Get Your Pet
ESA Letter Online

Emotional Support Animal Letter Includes:

  • 12 Months ESA Prescription, written by a licensed Medical Doctor
  • Instant PDF Copy and Hard Copy mailed the same day
  • 24/7 Online Verification
price from: $99/ year

Fast Online Process

You pay only if approved. 100% Refundable if Not Completely Satisfied.

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ESA Letter

Emotional Support Animal Letter Benefits

Still irresolute as to whether to certificate your pet as an emotional support animal?
Check the major advantages you get together with the esa letter:

No More Pet Fees and Pet Deposits

No More Pet Fees
and Pet Deposits

Never more you have to pay the pet fee whatever airlines you choose. The Air Carrier Access Act defines that your emotional support pet has a right to fly in the cabin together with its owner absolutely for free. Get the emotional support dog letter and save up to 300 USD a trip!
Housing with pets gets easier and cheaper, too. Property owners do not charge extra deposits or fees if you have a certified esa dog (regulated by Fair Housing Amendments Act of 1998).

Travelling With a Pet Made Easy

Travelling With a Pet
Made Easy

When planning a trip, it is always a question of how to arrange the pet business. Leaving the dear friend at home is stressful for both the pet and the owner. Travelling together is currently made almost unachievable by the airlines: either it is prohibited at all or the fee is going tremendously incredible. However, with the emotional support animal letter, you get the right to travel by plane together with no extra charges for the pet. Your emotional support cat or dog (or another animal) will in this case be placed in the cabin.

Comfortable Housing

Comfortable Housing

Housing restrictions on keeping animals do not apply to the emotional support animals (Federal Fair Housing Amendments; Rehabilitation Act of 1973 – section 504). Property owners are not allowed to make any discriminations regarding the officialemotional support animal certification, so, their owners are provided with a legal tool that allows arranging a comfortable residence without worrying about animal housing policy.

Sense of Relief

Sense of Relief

The principal idea of having the ESA lies in being inseparable from the friend that gives a great support and comfort to its owner. Communication with animals is generally proven to help people who suffer from depression, uneasiness, fear complexes, anxiety and different intellectual problems. It can help to fight loneliness or can bring calmness and sense of overall comfort. Moreover, if your pet is a dog, the necessity to have the outdoor physical activity daily also significantly boosts your health and reduces the risk of heart diseases.

Social Interaction

Social Interaction

ESA pets can do the same degree advantage to the lonely people and those who prefer frequent social interactions. From one side, they can be perfect partners for the solitary individuals being the ones who never judge and always encourage their owners. From the other side, having a pet friend nearby helps to make an easy start of the conversation and reduce the communication tension.

Additional Motivation

Additional Motivation

The motivational effect of having the emotional support animal always with you regards three major aspects. First, it is a sense of pleasure and inspiration that people get from communication with their favorite ones. Secondly, the mood boost happens due to the necessity to live life that is more active and to have more outdoor activities. The last thing is the sort of purposefulness that appears when you know you are living not only for yourself alone.

Lowest Price ESA Letter

We match any competitor price! Just send us a link or a screenshot and we will match it!

ESA Housing Letter

  • 12 Months ESA Housing Letter
  • Exempt from "no pets" Housing
  • Exempt from Landlord's Pet Deposit and Fee
  • Exempt from Airlines Pet Fee
  • Fly in the Aircraft Cabin
  • ESA ID Card
$99/ year

ESA Combo Plan

  • 12 Months ESA Housing and Travel Letters
  • Exempt from "no pets" Housing
  • Exempt from Landlord's Pet Deposit and Fee
  • Exempt from Airlines Pet Fee
  • Fly in the Aircraft Cabin
  • ESA ID Card
$149/ year Most

ESA Travel Letter

  • 12 Months ESA Travel Letter
  • Exempt from Airlines Pet Fee
  • Fly in the Aircraft Cabin
  • Exempt from "no pets" Housing
  • Exempt from Landlord's Pet Deposit and Fee
  • ESA ID Card
$99/ year


Is it legal to get my ESA Letter online?

Yes. Our doctor's are licensed in California, are HIPAA compliant and follow the California Board of Medicine guidelines for telehealth care. The application of emotional support animal letter qualifies as a valid Telemedicine service in California. Get cheap and legit esa letters online, register emotional support animal, first time and renewal patients may qualify.

