Last reviewed and updated: July 2026 by a CPSO-registered physician
When your workplace requires medical documentation, MedLetter provides a straightforward path to legitimate, physician-reviewed documentation. No clinic visit, no long wait, no unnecessary exposure to other patients.
Getting a sick note online through MedLetter is straightforward and takes less than 10 minutes of your time:
Complete a brief clinical intake form describing your symptoms, dates of absence, and documentation needs. Your information is encrypted and confidential.
A CPSO-registered physician reviews your request. If clinically appropriate, your letter is prepared. If additional information is needed, you may be asked to complete a brief audio or video assessment.
Your signed medical letter is delivered to your email as a secure PDF. Most letters are delivered same day.
The entire process is completed online — no video call, no phone call, no clinic visit. Your signed sick note is delivered as a professional PDF document that you can email to your employer or print for your records.
MedLetter serves a wide range of Ontario residents who need medical documentation quickly and conveniently:
In some cases, a physician may require a brief audio or video assessment before issuing documentation. This ensures clinical appropriateness and protects both the patient and the integrity of the medical letter. If an assessment is required, you will be notified and can schedule at a convenient time.
Every MedLetter sick note is a comprehensive medical document that meets Ontario employer standards:
All MedLetter documentation includes the issuing physician's CPSO registration number. Employers can verify physician credentials through the CPSO public register. Ontario employers are required to accept documentation from any CPSO-registered physician regardless of consultation format.
Under Ontario law, employers must accept sick notes from any licensed physician regardless of whether the consultation was conducted in-person or virtually. MedLetter notes are issued by CPSO-registered physicians and carry the same legal weight as notes from walk-in clinics or family doctors.
Price: $49 flat fee. No hidden charges, no consultation fee, no rush surcharge. If a physician determines documentation cannot be issued, you receive a full refund.. Turnaround: Most requests are reviewed and delivered same day, typically within 2-4 hours during business hours. Evening and weekend requests are processed within 4-8 hours..
No hidden fees. No subscription required. Pay once and receive your signed documentation. If your submission is not approved for clinical reasons, you receive a full refund.
Ontario employees are entitled to 3 unpaid sick days per calendar year under the ESA. While the ESA does not require a doctor's note for these protected days, many employers have internal policies requiring documentation for absences beyond 1-2 days. Having a sick note ready prevents disputes and protects your employment record. MedLetter provides documentation that satisfies both ESA requirements and employer-specific policies.
They are the same thing. A sick note, medical note, doctor note, and medical certificate all refer to a physician's documentation confirming medical inability to attend work for specified dates.
Under the ESA, employers cannot require a medical note for the first 3 sick days per year. Beyond that, employers may request reasonable documentation. Many company policies have their own thresholds.
No. Your medical note confirms inability to work for specific dates. It does not disclose diagnosis, symptoms, or treatment. Your medical privacy is protected under PHIPA.
Yes. MedLetter can provide return-to-work documentation confirming you are fit to resume duties. Indicate this in your request form. MedLetter documentation is issued by CPSO-registered physicians and meets all Ontario employment and academic requirements. Same-day delivery available for most requests.
If your employer requires a specific form to be completed, you can upload it with your request. The physician will complete it if clinically appropriate.
MedLetter provides physician-reviewed medical letter requests for patients in Ontario. A letter is issued only when clinically appropriate. Some requests may require an audio or video assessment before a physician can issue documentation.
Start Your Secure Medical Letter Request — $49, Same Day Delivery