Get an ESA letter online

ESA Letter Therapist is a telehealth service in the United States for people managing a mental health condition who get genuine relief from their animal's company. You won't just fill in a questionnaire. A licensed therapist talks with you and makes the call on whether an ESA letter is right.

Our evaluations are conducted by Gabriel Warner, LCSW, who is licensed as a clinical social worker. Andrew Patel, M.D., reviews them and signs a letter when what the therapist found supports one. If a letter turns out not to suit your circumstances, there's no charge.

On every letter you'll find the therapist's name, the type and number of their license, the state that issued it, and the date. That way your housing provider knows exactly who wrote it.

It doesn't take long, but it's a genuine conversation with a therapist rather than a checkbox. These are the steps.

• Reserve a time online at no cost and tell us which state you live in.
• Talk with a licensed therapist by phone or video for roughly 5 to 10 minutes.
• If an ESA suits your situation, you'll get the signed letter as a PDF, most often that day.
• Pass the letter on to your housing provider together with your request for an accommodation.

You pay $129 for one letter that can list one or two animals. With three or more animals the price is $199. We also offer a version for college housing, such as dorms and student residences, at the same $129.

Reserving your evaluation costs nothing, and the charge applies only if the therapist decides to issue a letter. You won't sign up for a membership, and nothing bills you again later.

The letter supports you when you ask for a reasonable accommodation at home, something the Fair Housing Act gives you the right to do. It describes why your disability makes the animal necessary, giving a landlord, property manager or campus housing office grounds to set aside a no-pets policy for you.

It won't open doors in public. The ADA does not count an emotional support animal as a service animal, so shops, restaurants and workplaces don't have to let it in. And since January 11, 2021, airlines haven't had to accept ESAs either, and many now handle them as pets.

No government agency keeps a list of ESAs, and there's no official ID card or vest. Sellers of those items are offering something with no legal force. What counts is a letter from a therapist who actually spoke with you.

The federal picture for animals in housing has moved. On September 17, 2025, HUD's withdrawal of FHEO-2020-01, the assistance animal notice it published in 2020, took effect. Then in guidance HUD released in May 2026, the agency said it would presume requests reasonable when the animal has learned disability-related tasks, but would weigh each untrained emotional support animal request on its own.

The Fair Housing Act's accommodation rule is still in force, as are state laws, and some states give ESAs stronger protection. No letter can make a landlord agree, but it supplies dependable information of the sort a provider is permitted to ask for. See your state guide for the rules where you live.

We evaluate people whose mental or emotional condition seriously gets in the way of everyday life, for instance sleeping, focusing, working or looking after themselves, and whose animal helps take the edge off. Anxiety, depression, PTSD and panic disorder are among the most common.

Has your dog learned particular tasks that respond to your condition? Then a psychiatric service dog letter might fit you better than an ESA letter, and we're happy to discuss it on your call.

Please don't wait if things feel unbearable or thoughts of hurting yourself come up. Dial or text 988, or dial 911 in an emergency. An ESA letter can't stand in for urgent help or continuing treatment.

Along with the letter, include a brief written note asking your housing provider to set aside its pet policy for your emotional support animal. Hold on to copies of everything that goes back and forth, and jot down when each item was sent or received.

Your landlord can reasonably follow up, but in general shouldn't probe into what your disability is or how serious it is. Your animal's conduct is still your responsibility, and like any renter you can be billed for real damage it does.

Under California's AB 468 (Health and Safety Code 122318), a practitioner must have had a client relationship with you for at least 30 days, and must complete a clinical evaluation, before writing documentation for an emotional support dog. For California residents, we send a letter of intent the same day and issue the ESA letter following a check-in close to day 30.