How it works

How to get an ESA letter, step by step.

Four steps, one real clinical evaluation, and a price you can see before you start. This is the whole process — there is nothing else hidden behind it.

1

Free screening

Answer a short confidential questionnaire about your situation and your animal. You will know in about two minutes whether it makes sense to continue. Nothing is charged and no card is taken.

2 minutes
2

Live consultation

Meet a clinician licensed in your state by video or phone. They introduce themselves by name and license number, take your history, and decide clinically whether an assistance animal is appropriate for you.

Often same day
3

Clinical determination

The clinician completes the evaluation and tells you the outcome directly. Not everyone qualifies. If you do not, the assessment and letter fee is refunded in full.

Same appointment
4

Your signed letter

Your letter arrives as a signed PDF on clinician letterhead with license type, number and jurisdiction, written for what a housing provider may lawfully request. A printed copy is available by mail.

24 to 48 hours
Man meeting a licensed therapist over a video consultation for his emotional support animal letter, cat beside him

The consultation

A named clinician, licensed where you live.

This is the part most online services skip, and the part a housing provider can actually verify. You meet the person who signs your letter.

  • Named and licensed in your state, with a license number you can check against the state board.
  • Video or phone — whichever you prefer, typically 20 to 30 minutes.
  • They can say no. A clinician who cannot decline is not evaluating anything.
  • They answer your landlord. Verification support is included at no extra cost.

FAQ

Questions about the process.

How do I get an ESA letter?

Complete a free screening, meet a clinician licensed in your state in a live video or phone consultation, and receive a signed letter if the clinician determines you qualify. There is no registry to join and no certificate to buy — the clinician's letter is the document with legal standing.

Do I have to talk to someone?

Yes. A live consultation is mandatory here. A letter written without an evaluation is not a clinical document, and a housing provider who checks will treat it accordingly.

What does the consultation cover?

Your history, how your condition affects daily activities, and the specific support your animal provides. The clinician does not need to disclose your diagnosis in the letter, and a housing provider may not ask for it.

How long does the whole process take?

Signed PDF within 24 to 48 hours of your consultation. Same-day evaluations are often available for early bookings. California, Arkansas, Iowa, Louisiana and Montana require a 30-day client-provider relationship first, so letters there are issued on day 31.

What is actually in the letter?

Confirmation from a licensed professional that you have a disability-related need for the assistance animal, the animal it applies to, the clinician's license type, license number and jurisdiction, the effective date, and a signature on letterhead.

Start with the free screening.

Two minutes, confidential, no card. You will get an honest read before anyone takes payment.

Start the free screening HIPAA-compliant intake · Licensed clinicians · Money-back guarantee: full refund if you do not qualify, and a full refund if your housing provider refuses the letter.