Pre-Employment Medical Clearance – Required before starting a new job
Return-to-Work Clearance – After illness, injury, or surgery
Fitness-for-Duty Certificate– Confirms ability to perform specific job duties
Sports Participation Clearance– For athletes and recreational sports
Occupational Health Certificate– For safety-sensitive positions
✅ Types of Fitness Certificates
1
Submit your request
Tell us the type of clearance needed
2
Doctor reviews
Licensed physician evaluates your request
3
Receive your note
Get your fitness certificate same day
How It Works – Simple 3-Step Process

"I needed a sick note urgently for my employer and got it the same day. The process was incredibly smooth and professional."
Sarah L.
Toronto, Ontario

"As a student, getting to a clinic was impossible during exams. Canada Medical Notes saved me — my university accepted the note without any issues."
Marcus K.
Vancouver, BC

"Fast, reliable, and completely confidential. I've used the service twice now and referred friends. Highly recommend!"
Priya R.
Calgary, Alberta

"Affordable pricing and incredibly fast turnaround. The documentation was accepted by my employer right away."
James W.
Montreal, Quebec
What Is a Fitness-to-Work Certificate?
A fitness-to-work certificate — also called a medical clearance certificate or fitness-for-duty certificate — is an official document prepared by a licensed physician confirming that you are physically and mentally capable of performing your job duties. It is commonly required by Canadian employers when an employee returns to work after an illness, injury, or surgery, and is also used in pre-employment health assessments, occupational health evaluations, and sports participation clearances.
Canada Medical Notes provides same-day fitness certificates prepared by licensed Canadian physicians. If you were recently absent from work and need both a sick leave note for your absence and a fitness certificate for your return, we can prepare both documents from a single request.


Types of Fitness Certificates We Prepare
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Return-to-Work Clearance — confirms you are medically fit to resume normal duties after illness, injury, or surgery
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Fitness-for-Duty Certificate — confirms ability to perform specific physical or cognitive job functions
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Pre-Employment Medical Clearance — required by some employers before a new hire begins, particularly in safety-sensitive industries
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Sports Participation Clearance — for student-athletes, recreational leagues, or organized sports requiring physician sign-off
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Occupational Health Certificate — for workers in construction, mining, transportation, healthcare, or other regulated environments
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Return-to-Sport Certificate — for athletes cleared to resume training or competition after a health event
If your employer requires a specific government or insurance form to be completed rather than a standard letter, our standard medical forms service handles those requests with the same same-day turnaround.
What Your Fitness Certificate Includes
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Physician's name, credentials, and provincial license number
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Date of virtual medical assessment
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Statement of medical fitness for the specified role or activity
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Any work restrictions or accommodations recommended (if applicable)
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Physician's signature on official letterhead
If your situation also requires documentation for a school or academic program — for example, a student returning to a nursing or kinesiology program — see our school absence notes and academic documentation service.







