Updated August 31, 2026
Independently licensed mental health professionals, matched to you by the state you live in. They make the clinical call, and sometimes that call is no.
Reviewed for clinical accuracy by Andrew Patel, LCSW, Licensed Clinical Social Worker. Last reviewed August 31, 2026.
You are matched with a clinician who holds an active license in your state. Not a national pool, not a call center — a licensed professional whose license number goes on your letter so a property manager can look it up.
Our Team
Every clinician below is independently licensed and makes their own clinical decisions. You are matched with whoever holds an active license in your state.
A licensed physician who conducts emotional support animal and psychiatric service dog evaluations, and can discuss medication alongside the assessment where that is relevant to you.
A licensed physician who evaluates whether an assistance animal is clinically appropriate as part of a wider treatment picture, including for conditions that need ongoing psychiatric care.
A clinical social worker whose assessments focus on how a condition affects daily functioning at home — the exact ground a fair housing accommodation request turns on.
Availability depends on state licensure. If none of these clinicians is licensed where you live, you are matched with another verified clinician who is — an out-of-state signature is the most common reason a letter gets rejected, so we do not make that trade. How we verify every license →
Credential Types
All six of these credential types can write a valid ESA letter in most states. Which one you see depends on licensure and availability where you live.
Doctoral-level assessment and diagnosis. Typically the most thorough evaluation of the group, and useful where a diagnosis is contested.
The most common licensure type in this work, with strong grounding in how a condition affects housing, work and daily functioning.
Master's-level clinical mental health practice, licensed for independent diagnosis in most states.
Systems-focused clinicians. Often the right fit where household context, roommates or family dynamics are part of the picture.
Physicians who can also address medication management alongside the evaluation, if you want that conversation.
Advanced practice clinicians with prescriptive authority in most states and wide availability.
Twenty to thirty minutes, by phone or video. It is a clinical conversation, not a form. The clinician is working out two things: whether you have a condition that substantially limits a major life activity, and whether an animal is clinically appropriate for it.
Expect questions about:
"I have anxiety and my dog helps" gives a clinician very little to work with. "I stopped going to my night class in February, I am awake until 3am most nights, and when I am spiraling I sit on the floor with her and it stops" gives them something they can assess and write about.
If a clinician does not find a disability-related need, they will not write a letter, and you are not charged for one. Roughly speaking, a service where every evaluation ends in approval is a service where the license on the signature is not attesting to anything. Our clinicians are paid for evaluations, not for approvals.
Every state publishes a license lookup tool. Your letter includes the clinician's name, license type, license number and issuing state precisely so that you — and your landlord — can check it.
If a service will not tell you who signed your letter or what their license number is, that tells you what you need to know. More on how we vet and verify →
Some of our clinicians take on ongoing clients. If you want that, say so on the questionnaire. In Arkansas, California, Iowa, Louisiana and Montana an ongoing relationship is not optional — state law requires at least 30 days before an ESA letter can issue, which means two appointments and a real file.
Pricing
No subscription, no renewal auto-charge, no registry fee. You pay for a clinical evaluation and, if the clinician approves you, a signed letter.
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
Yes. Every clinician holds an active license in the state where you live, verified against the issuing board. The license number appears on your letter so you can check it independently.
We match on state licensure and availability. If you would prefer a particular credential type, note it on the questionnaire and we will try to accommodate it.
They will make a clinical determination as part of the evaluation. Your letter will not name a diagnosis, because a landlord is not entitled to it.
Yes, and if you have one, ask them first. A letter from a clinician who has treated you for a year is stronger than anything an evaluation service can produce, and it costs you nothing.
Answer a short screening questionnaire, talk to a clinician licensed in your state, and get a real answer either way.