What Is An Emotional Support Animal (ESA)?

An emotional support animal (ESA) is a person’s pet that has been prescribed by a person’s licensed therapist, psychologist, or psychiatrist (any licensed mental health professional). The animal is part of the treatment program for this person and is designed to bring comfort and minimize the negative symptoms of the person’s emotional/psychological disability. All types of domesticated animals can be Emotional Support Animals (cats, dogs, and birds) and they can be any age (young puppies and kittens, too!).

How do I qualify for Emotional Support Animal?

For a person to legally qualify for an emotional support animal (ESA), he/she must be eighteen or older and considered emotionally disabled by a licensed physician, as evidenced by a properly formatted prescription letter. Some airlines and property managers will accept a verification form completed by a family doctor, however.

When is your esa doctor available to look at my application?

A licensed emotional support animal doctors are available 24/7 for esa evaluations. Typically, the emotional support animal application process takes a few minutes on the patients part and then the application is reviewed remotely on our physician's tablet. Video conference consultations are available as well.

How to get an emotional support animal?

The process of getting esa letter takes only a few minutes on our website and can be completed anytime online. Patients type in basic personal info and answer a short medical questionnaire describing their conditions and symptoms. Once completed, a medical doctor reviews your application, usually within a few minutes. If your esa recommendation is approved, you will get a Digital Copy of your ESA letter by email and a hard copy mailed out the same day. Note: Customers don't pay unless their application is approved.

How will my landlord or property manager be able to verify my letter?

Your landlord or property manager can verify your letter by calling the verification number that is included on the prescribing physician’s letterhead 24/7. This is the verification phone number of the doctor that issues your prescription.

How should I prepare my dog for airline travel as an emotional support animal?

Your dog may not be familiar with the airport environment, the confines of sitting at your feet on an airplane, or facing the scrutiny of airline personnel and other passengers. If you are flying with a dog please be aware that airline staff (including gate agents, TSA, and flight attendants) can deny passage for your emotional support animal (and you) if the animal is deemed to be a health threat, bother, or nuisance to other paying passengers, even if you have had your ESA pre-approved to accompany you on the plane.

Can my landlord refuse my request to accommodate my emotional support animal?

Only in certain circumstances. If the animal’s accommodation could mean additional administrative costs and other adjustments that would affect housing arrangements, then the landlord might refuse your request. For instance, the animal is disruptive or poses a threat to the health, safety, and property of the other tenants. Make sure to train your ESA so they are not unruly and you are always in control.

Can I bring my emotional support animal to hotels?

The law does not require hotels, restaurants, trains, and busses to accept emotional support animals on their premises, but you could call them ahead of your trip and ask about their policy. Some establishments are open to accepting emotional support animals at their own discretion.

Does the ESA letter Expire? How often do i need to renew?

Your emotional support dog registration will last for one year. You can then have the opportunity to renew your ESA Letter via ESADOCTORONLINE at a discounted rate.

Rules that concern emotional support animals

Emotional support animal registration provided by the ESA Medical Doctors protects you from the following difficulties that you and your pet may experience: pet discrimination, inability to travel with the animal, housing refuse on the ground of no pets allowing, apartment rent increasing and, finally, separation from your valuable friend. The ESA letter allows you to always have your emotional support animal beside you.
Regardless of your accommodation type, you are officially permitted to keep the animal that brings you comfort and relief with you because your medical state is proven to require it. Registering pets as the emotional support animals is becoming widespread because more people get informed about the benefits of such decision. A favorite pet can treat or significantly decrease many psychological, intellectual and sometimes even physical problems that a person experiences.

The rules that concern the support animals define three types of animals that have principal differences:

Emotional Support Animals.
They do not have a need in specific training, it is enough that they have a certain value to the individuals they belong to. Any domestic animal can be recognized as the emotional support animal, regardless of its kind and breed.

Therapy pets.
They are usually the pets that serve people in hospitals and medical centers and help them gain the emotional stability again. These animals do not belong to the specific owner and, thus, they do not create such tight bonds as the emotional support animals and their owners do. Therapy pets need to have a registration.

Service animals.
These are the animals that have passed the specific training to be able to help their owners function properly in everyday circumstances. The bright example for the service animal is the guide dog that helps the blind owner find its way. These animals are definitely registered but they are not obliged to have any identification marks. Some USA states set the criminal responsibility for the fraudulent actions regarding the service animals.

