Updated HUD narrowed federal ESA enforcement on May 22, 2026. It did not create a registration requirement. What changed →
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Book Your ESA Letter Appointment

A telehealth evaluation with a clinician licensed in your state. Pick a time below. If you already see a therapist or physician, ask them first — it is usually free and always the strongest version of this document.

  • Licensed in your state. We match you to a clinician who can legally write your letter.
  • All 50 states and DC. Entirely online, 7 days a week.
  • No registry, no certificate. You are booking a clinical evaluation, nothing else.
ESA-REG-004871 NOT VALID
51states and DC served
7–11office hours, every day
24honline support
100%online — no clinic visit

Pick a Time

The scheduler below is operated by our clinical partner. If it does not load in your browser, use the button underneath to open it in a new tab.

Pricing

What It Costs

One flat fee per evaluation. No subscription, no renewal fee, no registration charge — because there is nothing to register.

Most common

ESA Letter

$129

Up to 2 animals

A housing letter from a clinician licensed in your state, for a reasonable accommodation request to a landlord, property manager or university.

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ESA Letter · 3+ Animals

$199

3 or more animals

The same housing letter, covering three or more animals in one evaluation.

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PSD Evaluation Letter

$149

Dogs · up to 2

Documents your disability and your dog’s role in your treatment. Useful for housing and for your own records. It does not by itself create public access rights — that comes from task training.

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PSD Evaluation Letter · 3 Dogs

$229

Dogs · up to 3

The same psychiatric service dog evaluation, covering up to three dogs.

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You are paying for a clinical evaluation with a licensed provider, not for a document. If the clinician concludes you do not meet the standard, they will tell you so — that is what makes the letter worth anything.

What You Are Actually Buying

A clinical evaluation

A licensed provider assesses whether you have a condition that substantially limits a major life activity, and whether the animal helps with it. That assessment is the product.

A letter, if you qualify

On letterhead, with a license number and the state of licensure, stating the disability and the need without naming your diagnosis. The eight elements.

What no one can sell you. A registration number, a certificate, an ID card, or a guarantee of approval before an evaluation. If you see those offered anywhere — including here — something has gone wrong. How to spot it.

Before You Book

Check your own provider first

If you already see a therapist, counselor or physician, ask them. It costs you nothing extra and is the hardest letter for a landlord to question.

Check your state’s timing rule

Arkansas, California, Iowa, Louisiana and Montana require an established relationship first. Find your state.

Know what the letter does

It supports a housing request. It does not grant airline or public access. What travel looks like now.

Plan the written request

The letter alone does nothing until you send a request to your housing provider. Template.

Questions

Booking Questions

How long does the appointment take?

Most evaluations run 15 to 30 minutes by video. If you qualify, the letter usually follows within a day or two.

What if I do not qualify?

The clinician will tell you. An evaluation that can only end one way is not an evaluation, and a letter produced that way is the kind a landlord learns to reject.

Do I get a registration or certificate too?

No, and you should be suspicious of anyone who offers one. No ESA registry exists in the United States. Why the idea persists.

Does a PSD letter give my dog public access?

No. Under the ADA, a psychiatric service dog earns public access by being individually trained to perform tasks related to a disability. No letter, card or registration is required or recognised for that. A PSD evaluation letter documents your disability and your dog’s role in treatment, which is useful for housing and for your records. The difference in full.

Which states do you cover?

All fifty and the District of Columbia. You are matched with a clinician licensed where you live, which is a legal requirement rather than a preference.

Is my information private?

The evaluation is a clinical encounter with a licensed provider and is handled accordingly. See our privacy policy.

Sources

Sources

  1. Fair Housing Act, 42 U.S.C. § 3604 — discrimination in the sale or rental of housing — Office of the Law Revision Counsel, U.S. House of Representatives
  2. Office of Fair Housing and Equal Opportunity — the office that enforces the Fair Housing Act — U.S. Department of Housing and Urban Development
  3. ADA 2010 Revised Requirements: Service Animals — U.S. Department of Justice, Civil Rights Division
  4. Federal Trade Commission — consumer protection and advertising rules — Federal Trade Commission