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, Ontario, Saskatchewan, Manitoba, Nova Scotia, New Brunswick, Prince Edward Island, and Newfoundland and Labrador. Our physicians are licensed with provincial medical colleges (CPSA, CPSBC, CPSO, CPSS, CPSM, CPSNS, CPSNB, CPSPEI, CPSNL).

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.

Can I get a sick note after my exam has already passed?

Yes. MedLetter can issue a sick note for a recent illness even if the exam date has passed, as long as you were genuinely ill on the exam day. Most universities accept notes submitted within 3-7 days of the missed exam.

Will my university accept an online sick note?

Yes. All Canadian universities accept sick notes from licensed physicians regardless of whether the consultation was in-person or virtual. MedLetter notes are issued by physicians registered with provincial medical colleges.

How quickly can I get my sick note?

MedLetter delivers most sick notes within hours of submission. Same-day delivery is standard, so you can submit your deferral paperwork before your university deadline.

What if my university has a specific form?

Many universities have their own forms. MedLetter provides a standalone medical note that satisfies the medical documentation requirement. For universities requiring physician completion of specific forms, contact us and we can accommodate.

Can I defer multiple exams with one sick note?

Yes, if your illness spans multiple exam dates. Your MedLetter sick note will specify the dates of illness, and you can use it to defer all exams that fall within that period.

MedLetter is a legitimate medical service operated by licensed Canadian physicians. Our notes are real medical documents issued after physician review. Using a legitimate sick note for a genuine illness is completely appropriate and legal.

Exam Deferral Sick Note Ontario

Last reviewed and updated: July 2026 by a licensed Canadian physician

Same-day sick note for exam deferrals at University of Toronto, Western, McMaster & all Ontario universities. CPSO-registered physician. $49.