Saldus medīcīnas centrs (SMC) has announced to issue only electronic sick leave documents starting from 1st of February 2017
This is possible as they are first health care institution in Latvia which is connected E-health system and uses it's eDNL functionality. SMC is using their own system to connect to E-health system developed by Assistentis. Electronic sick leave document is also convenient to citizens and employers as this information is electronically transferred to State revenue service (VID) Electronic declaration system (EDS) and also to Social security agency (VSAA) - no more papers and everybody is informed.
Link to SMC informative anouncement (in latvian) is here.