Register your pet as the Emotional Support Animal and stay assured in your comfort!

price from: $99/ year

We offer Emotional Support Animal Letters in theese States

Understanding the Background, Function, & Purpose of Emotional Support Animals (ESAs)

Animals serve an important function in the lives of people, providing companionship, support, unconditional love, and even protection. Pets have formed part of households for centuries and are often considered to be a member of the family, as the connection and bond between people and animals are described as being profound and even life changing. Pets are believed to emit a special energy and relay an unspoken love and relentless loyalty to their owners and families, a presence that enhances human wellbeing, quality of life, and health.

According to statistics on pet ownership in the United States, over one-third of households have a pet, which is commonly a dog or a cat; however, birds and horses are also rather common American pets (AVMA, 2017). The emotional benefits of having a pet are undeniable, as pets provide company, affection, and can even motivate their owners to engage in health-promoting activities, such as walking and socializing. As a result of the numerous health and quality of life benefits provided by pets, legal action has been applied to allow people with emotional or mental health disabilities to have Emotional Support Animals (ESAs).

An ESA is an animal that serves the function and purpose of providing comfort and support to a person with a diagnosed mental health disorder (AVMA, 2017). A person who has a mental health disorder is considered to have a mental health disability and the disabled person is considered to be a person with a disability. An ESA serves as an aid and provides assistance to the disabled person. Some examples of the assistance provided by an ESA for a person with a mental health disability include the following: encouraging a person with depression who isolates him/herself in their home to go outside in order to walk their ESA; an individual struggling with insomnia is able to fall asleep and stay asleep due to sleeping with an ESA; or an individual who fears leaving their home receives company due to the presence of the ESA.

There are a variety of mental health conditions and symptoms that can be alleviated by the presence of an animal including depression, anxiety, loneliness, phobias/fears, and insomnia, among many other concerns (Barker & Wolen, 2008; O’Haire, 2010; Smolkovic, Fajfar, & Mlinaric, 2012). Studies have indicated that animals can be beneficial to the wellbeing of people with mental health problems (Brooks et al., 2018) and can even provide benefits to physical health, such as lowering blood pressure, triglycerides, and cholesterol (Walsh, 2009). Research has also found that pets contribute to decreased physical and emotional stress even more so than the presence of a friend or a spouse (Allen, Blascovich, & Mendes, 2002). The simple act of petting the coat of a dog has been found to lower blood pressure (Walsh, 2009) and petting other animals, such as a rabbit or a turtle, has been found to decrease anxiety (Shiloh, Sorek, & Terkel, 2003). Being in the presence of an animal causes an increase in brain chemicals associated with a state of relaxation and a sense of bonding (Charnetsky, Riggers, & Brennan, 2004). The release of these chemicals enhances immune system functioning, contributing to improved health and wellbeing (Charnetsky et al., 2004).

Unlike a service animal, an ESA is not required to be formally trained to perform a specific task, such as helping a person who is blind cross the street or remind a person with cancer to take their medication. In fact, an ESA requires no special training to be given the designated title (AVMA, 2017). It is simply the presence of the animal, and the comfort and support that this presence provides, that makes ESAs such a significant and important part of the lives of many individuals struggling with mental health disabilities.

ESAs are most often animals that are also typical house pets, such as dogs and cats; however, an ESA can also be a bird, a pig, a turtle, a fish, or a horse. There are a variety of animals that can be considered ESAs and it is up to the person who is prescribed an ESA to select the type of animal that would best satisfy their needs according to their disability.

ESAs in Housing

Since an ESA provides company, comfort, support, reassurance, and even a sense of ease and tranquility to the owner, the law allows a person who lives in a community or other housing that have ‘no pet’ policies to have an ESA in their home. This is considered an accommodation for the person with a mental health disability and this accommodation is protected under the federal Fair Housing Act (FHAct, 42 U.S.C.A. 3601 et seq.; Fair Housing Act, 1968; Wisch, 2015). Under the law, an ESA is not a pet, but is instead considered a means of assistance to the person with a disability. The U.S. Department of Housing and Urban Development (HUD) is a federal agency that regulates the Fair Housing Act (Wisch, 2015). HUD is responsible for investigating any issues with housing discrimination. For example, if a person with a disability is prohibited by a landlord from having an ESA in the home, despite providing the required documentation, this would be considered housing discrimination under the law and the landlord could face legal consequences.

