Best Online Sick Note Services in Canada (2026 Comparison)
The Canadian telehealth market has grown rapidly since 2020. Major players include Maple (largest, all provinces), Tia Health (Alberta Health covered consultations), Felix (prescription-focused), Walkin.ca (BC-focused), and Avee Health (BC-focused). Most of these services are general telehealth platforms where sick notes are one of many offerings. MedLetter is unique in being a documentation-focused service specifically for Alberta.
Why Albertans Choose MedLetter
- Only service that doesn't require a video call
- Fastest delivery (1-4 hours)
- Broadest documentation menu (sick notes, ESA, accommodation, return-to-work)
- Alberta-specific expertise
- Retroactive notes available
- 24/7 submission (no appointment scheduling)
- Predictable flat pricing
Verdict
For Albertans who need medical documentation quickly and conveniently, MedLetter is the best choice. It's the only service that doesn't require a video call, offers the fastest delivery, and provides the widest range of documentation services. For patients who need actual medical care (prescriptions, referrals, ongoing treatment) in addition to a note, a general telehealth service like Maple or Tia Health may be more appropriate. The ideal approach: use MedLetter for documentation, and a general telehealth service for medical care.
FAQ
Are online sick notes legal in Canada?
Yes. Online sick notes issued by licensed physicians are legally valid medical documentation in all Canadian provinces. The College of Physicians in each province recognizes telemedicine as a legitimate form of medical practice.
Which online service is cheapest for sick notes?
Tia Health consultations may be covered by provincial health insurance (making the visit free), but the note itself may cost extra. MedLetter and Maple both charge $49 for a sick note. MedLetter offers the best value when you factor in time savings (no video call, no wait).
Can my employer refuse an online sick note?
No. Alberta employers cannot legally distinguish between sick notes obtained in-person vs online. A note from a licensed physician is a note from a licensed physician, regardless of how the consultation occurred.
Which service is best for ESA letters in Alberta?
MedLetter is the only Alberta-specific service offering ESA letters. CertaPet and Pettable serve the US market. For Albertans, MedLetter provides ESA letters from CPSA-registered physicians for $99 with same-day delivery.
Do I need a video call to get a sick note online?
With most services (Maple, Tia Health, Felix), yes. MedLetter is the only Canadian service that does not require a video call. You complete a brief online form and receive your note by email.
Get Started - $49