Updated HUD narrowed federal ESA enforcement on May 22, 2026. Your state law now does most of the work. See what changed →
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Updated August 31, 2026

How it works

A screening questionnaire, a real appointment with a clinician licensed in your state, and a straight answer at the end. About 15 minutes from approval to letter in most states.

Reviewed for clinical accuracy by Andrew Patel, LCSW, Licensed Clinical Social Worker. Last reviewed August 31, 2026.

  • HIPAA CompliantClinical data handled under HIPAA safeguards
  • 256-bit SSL EncryptedEncrypted in transit and at rest
  • Written to Fair Housing Act StandardsDocuments disability and disability-related need
  • ADA-Accurate on Service AnimalsNo fake access claims — we explain the real rule
  • No Charge If Not ApprovedYou only pay when a clinician issues a letter

Every claim above is one we are willing to be held to. How we handle health information · refund policy · what the ADA actually requires.

1 · Screening questionnaire, about five minutes

Your state, your housing situation, your symptoms and your animal. It exists to tell you two things before you pay anything: whether your state has a waiting period, and whether you are in the general territory where an evaluation makes sense.

2 · Matched with a clinician licensed in your state

Not a national pool. Someone with an active license in your state, because that is what makes the letter usable. More about our clinicians →

3 · The evaluation

By phone or video, usually 20 to 30 minutes. The clinician is assessing whether you have a condition that substantially limits a major life activity and whether an animal is clinically appropriate. It is a clinical conversation, not a form-filling exercise.

4 · An answer either way

If they approve, the letter is written and sent — typically about 15 minutes later. If they do not, they tell you, and you are not charged for a letter. Roughly speaking, a service where nobody is ever denied is a service where the letters do not mean anything.

5 · Sending it, and what happens next

You will get the letter plus a short guide on writing the accommodation request itself — the step people skip. If your landlord comes back with questions, we will rewrite the letter's formatting at no charge to address reasonable requests.

Timing in five states

Arkansas, California, Iowa, Louisiana and Montana require a 30-day client-provider relationship before an ESA letter can issue. In those states the process runs across two appointments about a month apart. We schedule both up front. There is no compliant shortcut, and we will not pretend otherwise to close a sale.

What we do not do

  • Sell registrations, certificates, ID cards, vests or patches. None of them carry legal weight.
  • Guarantee approval. Nobody honest can.
  • Guarantee your landlord will say yes. No document can do that.
  • Put you on a subscription. You pay once.

Pricing

ESA Letter Cost: One Price, Paid Once

No subscription, no renewal auto-charge, no registry fee. You pay for a clinical evaluation and, if the clinician approves you, a signed letter.

Most people start here

ESA Letter

$129
One-time · no subscription
  • Signed by a clinician licensed in your state
  • Covers up to 2 emotional support animals
  • Formatted for landlords, property managers and HOAs
  • Free rewrite if your landlord asks for a different format
Book Now

ESA Letter · 3+ Animals

$199
One-time · no subscription
  • Every animal named on one letter
  • Signed by a clinician licensed in your state
  • Useful when a building caps the number of pets
  • Free rewrite if your landlord asks for a different format
Book Now

PSD Letter

$149
One-time · no subscription
  • Confirms a disability and a need for task-trained work
  • Useful for housing, employers and school disability offices
  • Covers up to 2 dogs
  • Not an ADA certificate — see the note below
Book Now

PSD Letter · Up to 3 Dogs

$229
One-time · no subscription
  • Every dog named on one letter
  • Confirms a disability and a need for task-trained work
  • Covers up to 3 dogs
  • Not an ADA certificate — see the note below
Book Now

About the PSD letter: it is documentation from a licensed clinician, not a certificate or an ID. Under the ADA, public access comes from your dog being individually trained to do work or tasks for your disability. Businesses are allowed to ask only two questions and are not allowed to require paperwork. Nobody can sell you access rights — anyone who says otherwise is selling a novelty.

You are charged only after a clinician approves you. We may place a temporary authorization hold on your card beforehand to confirm it is valid; a hold is not a charge and is released if you are not approved.

100% refund if your landlord denies your ESA. If your housing provider refuses the accommodation after you submit a letter we issued, we refund what you paid in full. Full terms, including what a claim needs, on our refund policy page.

Questions

Frequently Asked Questions

Is the evaluation really with a person?

Yes. A licensed clinician, by phone or video. If a service is issuing letters without any live contact, ask yourself what the license on the letter is actually attesting to.

What happens to my information?

Your clinical information stays with the clinician. Landlords receive the letter, which does not include your diagnosis.

Can I get both an ESA and a PSD letter?

They serve different purposes and most people need one or the other. The clinician will tell you which fits. Comparison here.

Find Out Where You Stand in About Ten Minutes

Answer a short screening questionnaire, talk to a clinician licensed in your state, and get a real answer either way.