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 Hand, Foot, and Mouth Disease in Adults

HFMD isn't just for toddlers. Adults can get it too — and it's painful, contagious, and can prevent you from working for days. Here's what you need to know.

## Hand, Foot, and Mouth Disease in Adults Hand, Foot, and Mouth Disease (HFMD) is commonly associated with young children, but adults can contract it too — often from their own kids. In adults, HFMD can be more severe and debilitating than in children. ### Adult HFMD Symptoms - Painful blisters on hands, feet, and inside the mouth - Sore throat making eating and drinking difficult - Fever (38-39°C) - Fatigue and body aches - Painful rash on hands and feet (can affect gripping and walking) - Mouth ulcers making speaking painful ### Why HFMD Prevents Working - **Painful hand blisters** — cannot type, grip tools, or handle objects - **Foot blisters** — painful to walk or stand - **Mouth ulcers** — painful to speak, eat, or drink - **Contagious** — risk of spreading to coworkers - **Fever** — general malaise and fatigue ### Contagious Period HFMD is most contagious during the **first week of illness**, particularly while blisters are present. The virus can be shed in stool for weeks after recovery. ### Who Should Stay Home - **Healthcare workers** — high risk of spreading to vulnerable patients - **Childcare/education workers** — risk of spreading to children - **Food service workers** — hygiene concerns - **Anyone with active blisters** — contagious and painful ### How Long to Stay Off Work Most adults need **5-10 days** off work with HFMD: - Days 1-3: Fever, developing blisters, most contagious - Days 3-7: Blisters at peak, very painful - Days 7-10: Blisters crusting over, pain reducing - Day 10+: Usually safe to return when blisters have crusted ### Getting Documentation MedLetter provides absence documentation for HFMD: 1. Describe your symptoms and when they started 2. Note your occupation (especially if healthcare, childcare, or food service) 3. A licensed physician reviews your submission 4. Receive documentation via email — no risk of spreading the virus at a clinic ### When to Seek In-Person Care Visit a clinic if: - You cannot swallow fluids (dehydration risk) - Fever exceeds 39°C and doesn't respond to medication - Blisters become infected (increasing redness, pus, warmth) - You develop neck stiffness or severe headache - Symptoms worsen after day 5 **Important:** MedLetter provides documentation for work absences only. If you need treatment or are experiencing severe symptoms, please visit your physician. [Get Your Documentation →](/get-started/sick_note)