Last reviewed and updated: August 2026 by a CPSO-registered physician
When you need documentation today, submit early and follow your employer or school's reporting process. A CPSO-registered physician independently reviews each request; documentation 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.
If documentation is clinically appropriate, your signed medical letter is sent to your email as a secure PDF. Review timing depends on the assessment and any required follow-up.
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:
If documentation is issued, it includes the issuing physician's CPSO registration number. An employer can verify the credential through the CPSO public register. The employer, insurer, or school applies its own lawful documentation process.
Under Ontario law, employers are expected to 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: Requests are reviewed as promptly as possible. Timing depends on physician assessment, volume, and whether additional information or an audio/video assessment is required..
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.
Review timing varies with the assessment, request volume, and whether a physician needs more information. Submit early, but do not rely on a fixed timeframe when reporting an absence or meeting a school deadline.
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.
You can submit an online request at any time. A physician decides whether documentation is appropriate after review, and timing may vary if additional information is needed.
Report your absence through the workplace process as soon as possible. Submit early if you need a physician review, but do not assume a document will be issued by a particular shift time.
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.
Employers apply their own lawful documentation process. If a note is issued, it identifies the physician and CPSO registration number for verification; it does not guarantee a workplace decision.
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.
New sick-note requests are temporarily paused while we review our service. We are not accepting new orders at this time.