Western Student Medical Certificate — Online, Same Day
Need the Western University Student Medical Certificate (SMC) for a missed test, missed final, or assignment extension? MediNote connects you with a physician licensed by the College of Physicians and Surgeons of Ontario (CPSO) for a phone consultation. The physician completes the official Western SMC (with signature and license number) and delivers it to your dashboard the same day. Flat $55 CAD — no clinic visit, no video call, accepted by all Western faculties and affiliated colleges.
Form template reviewed and signed by Ontario-licensed physicians. Last updated April 2026.
Use this form for
- Missed term test or midterm
- Missed final exam (Special Examination request)
- Assignment or essay extension
- Academic Consideration Request
- Late drop, deferred standing, or accommodation
- Affiliated colleges (King's, Brescia, Huron)
Submit through your faculty's academic counselling office. Most faculties require submission within 2 business days of the missed assessment — check your specific deadline.
3 Steps to Your Completed Western SMC
No clinic, no video — phone consultation with a licensed Ontario physician
Book Online
Visit medinote.ca/book and select Medical Form. Choose Western University when prompted. Same-day slots available.
Phone Consultation
A CPSO-licensed Ontario physician calls you. The 5-15 minute consultation covers your illness, dates affected, and academic context.
Submit to Western
The completed Student Medical Certificate appears in your dashboard. Submit it to your faculty's academic counselling office.
Why Western Students Choose MediNote
Western's Official SMC Template
We use the exact Student Medical Certificate that Western publishes. The completed document is identical to one from a walk-in clinic or campus health.
Same-Day, No Wait
London walk-in clinics often have multi-hour waits, especially during exam periods. MediNote books in minutes and most students are seen same-day.
CPSO-Licensed Physicians
Every physician is registered with the College of Physicians and Surgeons of Ontario. License numbers appear on the form for Western verification.
Built for Students
Phone consultation works from residence, off-campus housing, or anywhere in Ontario. No app, no video, no waiting room.
Western SMC Pricing
- Phone consultation with Ontario physician
- Official Western Student Medical Certificate
- Same-day delivery to your dashboard
- Physician signature and CPSO license number
- Accepted by all Western faculties + affiliates
- No additional fees
Western SMC — FAQ
What is the Western Student Medical Certificate?
The Student Medical Certificate (SMC) is Western University's required medical documentation form for academic consideration. Western's policy requires students seeking accommodation for missed work due to medical reasons to submit the SMC, which must be completed and signed by a regulated health-care professional licensed to practise in Canada. It is used for missed tests, missed final exams, and assignment extensions across all faculties.
Will Western accept a Student Medical Certificate completed by an online doctor?
Yes. Western accepts the SMC from any regulated health-care provider licensed to practise in Canada, including telehealth physicians. MediNote physicians are licensed by the College of Physicians and Surgeons of Ontario (CPSO) and complete the official Western SMC template with the physician's signature, license number, and contact information.
How quickly can I get the Western Student Medical Certificate?
Same day. Most students book a phone consultation, speak with an Ontario-licensed physician within 2-6 hours, and receive the completed Student Medical Certificate as a PDF in their MediNote dashboard the same day. You can then submit it through your faculty's academic counselling office.
How much does the Western SMC cost at MediNote?
A flat $55 CAD covers the physician phone consultation and the completed Western Student Medical Certificate. There are no additional fees, no faxing charges, and no clinic visit is required. London-area walk-in clinics typically charge $30-$80 plus 1-3 hour wait times.
Which Western faculties accept this form?
The Student Medical Certificate is accepted across all Western faculties and affiliated colleges: Faculty of Arts and Humanities, Faculty of Engineering, Faculty of Health Sciences, Faculty of Information and Media Studies, Faculty of Music, Faculty of Science, Faculty of Social Science, Schulich School of Medicine and Dentistry (undergraduate medical sciences), Ivey Business School, King's University College, Brescia University College, and Huron University College.
Do I need a video appointment?
No. MediNote consultations are by phone only — no video, no app, no waiting room. A licensed Ontario physician calls you at your scheduled time. The phone call is typically 5-15 minutes.
What information does the doctor need from me?
Your full legal name, Western student number, the dates you were unable to attend or complete academic work, and a description of the illness or injury. The physician completes the medical assessment portion of the form and signs it. Your specific diagnosis is not shared with Western — only that the illness was significant enough to interfere with your academic work.
Can I get the form for a missed final exam or Special Examination?
Yes. The Western SMC is commonly used to support Special Examination requests for missed finals. Submit the SMC together with your Academic Consideration Request through your faculty's academic counselling office. Most faculties require submission within 2 business days of the missed exam — check your specific faculty's deadline.
Can the doctor backdate the form?
Physicians can document a current medical assessment and the period of illness based on what you describe and clinical judgement. They cannot retroactively certify illness they did not observe. Book your consultation as soon as possible after the absence — Western requires a current medical assessment for the dates of illness claimed.
How is the completed form delivered?
The completed Western SMC PDF appears in your MediNote dashboard immediately after the consultation. Download it and submit through your faculty's academic counselling office (Arts and Humanities, Social Science, Science, etc.) or upload via the relevant academic consideration portal. We can also email a copy to you.
Get Your Western SMC Today
Same-day, signed by a CPSO-licensed physician, $55 CAD. Submit your Academic Consideration Request as soon as your call ends.
Book the Western SMC