Now accepting new patients across the Boulder area and all of Colorado

ESA Letter Evaluations in Boulder at Flatirons Psychiatry and Mental Health

Boulder's rental market is tight and many landlords say no pets. If your animal is part of how you manage a mental health condition, an honest evaluation can help.

Now accepting new patients. Most major insurance accepted. All appointments are confidential.

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No referral needed
Private — by appointment only
Ages 15 and up
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Renting in Boulder with an animal

Boulder has one of the most competitive rental markets in Colorado. Leases on the Hill, in Martin Acres, and around Folsom often ban pets or charge steep pet rent, and student houses frequently prohibit animals altogether. For renters living with depression, anxiety, or trauma, a dog or cat can be central to staying well. An emotional support animal letter may help with housing when the need is real.

How federal housing law works

The Fair Housing Act requires housing providers to make reasonable accommodations in their rules for people with disabilities. Allowing an emotional support animal despite a no-pet policy can be one of those accommodations. A housing provider can ask for reliable documentation of the disability-related need when it is not obvious, and federal HUD guidance describes what that documentation looks like.

CU Boulder and university housing

CU Boulder residence halls and family housing follow the university's own process for assistance animal requests, with forms and review steps separate from private landlords. Students should start early, because campus housing reviews can take time before a move-in date. Bring any university forms to your visit.

The limits of an ESA

An ESA does not have the public-access rights of a trained service animal under the ADA, so it cannot accompany you into classrooms, restaurants, or the Boulder Public Library under normal rules. Airlines are no longer required to allow ESAs in the cabin. Certificates and registry listings sold online do not create an ESA and carry no legal weight.

What happens during the evaluation

Your provider will ask about your mental health history, current symptoms, and how they limit daily life, from studying to sleeping. They will ask what your animal does for you. Then they will decide whether a letter is clinically appropriate. If it is not, they will explain why and suggest other help, such as medication management.

The letter itself

If appropriate, the letter is on our letterhead, signed by your provider, and lists their Colorado license type, license number, and the date. It confirms a disability-related need for the animal without disclosing your specific diagnosis.

Roommates and shared houses

Many Boulder renters share houses. Roommate allergies or fears can complicate requests, and landlords may weigh those concerns. Talk with roommates early, and bring any questions your landlord has raised to your visit.

Fees and responsibilities

Under HUD guidance, landlords generally should not charge pet fees or deposits for an approved assistance animal, though you are responsible for damage. A landlord can deny a specific animal that poses a direct threat or would cause substantial damage.

Psychiatric service dogs versus ESAs

Some people ask whether they need a service dog instead. A psychiatric service dog is trained to perform specific tasks, like interrupting a dissociative episode, and has public-access rights under the ADA. An ESA provides comfort through companionship, needs no task training, and is protected mainly in housing. We do not train, certify, or register service dogs.

Breed, size, and weight rules

HUD's 2020 guidance says housing providers generally should not apply breed, size, or weight restrictions to an approved assistance animal. A landlord can still consider whether the specific animal has caused harm or serious damage before.

Moving from the dorms to the Hill

Many CU students move off campus after their first year. If your animal helped you in the residence halls, start the off-campus conversation early. Private landlords use their own forms, and an updated letter may be needed for the new address.

Keeping the letter current

Boulder leases often turn over every August. Plan a reassessment before signing a new lease so an updated letter can be provided if it is still appropriate.

Getting started

Our office is at 1434 Spruce St, near the Pearl Street Mall. We see adults and teens 15 and older. Become a patient to schedule your ESA evaluation.

Why Choose Flatirons Psychiatry and Mental Health?

  • Board-certified psychiatric providers serving the Boulder area and all of Colorado
  • Research-backed treatment protocols
  • Full documentation for all evaluations
  • Coordinated care with your other providers across the region
Schedule Your Evaluation →

ESA Letters in Boulder

We provide ESA letters in Boulder.

We accept most major insurance

39+ plans, including Medicare and Tricare

AetnaAetna Medicare AdvantageAetna Medicare Advantage SupplementAETNA POS PlanAETNA PPO PlanAnthem / BCBSCignaOptum / UHCManaged MedicareMedicareStraight MedicareTricare West + 27 more

ESA Letter FAQs

Does CU Boulder housing accept ESA letters?
CU Boulder has its own assistance animal request process. Bring its forms to your visit so your provider can review what is needed.
Can my ESA come to campus buildings?
No. Emotional support animals do not have public-access rights, so campus building rules still apply.
Can a landlord charge pet rent for my ESA?
HUD guidance generally says no pet fees or deposits for an approved assistance animal, though you are responsible for damage.

Visit Our Boulder Office

Flatirons Psychiatry and Mental Health

1434 Spruce St, Suite 100

Boulder, CO 80302

(983) 444-0099

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No referral needed · Most major insurance accepted

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