Are MedLetter documents legitimate?

Yes. Every letter is reviewed and signed by a physician registered with the College of Physicians and Surgeons of Alberta (CPSA). Our documents include the physician's CPSA registration number, official letterhead, and signature.

How quickly will I receive my letter?

Most letters are delivered within 2-4 hours during business hours. Some complex requests may take up to 24 hours.

What provinces does MedLetter serve?

MedLetter serves patients in Alberta, British Columbia, and Ontario. Our physicians are licensed with the CPSA, CPSBC, and CPSO respectively, providing medical documents to patients within their jurisdictions.

What is an Emotional Support Animal (ESA) letter?

An ESA letter is an official document from a licensed physician stating that you have a mental health condition that benefits from the companionship of an emotional support animal. This letter can be used for housing accommodation requests.

How much does a sick note cost?

A sick note from MedLetter costs $49 CAD. This is a one-time flat fee with no hidden costs.

Sick Note for Ear Infection: When Adults Need Time Off Work

Ear infections aren't just for kids. Adult ear infections cause severe pain, vertigo, and hearing loss that can prevent working. Here's how to get documentation.

## Adult Ear Infections and Work While ear infections are more common in children, adults can develop painful ear infections that significantly impact their ability to work. The combination of severe pain, hearing loss, dizziness, and fever can make working impossible — particularly in communication-heavy or balance-dependent roles. ### Types of Adult Ear Infections | Type | Symptoms | Duration | |------|----------|----------| | Outer ear (swimmer's ear) | Pain, swelling, discharge | 7-10 days | | Middle ear (acute otitis media) | Severe pain, fever, hearing loss | 5-7 days | | Inner ear (labyrinthitis) | Vertigo, nausea, hearing loss | Days to weeks | ### Why Ear Infections Prevent Working - **Severe pain** — throbbing, constant pain that prevents concentration - **Hearing loss** — temporary but significant, affecting communication - **Dizziness/vertigo** — particularly with inner ear infections, making driving and physical work dangerous - **Fever** — indicating active infection - **Pain medication effects** — drowsiness, impaired judgment ### Jobs Most Affected - **Phone-based roles** (call centres, sales) — hearing loss prevents communication - **Drivers** — dizziness makes driving dangerous - **Healthcare workers** — hearing impairment affects patient safety - **Teachers** — cannot hear students or project voice - **Construction/trades** — balance issues create fall risk ### When You Need Documentation You'll need a sick note if: - Pain and hearing loss prevent you from performing your job - You have vertigo/dizziness making driving or physical work unsafe - You miss more than 1-2 shifts - Your employer requires documentation for absences ### Getting Documentation MedLetter provides absence documentation for ear infections: 1. Describe your symptoms (pain level, hearing loss, dizziness) 2. Note how the infection affects your specific job duties 3. A licensed physician reviews your submission 4. Receive documentation via email ### When to Seek In-Person Care Visit a clinic if: - You need antibiotic treatment (MedLetter cannot prescribe) - You have discharge from the ear - Symptoms are worsening after 48 hours - You have sudden complete hearing loss - You have severe vertigo with vomiting - You have facial weakness or drooping **Important:** MedLetter provides documentation for work absences only. If you need treatment for an ear infection, please visit your physician or a walk-in clinic. [Get Your Documentation →](/get-started/sick_note)