How Much Does a Sick Note Cost in Ontario?
Sick notes in Ontario cost $20-$75 at walk-in clinics (Toronto clinics tend to charge more), plus 3-5 hours of GTA waiting time. Online services like MedLetter charge $49 with same day delivery. OHIP does not cover sick note fees.
Ontario Sick Note Pricing
Pricing varies significantly across Ontario:
- GTA walk-in clinic: $30-$75 (plus 3-5 hour wait)
- Small city walk-in: $20-$40 (plus 2-3 hour wait)
- Family doctor: Often free (but weeks-long appointment wait)
- After-hours clinic: $50-$100
- Online service (MedLetter): $49 (same day, no wait)
Toronto Premium
Toronto and GTA clinics charge significantly more than the rest of Ontario. Downtown Toronto clinics near Bay Street and King West can charge $50-$75 for a sick note. This reflects higher operating costs and the captive market of workers who need documentation quickly.
OHIP Does NOT Cover Sick Notes
The Ontario Health Insurance Plan does not cover sick note fees. The Ontario Medical Association has repeatedly stated that sick notes are administrative, not medical, services. The Ontario government has discussed eliminating the requirement entirely to reduce healthcare burden.
The Ontario Debate
Ontario has an ongoing political debate about sick notes. Many physicians, the OMA, and some politicians argue employers shouldn't require them at all. Until the law changes, employees still need documentation — and the cost falls on them.
MedLetter: $49 for Ontario Workers
MedLetter provides Ontario sick notes from CPSO-registered physicians for $49. Same day delivery, widely accepted by Ontario employers. No GTA clinic wait, no premium pricing, no hidden fees.