The ESA documentation that is required by landlords and other housing communities is known as an ‘ESA letter,’ which is a signed document by a licensed mental health professional (e.g., psychologist, counselor, therapist) for the future owner of the ESA. The letter states that the mental health professional is recommending/prescribing an ESA for the individual. The details contained in the letter vary, as some mental health professionals may describe the needs of the future ESA owner, but the only required information is that the letter state that the individual has a mental health disability and there is a need for the ESA that is associated with the mental health disability (Wisch, 2015). The entities requesting an ESA letter (e.g., housing provider, airline) cannot request medical records or other detailed information about the person making the ESA request (Wisch, 2015).

Housing providers (e.g., landlords) must consider two issues when evaluating a request for an ESA: 1) Does the person requesting to live with an ESA have a disability? and 2) Does the person have a disability that is related to the need for an ESA? (Wisch, 2015). Among communities or other housing where a pet fee is charged (e.g., “pet rent”) as a condition for residence, the law states that since an ESA is not a pet, the pet fee must be waived for these animals (Wisch, 2015).

ESAs on Airplanes

Air travel is a source of fear and anxiety for many people, which is why the law has permitted ESAs to travel in airplane cabins with passengers who have a mental health disability and who demonstrate the proper documentation. ESAs are not subject to the fees that are typically imposed when passengers wish to travel with a pet. The law that protects the rights of individuals with disabilities to travel with their ESA is the Air Carrier Access Act (ACAA, 2003), which is regulated under the U.S. Department of Transportation (Brennan, 2009). Airlines require documentation dated no longer than one year from the date of travel (U.S. Department of Transportation, 2018). The documentation must be from a licensed mental health professional and state that the person making the ESA request has a mental health disability and that the ESA is needed as an accommodation to travel on an airplane (U.S. Department of Transportation, 2018).

ESA Rights from State to State

The laws that protect the rights of people with mental health disabilities to have an ESA in housing and onboard airplanes are federal laws; therefore, these rights are protected in all 50 states. Due to cases of people taking advantage of the laws that protect ESAs, it has been proposed that states should adopt a registration system for ESAs (Liverpool, 2018). The state of New Hampshire, for example, has implemented such a system; however, it has been argued that a registration system imposes a fee on people with disabilities and can also sacrifice the right of disabled individuals to maintain their privacy, since a registration system would require the disclosure of names and other identifying information (Liverpool, 2018). There are some benefits to imposing a state-run certification requirement for ESAs, such as preserving the rights of people with mental health disabilities to have these animals without receiving any backlash or skepticism from the general public.

Qualifications for an ESA letter

In order to obtain an ESA letter, a person must have a diagnosed mental health disorder according to the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5; American Psychiatric Association, 2013). The DSM-5 is a source used by mental health professionals that lists mental health disorders and diagnostic criteria for these disorders. It is considered the primary guide in the field of mental health for diagnosing psychiatric conditions.

An ESA letter is often written and signed by the licensed mental health professional after the professional has conducted a thorough mental health evaluation. A mental health evaluation involves a series of questions that are asked of the client, such as demographic information, past or current mental health symptoms or treatment, activities of daily living, and family history of mental health problems. This information is compiled along with behavioral observations, which are observations made by the mental health professional regarding the clients mood, behavior, attention, speech, rapport, facial expression, and other behaviors and actions that can indicate the presence of a mental health problem. Once this information is gathered during a mental health evaluation, the mental health professional arrives at a diagnosis if the client has met criteria for a mental health diagnosis. At this point, the mental health professional determines whether an ESA would be beneficial to the client in order to alleviate any mental health symptoms or concerns and improve the wellbeing of the individual.

