Over 2.2 million Ontarians don't have a family doctor. Walk-in clinics average 3-5 hour waits. MedLetter delivers physician-reviewed sick notes to your inbox same day — no clinic visit, no waitlist. CPSO-registered physicians. $49 flat fee. Accepted by all Ontario employers.
Ontario's Working for Workers Act, 2024 introduced significant changes to sick note requirements. Under the updated Employment Standards Act, employers are now restricted from requiring a medical certificate for the 3 protected unpaid sick days per calendar year. However, employers may still request documentation for absences exceeding 3 days, short-term disability claims, return-to-work clearance, workplace accommodation requests, and under their internal attendance management policies. Employers who violate the new rules face fines of up to $100,000 per offence.
OHIP does not cover sick notes — they are classified as uninsured services. MedLetter: $49, 1-4 hours, 7 days/week. Walk-in Clinic: $50-$100+, 2-5 hours in person, limited hours. Family Doctor: $20-$50, days-weeks wait, by appointment only. Maple/Telus Health: $49-$79+ consultation fee, 30 min-2 hours.
As of 2026, over 2.2 million Ontario residents do not have a family doctor. This crisis is particularly acute in the GTA, Northern Ontario, and rural communities. MedLetter was built specifically for this gap — you don't need an existing patient-physician relationship, a referral, or to leave your home.
Under Ontario law, employers must accept medical documentation from any CPSO-registered physician regardless of consultation format. All MedLetter notes include the physician's CPSO registration number, verifiable on the public register. Major employers that accept MedLetter documentation include Government of Ontario, City of Toronto, Amazon Canada, Shopify, TD Bank, RBC, Loblaws, Walmart Canada, and thousands more.