Getting a doctor's note in Ontario shouldn't mean losing an entire day to a walk-in clinic. With over 2.2 million Ontarians without a family doctor and GTA walk-in clinics regularly hitting 4+ hour waits, MedLetter provides a faster alternative. Our CPSO-registered physicians issue official doctor's notes for work, school, or any institution that requires medical documentation. Same-day delivery, $49 flat fee, online review required.
A doctor's note (also called a medical note, sick note, or medical certificate) is an official document from a licensed physician confirming that a patient was or is medically unfit for work or school. In Ontario, doctor's notes are issued by physicians registered with the College of Physicians and Surgeons of Ontario (CPSO). The note typically includes the physician's name and registration number, the patient's name, dates of absence, and a statement confirming medical unfitness. It does NOT need to include a specific diagnosis — Ontario privacy law protects patients from having to disclose their medical condition to employers.
While Ontario's Working for Workers Act limits when employers can demand sick notes for ESA-protected days, there are many situations where a doctor's note is still required or beneficial in Ontario.
Ontario faces the worst primary care crisis in Canada. Over 2.2 million residents have no family doctor. The Ontario Medical Association reports that 1 in 5 Ontarians cannot access primary care when needed. Walk-in clinics are overwhelmed — many stop accepting patients by 10am. Some have moved to appointment-only models. MedLetter bridges this gap by providing immediate access to a CPSO-registered physician for documentation purposes. We're not replacing your family doctor — we're providing the documentation you need when the healthcare system can't.
MedLetter provides several types of medical documentation for Ontario residents and workers.
Ontario's legal framework around doctor's notes involves multiple pieces of legislation. The Employment Standards Act provides minimum sick leave entitlements. The Working for Workers Act (2022) restricts when employers can demand notes. The Ontario Human Rights Code requires employers to accommodate medical needs. The Personal Health Information Protection Act (PHIPA) protects your medical privacy. MedLetter's documentation is designed to satisfy employer requirements while respecting your privacy rights under all applicable Ontario legislation.
| Provider | Price | Wait Time | Video Required | Ontario Physician | Same Day |
|---|---|---|---|---|---|
| MedLetter | $49 | same day | No | Yes (CPSO) | Yes |
| Maple | $49-79 | 30-60 min | Yes | Yes | Yes |
| Tia Health | $30+ (note fee) | 1-3 hours | Yes | Yes | Sometimes |
| Walk-In Clinic | $20-40 | 3-5 hours | In person | Yes | If open |
| Appletree Clinics | $20-30 | 2-4 hours | In person | Yes | If open |
| Family Doctor | $20-30 | 1-4 weeks | Usually | Yes | Rarely |
In Ontario, a doctor's note from any CPSO-registered physician is legally valid. The Employment Standards Act (ESA) provides 3 unpaid sick days per year. The Working for Workers Act (2022) prohibits employers from requiring a note for ESA-protected days. However, employer policies, collective agreements, and benefit providers may still require documentation. The Ontario Human Rights Code requires that medical documentation requests be reasonable and not overly intrusive. Employers cannot demand to know your specific diagnosis — only that a physician has confirmed your inability to work.
Yes. MedLetter notes are issued by CPSO-registered physicians and carry the same legal weight as notes from any walk-in clinic, family doctor, or hospital. The format includes all standard elements: physician name, CPSO number, patient name, dates, medical statement, and signature.
No. Ontario employers must accept documentation from any licensed CPSO-registered physician. There is no legal basis for an employer to distinguish between notes from different licensed physicians. If your employer refuses, they may be violating the Ontario Human Rights Code.
MedLetter delivers most doctor's notes same day of submission. We operate 7 days a week. For comparison, walk-in clinics in the GTA average 3-5 hour waits, and family doctor appointments are typically booked 1-4 weeks out.
No. Doctor's notes for employers and schools are classified as uninsured services in Ontario. OHIP does not cover them. This is why all providers (walk-in clinics, family doctors, and telehealth services) charge a fee for this documentation.
MedLetter is specifically designed for people without a family doctor. You don't need an existing patient-doctor relationship. Our CPSO-registered physicians can issue documentation based on your reported symptoms and clinical assessment.
Yes. Parents can request doctor's notes for minor children's school absences. Complete the form with your child's information and specify the school's requirements.
Yes. All Ontario universities accept notes from any licensed CPSO-registered physician. This includes U of T, Western, Queen's, McMaster, Ottawa, Waterloo, York, TMU, Guelph, and all others.
Yes. MedLetter operates 7 days a week including weekends and holidays. This is particularly valuable since most Ontario walk-in clinics have limited or no weekend hours.
MedLetter charges $49 for a standard doctor's note. Walk-in clinics typically charge $20-40 plus the time cost of waiting 3-5 hours. Family doctors may charge $20-30 but appointments are weeks out. Maple charges $49-79 with a required video call.
Yes. Physicians exercise clinical judgment and may decline to issue documentation if they determine it's not clinically appropriate. At MedLetter, denial rates are under 5% and you receive a full refund if your request is declined.
No. Under Ontario's Personal Health Information Protection Act (PHIPA), your specific diagnosis is private. A doctor's note only needs to confirm that you were medically unfit for work/school. Your employer cannot legally demand to know your specific condition.
Yes. MedLetter can provide documentation for recent absences (within the past 7 days). Many people submit their request after returning to work when their employer asks for documentation retroactively.
Yes. MedLetter serves every city and town in Ontario — from Toronto and Ottawa to Thunder Bay and Sudbury. Our online service works anywhere you have internet access.
Under the ESA, employers cannot require notes for the 3 protected sick days. Beyond that, employer policies and collective agreements determine requirements. If unsure, check your employment contract or contact the Ontario Ministry of Labour.
MedLetter provides notes for medical absences. If a dental emergency prevented you from working (severe pain, infection, post-surgical recovery), our physicians can document that you were medically unfit for work.
They're the same thing. 'Sick note,' 'doctor's note,' 'medical note,' and 'medical certificate' all refer to the same document — official physician documentation confirming medical unfitness for work or school.
MedLetter currently provides documentation in English. For French-language documentation, we recommend contacting a francophone clinic or Montfort Hospital in Ottawa. We plan to add French-language support in the future.
Yes. If you have a medical condition that prevents you from serving on a jury, you need a physician's note. MedLetter can provide documentation for medical exemption from jury duty.
Yes. International students studying in Ontario can use MedLetter for sick notes and academic documentation. You don't need OHIP coverage or Canadian citizenship to use our service.
“I've been on the waitlist for a family doctor for 3 years. MedLetter is the only way I can get documentation when I'm sick.” — Rachel T., Toronto
“The walk-in clinic near my office closes at 4pm. By the time I'm off work, there's nowhere to go. MedLetter solved this.” — Ahmed H., Mississauga
“My professor at Western needed a doctor's note for my deferred exam. Got it in 2 hours without leaving my dorm.” — Emily C., London
“Working shifts at the hospital, I can't exactly take time off to go to another clinic. MedLetter gets it done.” — Nurse Jennifer P., Hamilton
Get Your Doctor's Note Now — $49