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 Kidney Stones: Pain Management and Work Absence

Kidney stone pain is often described as worse than childbirth. Here's how to get work absence documentation during this debilitating condition.

## Kidney Stones and Work Absences Kidney stone pain (renal colic) is frequently described as one of the most intense pains a person can experience. During an active episode, working is impossible — and even after the acute pain resolves, passing a stone can take days to weeks. ### How Long Do Kidney Stones Keep You Off Work? | Stone Size | Typical Passage Time | Work Impact | |-----------|---------------------|-------------| | < 4mm | 1-2 weeks | 1-3 days off (acute phase) | | 4-6mm | 2-4 weeks | 3-7 days off | | > 6mm | May require surgery | 1-2 weeks off | | Post-lithotripsy | Recovery period | 2-5 days off | | Post-surgical removal | Recovery period | 1-2 weeks off | ### Why Kidney Stones Prevent Working During an active episode: - Pain is severe and unpredictable (comes in waves) - Pain medication causes drowsiness and impaired judgment - Frequent urination and blood in urine - Nausea and vomiting - Cannot drive safely on pain medication ### When You Need Documentation You'll need a sick note if: - You miss more than 1-2 shifts during an acute episode - You're on prescription pain medication that impairs your ability to work - You need time off for a procedure (lithotripsy, ureteroscopy) - Your employer requires documentation for any absence ### Getting Documentation If you've been diagnosed with kidney stones (via ER visit or imaging), MedLetter can provide: - Absence documentation for the acute pain phase - Documentation for ongoing recovery - Return-to-work clearance when appropriate 1. Describe your condition and any diagnosis/treatment you've received 2. Note the dates you've been unable to work 3. A licensed physician reviews your submission 4. Receive documentation via email ### When to Seek Emergency Care Visit an ER immediately if you experience: - Fever with kidney stone pain (possible infection) - Complete inability to urinate - Persistent vomiting preventing hydration - Pain not controlled by medication - Blood clots in urine **Important:** MedLetter provides documentation for work absences only. If you are experiencing acute kidney stone symptoms, please visit your nearest emergency room for treatment. [Get Your Documentation →](/get-started/sick_note)