutes, not hours →](/get-started/sick_note)**