What Is an ESA Letter?
An Emotional Support Animal (ESA) letter is a document from a licensed mental health provider stating that your animal provides therapeutic benefit for a diagnosed mental health condition. Under the Fair Housing Act, an ESA letter allows your animal to live with you in housing that normally restricts pets -- without pet deposits or breed restrictions.
An ESA is different from a service animal. It does not require special training. But the letter must come from a licensed provider who has evaluated you and established a real clinical relationship -- not an online form mill.
How It Works
We assess whether an ESA is clinically appropriate during a standard psychiatric appointment. We review your diagnosis, symptoms, and how an emotional support animal fits into your treatment plan. If it makes clinical sense, we write the letter. If it does not, we are upfront about that and discuss other ways to support your treatment.
This is part of real psychiatric care -- not a transaction. We treat you as a patient first.
What to Expect
The evaluation is part of your psychiatric visit. We ask about your mental health history, current symptoms, and how your animal supports your wellbeing. Some patients receive their letter at the first visit. Others may need a follow-up depending on the clinical picture.
Insurance and Payment
The psychiatric evaluation is typically covered by insurance. The ESA letter itself is usually not a covered benefit. We are transparent about costs upfront.
Why It Matters
For people managing anxiety, depression, PTSD, or other conditions, the companionship of an animal can be a meaningful part of daily coping. If you believe an ESA would help you, we welcome the conversation and will give you an honest evaluation.