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Doctor Note Request

Allow at least 2 hours Secure Square payment

When we'll contact you

We work Monday–Friday 7:00 AM–7:00 PM and Saturday–Sunday 9:00 AM–4:00 PM (Alberta time). After you book, our staff will contact you as soon as possible. Please allow at least 2 hours. We contact you during working hours.

Form progress may be saved securely so our team can help if you do not finish this request. Card payments are processed securely by Square — TelePlus Care never sees your full card number.

Doctor Note Appointment and Information Form

Please fill out your details and appointment information to receive your doctor note promptly.

Important: Standard doctor notes cover up to 3 days. Both a start date and an end date are required. Please mention the dates clearly, for example: January 1 to January 3, 2026.

Notes longer than 3 days: supporting proof is required (for example a test result, hospital record, or previous note), and the fee may differ from the standard price depending on the length and details of the note. Our team will confirm any price difference with you before the note is issued.

Patient Details

First Name Last Name Phone Please enter a valid phone number. Format: (000) 000-0000. Email Street Address City Province / Territory Postal / Zip Code Date of Birth

Select your date of birth from the calendar. Today cannot be used as a birth date. Active Alberta Health Card

Doctor notes are $35.00 CAD with an active Alberta Health Card. Without one, the fee is $45.00 CAD.

Doctor Note Details

Reason for Doctor Note 0/150 Doctor note start date Doctor note end date

Important Information

Our staff will contact you as soon as possible after you book. Please allow at least 2 hours. We contact you during working hours (Monday to Friday 7:00 AM to 7:00 PM, Saturday and Sunday 9:00 AM to 4:00 PM, Alberta time). Please ensure all information provided is accurate for timely processing. Requests sent after hours or on a holiday are handled the next day the clinic is open.

Doctor Note Request Payment

Doctor Note Service

Total $45.00 CAD

Doctor Note Service

Request and receive your official doctor note after your appointment.

Doctor notes are $35.00 CAD for Alberta patients. Outside Alberta, the fee is $45.00 CAD. The total updates once you enter your province.

$45.00 CAD

Payment

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Refund, Cancellation, and Rescheduling Policy

After your visit

If you have visited us online or in-clinic, there is no refund. The visit itself is the service you paid for, and the fee fully covers that consultation once it has taken place.

Refund requests before the visit

For approved refunds before the visit has taken place, $20 will be deducted for administration and payment gateway charges.

Changes or cancellations

To schedule, reschedule, or cancel your appointment, please call 587-442-4898 or email booking@telepluscare.com. Please tell us as early as possible so we can respect our doctors' time.

Missed appointments

Please avoid last-minute cancellations or rescheduling requests. Missed appointments or no-shows without prior notice may result in a $40-$60 fee before rebooking.

Service Doctor Note Official note request

Refund Admin Fee $20.00

Total $45.00 CAD

Refund Policy No refund once the visit has taken place. For approved refunds before the visit, $20 is deducted for administration and payment gateway charges.

Need Help?

Call or email TelePlus Care if you need help completing this request.

587-442-4898 booking@telepluscare.com info@telepluscare.com

Medical Disclaimer: The information on this website is for general informational purposes only and does not constitute medical advice. If you are experiencing a medical emergency, call 911 immediately.