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.

Getting a Sick Note in Hamilton & Burlington: 2026 Local Guide

Hamilton and Burlington workers: here's how to get a sick note without the notorious wait times at local walk-in clinics.

## Getting a Sick Note in Hamilton & Burlington Hamilton and Burlington — Ontario's steel city and its lakeside neighbour — have a combined population of over 700,000. With Hamilton's ongoing healthcare challenges and Burlington's rapid growth, getting a sick note can be frustrating. Here's your complete guide. ### Hamilton's Healthcare Landscape Hamilton has unique healthcare challenges: - **McMaster University Medical Centre** serves as the regional hub but ER waits average 8-12 hours - **Family doctor shortage** affects approximately 80,000 Hamilton residents - **Walk-in clinics** are concentrated on the Mountain and in Westdale, leaving East Hamilton underserved - **Steel industry workers** often need documentation for physically demanding roles ### Walk-In Clinic Wait Times **Hamilton:** | Area | Typical Wait | Best Time to Visit | |---|---|---| | Hamilton Mountain | 1.5-3 hours | Early morning (8-9 AM) | | Westdale/McMaster area | 1-2 hours | Mid-morning weekdays | | Downtown Hamilton | 2-3 hours | Avoid Mondays | | East Hamilton/Stoney Creek | 2-4 hours | Limited options | | Dundas | 1-2 hours | Weekday mornings | **Burlington:** | Area | Typical Wait | Best Time to Visit | |---|---|---| | Appleby Line area | 1-2 hours | Weekday mornings | | Plains Road | 1.5-2.5 hours | Early morning | | Burlington Mall area | 1-2 hours | Mid-week | ### Major Hamilton-Area Employers Workers at these major employers commonly need sick documentation: - **ArcelorMittal Dofasco** — Steel manufacturing, physically demanding - **Stelco** — Steel production, shift work - **St. Joseph's Healthcare** — Healthcare workers - **Hamilton Health Sciences** — Hospital system - **Mohawk College** — Education sector - **City of Hamilton** — Municipal workers - **Canada Bread** — Food manufacturing - **Amazon** (Stoney Creek warehouse) ### Online Sick Note Options For Hamilton and Burlington workers who can't afford clinic wait times: - Submit a 5-minute online form - CPSO-registered physician reviews your request - Same-day delivery to your inbox - Valid for all Hamilton-area employers - $49 flat fee — no surprise charges ### When to Choose In-Person vs. Online **Choose in-person if:** - You need a physical examination - You require a prescription - You have symptoms needing immediate attention - Your employer specifically requires in-person (rare) **Choose online if:** - You need documentation for a straightforward illness - You can't afford 2-4 hours in a waiting room - You're a shift worker with limited daytime availability - You don't have a family doctor **Need a sick note in Hamilton or Burlington? [Get started here](/get-started/sick_note)**