Need a return to work note? A return to work note (also called a fitness-to-work certificate, medical clearance letter, or fit note) is a physician-signed document confirming you are medically cleared to resume your duties. Get your return to work note online through MedLetter — same-day delivery from a licensed Canadian physician for $49. Many employers require a return to work note after extended absences (3+ days), surgery recovery, or medical leave. We serve all provinces including Alberta, BC, and Ontario.
Yes. For straightforward returns after common illnesses (flu, cold, gastro, minor infections), a virtual physician review is sufficient. Complex cases requiring physical examination will be referred to in-person care.
Yes. If you need temporary accommodations (e.g., no heavy lifting, reduced hours, seated work only), specify this in your intake form and the physician will include appropriate restrictions.
Same-day delivery for submissions before 2pm EST. Typically within 2-4 hours. After 2pm, delivery by 9am next business day.
Yes. Our letters are issued by physicians licensed with CPSA, CPSBC, or CPSO. They carry the same legal authority as any in-person physician's clearance letter.
Yes. Unlike sick notes (which have ESA protections), employers can generally require medical clearance before allowing return after extended absences, especially in safety-sensitive roles.
For ongoing restrictions beyond 2 weeks, we recommend consulting with a family physician or specialist who can provide ongoing management. We can provide initial clearance with short-term restrictions.