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.

Do You Still Need a Sick Note for COVID in Ontario? (2026 Update)

COVID policies have evolved significantly. Here's what Ontario workers need to know about sick notes for COVID in 2026.

## Do You Still Need a Sick Note for COVID in Ontario? (2026) COVID-19 is now treated similarly to other respiratory illnesses in Ontario. The emergency-era rules have ended, but you still have rights when you're sick. ### Current Ontario Guidelines (2026) - **No mandatory isolation period** — but you should stay home while symptomatic - **Standard sick leave rules apply** — 3 unpaid days under the ESA (no note required) - **No special COVID sick leave** — the IDEL (Infectious Disease Emergency Leave) has expired - **Employer policies vary** — some still have COVID-specific protocols ### When You Need a Sick Note for COVID You'll likely need documentation if: - You're off for more than 3 consecutive days - Your employer has a specific COVID return-to-work policy - You work in healthcare, long-term care, or food service - You need to extend your absence beyond initial expectations ### What About Long COVID? If you're experiencing ongoing symptoms (fatigue, brain fog, breathing difficulties): - You may qualify for **extended sick leave** or **disability benefits** - You should document your condition with medical notes - You may be entitled to **workplace accommodations** under the Ontario Human Rights Code ### How MedLetter Helps If you have COVID and need a sick note, visiting a clinic means potentially exposing others. MedLetter provides online documentation from CPSO-registered physicians — keeping you and others safe. **Get a COVID sick note — [Start here](/get-started/sick_note)**