How it works

Three steps: a questionnaire, a consultation with a therapist licensed for your state, and, if you qualify, your signed letter. You have support at each step.

Start the questionnaire

Help us understand your ESA or PSD needs.

Connect with a licensed therapist

A professional licensed for your state contacts you.

Get your letter

If you qualify, you receive your signed letter on your provider's letterhead.

Step 1

The questionnaire

You choose a package on the pricing page and open the order form. If you do not have an account, the order page creates one for you.

The form asks for:

The handler's first and last name
Your email address and phone number
Your current ZIP code
The package you want, Basic or Premium
How many pets you have: 1, 2, 3, 4 or more than 4
Your main reason for asking

Main reasons listed on the form

Anxiety disorders, depression, post-traumatic stress disorder (PTSD), social phobias, bipolar disorder, obsessive-compulsive disorder (OCD), and loneliness and isolation.

Choosing a reason does not mean you qualify. The therapist decides.

A woman at a kitchen table on a laptop call, a small dog beside her

Step 2

The consultation

A therapist licensed for your state contacts you and holds a phone consultation. The therapist decides whether you qualify for the letter or letters you asked for.

If nobody from ESA Pet Registry or a licensed therapist contacts you within two business days after a therapist is assigned, you receive a full refund.

Keep your contact details current. If you cannot be reached for 48 hours after a therapist is assigned, the therapist passes your application to our administrative department. The refund policy explains what that means for fees.

Step 3

Your letter

If you qualify, you receive your signed letter on your provider's letterhead. Each package lists a digital download of the letter or letters, and automatic activation of your registration on the National ESA Directory (ESAC).

Housing letters and travel letters serve different purposes. The housing page and the travel page explain what each one is for.

If the therapist decides you do not qualify

You receive a partial refund: $60 for one ESA or one PSD letter, or $75 for a two-letter purchase.

Letters are final sale once you have had a phone consultation or received an approval.

Read the refund policy

Questions along the way

Use Live Support for the chat, or sign in to open a ticket. You can also email [email protected] or call (844) 442-2234, Monday to Saturday, 8 AM to 10 PM Pacific.

What a letter cannot do

We cannot guarantee that a landlord, airline or hotel will accept a letter. If one refuses your entry because of our letter, a full refund may apply under the policy.

Start the questionnaire

A licensed professional decides whether you qualify.

Get Your ESA Letter See pricing