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 in Ontario? 2026 Price Comparison

Q: 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.

Sick note costs in Ontario vary widely. Here's a complete price comparison for 2026 so you can make an informed choice.

## How Much Does a Sick Note Cost in Ontario? (2026 Price Comparison) In Ontario, sick notes are not covered by OHIP. This means you'll pay out of pocket regardless of where you go. Here's what to expect. ### 2026 Price Comparison | Provider | Cost | Wait Time | Availability | |---|---|---|---| | Walk-in clinic | $20-50 | within 6 hours (in-clinic wait) | Business hours only | | Family doctor | $20-30 | Days to weeks (appointment) | Limited hours | | Telehealth (Maple, Telus Health) | $30-75 | 15-60 min | Varies | | MedLetter | $49 | within 6 hours (no wait) | 24/7 | | ER (not recommended) | $50+ (note fee) | 4-12 hours | 24/7 | ### Hidden Costs to Consider **Walk-in clinics:** - Transportation costs (TTC fare, gas, parking) - Lost wages while waiting (potentially $50-200) - Childcare if needed **Telehealth apps:** - Some charge per minute - Video call requirements - May not provide notes for all conditions ### Is Your Employer Required to Pay? Ontario law does **not** require employers to reimburse sick note costs. The Working for Workers Act actually reduces the need for notes by prohibiting employers from requiring them for the 3 ESA sick days. ### Why MedLetter at $49? - **No hidden costs** — flat fee, no surprises - **No travel** — save on TTC/gas/parking - **No waiting room** — save within 6 hours of your time - **24/7 availability** — weekends, holidays, evenings - **Same-day delivery** — most notes in within 6 hours **Get a sick note for $49 — [Start here](/get-started/sick_note)**