ESA Certifications

Due to the increasing popularity and widespread awareness of ESAs, many websites have emerged promising to provide (at a fee) ESA certificates and other documents along with tags, badges, and/or vests that can be worn by the animal to indicate that the animal is an ESA. An ESA certification is not a requirement in order for a person to have an ESA in housing or onboard an airplane. In fact, without a signed letter from a mental health professional prescribing the need for an ESA, a certification can essentially be of little use. The purpose of an ESA is to provide a service to a person with a mental health disability; therefore, applying for an ESA certificate on a website would eliminate the steps necessary for the determination to be made that, firstly, the person has a mental health disability, and secondly, that a mental health professional determines that an ESA would alleviate the disabled person’s symptoms. If an ESA certificate is provided without an evaluation taking place by a mental health professional, then this would be a violation of the requirements for having an ESA, as determining whether the person has a mental health disability must occur first and foremost.

The presence and use of ESAs has numerous advantages for individuals with mental health disabilities; however, ESAs, and the laws that protect individuals who have these animals, have been the source of much controversy (Foster, 2018). The use of ESAs have been criticized for allowing people an excuse to travel with a pet or live with a pet in a ‘no pet’ housing community rather than for their intended purpose, which is to alleviate the symptoms of people with a mental health disability. Since ESAs do not require any formal training, there have been reports spread on the news and social media about how the presence of these animals in housing and air travel has caused incidences of barking, biting, or other disruptions that purportedly affect other residents or passengers (Foster, 2018). The use of ESAs is a rather recent provision allowed for people with disabilities; therefore, it is possible that laws may become more specific or stringent in order to ensure that those who benefit from the company, love, and companionship provided by these animals will continue to have the right to maintain this accommodation. It has also been discussed that allowing people with mental health disabilities to have ESAs is a significant step towards decreasing the stigma attached to mental health problems (Foster, 2018). Mental health stigma has numerous personal and social consequences that can ultimately endanger the life and wellbeing of people with mental health problems. The social acceptance and continued legal acceptance of ESAs is an important step in ensuring that people with mental health disabilities are provided resources to enjoy better health and quality of life.


  1. Air Carrier Access Act (49 U.S. C. 41705 and 14 C. F. R. 382) 2003.
  2. Allen, K., Blascovich, J., & Mendes, W. B. (2002). Cardiovascular reactivity and the presence of pets, friends, and spouses: The truth about cats and dogs. Psychosomatic Medicine, 64(5), 727-739.
  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  4. AVMA. (2017). Assistance animals: Rights of access and the problem of fraud.
  5. Barker, S. B. & Wolen, A. R. (2008). The benefits of human-companion animal interaction: A review. JVME, 35(4), 487-495.
  6. Brennan, J. (2009). Legal e-bulletin. Southwest ADA Center.
  7. Brooks, H. L., Rushton, K., Lovell, K., Bee, P., Walker, L., Grant, L., …Rogers, A. (2018). The power of support from companion animals for people living with mental health problems: A systematic review and narrative synthesis of evidence. BMC Psychiatry, 18(31).
  8. Charnetsky, C. J., Riggers, S., & Brennan, F. X. (2004). Effect of petting a dog on immune system function. Psychological Reports, 95(3), 1087-1091.
  9. Fair Housing Act, 42 U.S.C. 1968.
  10. Foster, A. (2018). Don’t be distracted by the peacock trying to board an airplane: Why emotional support animals are service animals and should be regulated in the same manner. Albany Law Review, 82.
  11. Liverpool, P. (2018). Tightening service and emotional support animal regulations. The Regulatory Review.
  12. Louise Brooks, H., Rushton, K., Lovell, K., Bee, P., Walker, L., Grant, L., …Rogers, A. (2018). The power of support from companion animals for people living with mental health problems: A systematic review and narrative synthesis of the evidence. BMC Psychiatry, 18(31).
  13. O’Haire, M. (2010). Companion animals and human health: Benefits, challenges, and the road ahead. Journal of Veterinary Behavior, 5, 226-234.
  14. Shiloh, S., Sorek, G., & Terkel, J. (2003). Reduction of state-anxiety by petting animals in a controlled laboratory experiment. Anxiety, Stress, and Coping, 16(4), 387-395.
  15. Smolkovic, I., Fajfar, M., & Mlinaric, V. (2012). Attachment to pets and interpersonal relationships. Journal of European Psychology Students, 3, 15-23.
  16. U.S. Department of Transportation. (2018). Passengers with disabilities: About the air carrier access act.
  17. Walsh, F. (2009). Human-animal bonds I: The relational significance of companion animals. Family Process, 48(4), 462-480.
  18. Wisch, R. F. (2015). FAQs on emotional support animals. Michigan State University College of Law.