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 Pharmacist Give You a Sick Note in Ontario? (2026)

Ontario pharmacists have expanded powers in 2026, but can they give you a sick note? Here's the current situation.

## Can a Pharmacist Give You a Sick Note in Ontario? Ontario pharmacists have significantly expanded their scope of practice in recent years. But can they issue sick notes? ### The Short Answer: Generally No While Ontario pharmacists can now: - Prescribe for 19 minor ailments (UTIs, cold sores, pink eye, etc.) - Administer vaccines - Renew prescriptions - Order lab tests They **cannot** typically issue formal sick notes for employers. Sick notes require a physician's assessment of your inability to work. ### Why Employers May Not Accept Pharmacist Notes - Most employer policies specify "physician" or "medical doctor" - The CPSO sets standards for medical certificates - Pharmacists assess for specific conditions, not general fitness for work ### The Better Option: Online Physician Sick Notes For a proper sick note that all employers will accept, you need a physician. MedLetter connects you with CPSO-registered physicians who can provide same-day documentation — faster than most walk-in clinics. **Get a physician-issued sick note — [Start here](/get-started/sick_note)**