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.

Sick Notes for International Workers in Ontario (Work Permits & LMIA)

On a work permit in Ontario? You have the same sick leave rights as Canadian workers. Here's what you need to know.

## Sick Notes for International Workers in Ontario If you're working in Ontario on a work permit (LMIA, IEC, PGWP, or other), you have the **same employment rights** as Canadian workers — including sick leave. ### Your Rights Are the Same Under Ontario's ESA: - **3 unpaid sick days** per year (from day one) - **No medical note required** for ESA sick days - **Job protection** during legitimate illness - **No discrimination** based on immigration status ### Common Concerns for International Workers **"Will taking sick leave affect my work permit?"** No. Using your legal sick leave entitlements does not affect your immigration status. **"Can my employer threaten my LMIA if I call in sick?"** No. This is illegal. Employers cannot use immigration status as leverage against workers exercising their rights. Report this to the Ministry of Labour. **"Do I need an Ontario doctor for my sick note?"** Yes. Your note should be from a physician licensed in Ontario (CPSO-registered). MedLetter physicians are all CPSO-registered. ### Barriers International Workers Face - No family doctor (OHIP coverage may have a waiting period) - Language barriers at walk-in clinics - Fear of employer retaliation - Unfamiliarity with Ontario's healthcare system ### How MedLetter Helps MedLetter provides sick notes from CPSO-registered physicians with no clinic visit required. Our simple online form is accessible regardless of language barriers. **Get a sick note — [Start here](/get-started/sick_note)**