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 Ontario: Full Comparison

Ontario walk-in clinics have 2-4 hour waits. Here's how online sick notes compare on every metric.

## Online Sick Note vs Walk-In Clinic in Ontario: Which Is Better? Ontario's healthcare system faces significant capacity challenges. Walk-in clinic wait times in the GTA regularly exceed 2 hours. Here's how online sick notes compare. ### Head-to-Head Comparison | Factor | Online (MedLetter) | Walk-In Clinic | |--------|-------------------|----------------| | **Wait time** | 0 minutes | 2-4 hours | | **Delivery** | Same day (1-4 hrs) | Immediate (after wait) | | **Cost** | $49 flat | $20-40 (varies) | | **Hours** | 24/7 | Limited (typically 9-5) | | **Travel required** | No | Yes | | **Physical exam** | No | Yes | | **Legal validity** | Full (CPSO 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 - You don't have a family doctor ### When to Choose Walk-In - You need a physical examination - Your condition may require treatment or prescription - Your absence is related to a workplace injury (WSIB) - You're unsure if your condition is serious ### The Reality of Ontario Walk-In Clinics in 2026 - **GTA**: 2-4 hour average wait - **Ottawa**: 2-3 hour average wait - **Hamilton/Niagara**: 2-3 hour average wait - **Northern Ontario**: Very limited availability - **Many clinics close early** when capacity is reached - **Some charge $20-40** for sick notes ### The Bottom Line For a standard sick note, spending 3 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)**