Last reviewed and updated: July 2026 by a CPSO-registered physician
When you need documentation today, MedLetter delivers. Most requests are physician-reviewed and delivered within 2-4 hours — faster than any walk-in clinic wait, without leaving your home. Every letter is issued only when clinically appropriate.
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.
Most requests submitted during business hours (8am-8pm) are reviewed and delivered within 1-4 hours. Evening and weekend submissions are typically processed within 4-8 hours. Available 7 days a week including holidays.
While most requests are completed same day, delivery depends on physician review. If additional information or an assessment is required, it may take slightly longer. We prioritize speed without compromising clinical standards.
Yes. MedLetter accepts requests 7 days a week including weekends and statutory holidays — when most Ontario walk-in clinics are closed. Weekend requests are typically processed within 4-8 hours.
Submit as early as possible. Most requests during business hours are completed well within 4 hours. If you submit before noon, you'll typically have your note by mid-afternoon — ideal for workers with evening or overnight shifts.
No. The speed of delivery does not affect the legitimacy of the documentation. Every MedLetter note is reviewed by a CPSO-registered physician with the same clinical standards as an in-person visit. Ontario law makes no distinction between virtual and in-person consultations.
$49 flat fee. No hidden charges, no consultation fee, no subscription. Compare to walk-in clinics ($50-$100+ plus 2-5 hours of waiting). OHIP does not cover sick notes.
No. Over 2.2 million Ontarians don't have a family doctor. MedLetter was built for this — no existing patient relationship needed, no referral required.
Yes. Ontario employers must accept medical documentation from any CPSO-registered physician regardless of consultation format. All MedLetter notes include the physician's CPSO registration number for verification.
Yes. Physicians can provide documentation for recent illness based on your reported symptoms. Submit your request as soon as possible after your absence for fastest processing.
If a physician requires additional details, you may be asked to complete a brief audio or video assessment. This is to ensure clinical appropriateness. If documentation cannot be issued, you receive a full refund.
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