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Free to book · Pay only if approved

Get ESA Letter Online

A legitimate emotional support animal letter from a licensed mental health professional — the documentation landlords can ask for under the Fair Housing Act.

$129
up to 2 pets
50 + DC
states covered
~10 min
delivery after approval
— How it works

How to get an ESA letter online in 3 steps

  1. ~5 min

    Book free

    Answer a short, confidential questionnaire about your symptoms and your animal. No payment to start.

  2. 5–10 min · phone or video

    Meet a licensed clinician

    A licensed mental health professional evaluates you and decides whether an ESA is right for you.

  3. ~10 min after approval

    Get your letter

    If approved, you pay and your signed ESA letter arrives by secure email, ready for your landlord.

In California, state law requires a 30-day client–provider relationship. You'll get a letter of intent right after your call and your ESA letter after a day-30 follow-up. See how it works.

— What it covers

What an ESA letter does — and doesn't do

An emotional support animal provides comfort through its presence. It needs no task training, and its protections are mainly in housing.

Covered

  • Living with your ESA in no-pet apartments, condos and HOAs
  • No pet rent, pet deposits or breed and weight fees
  • College and university housing
  • A signed letter from a licensed clinician

Not covered

  • Stores, restaurants and other public places
  • Airline cabins (most airlines treat ESAs as pets)
  • Damage your animal causes to a rental
  • Registries, ID cards or vests (none are legally required)

Need public access or to fly with your dog? A psychiatric service dog letter covers trained service dogs.

— Eligibility

Who qualifies for an ESA letter?

You may qualify if you have a mental health condition that limits daily life and your animal helps ease your symptoms. A licensed clinician makes the decision after a real evaluation.

See if you qualify

Common qualifying conditions

  • Anxiety
  • Depression
  • PTSD
  • Panic disorder
  • Bipolar disorder
  • OCD
  • ADHD
  • Phobias

Common emotional support animals

  • 🐕 Dogs
  • 🐈 Cats
  • 🐇 Rabbits
  • 🐦 Birds
  • 🐹 Small pets
— Pricing

ESA & PSD letter pricing

Same price in every state. Free to book, and you only pay if the clinician approves your letter.

ESA Letter · 3 or More Pets

Emotional support animal · 3 or more pets

$199/ year
  • Evaluation by a licensed clinician
  • Fair Housing Act letter for landlords
  • Covers 3 or more animals
  • Delivered ~10 minutes after approval
  • Pay only if approved
Book Now

PSD Letter

Psychiatric service dog · up to 2 dogs

$149/ year
  • Evaluation by a licensed clinician
  • For housing & workplace requests
  • For task-trained service dogs
  • Delivered ~10 minutes after approval
  • Pay only if approved
Book Now

PSD Letter · 3 Dogs

Psychiatric service dog · up to 3 dogs

$229/ year
  • Evaluation by a licensed clinician
  • For housing & workplace requests
  • Covers up to 3 service dogs
  • Delivered ~10 minutes after approval
  • Pay only if approved
Book Now
  • ✓ Pay only if approved
  • ✓ Same price in every state
  • ✓ Letters are valid for 12 months
— Compare

ESA letter vs. PSD letter

If your dog is trained to perform tasks for a mental health condition, a psychiatric service dog letter may fit better.

FeatureEmotional support animalPsychiatric service dog
AnimalMost household petsDogs only
Task training✕ Not required✓ Individually trained
Housing (Fair Housing Act)✓ Protected✓ Protected
Public places (ADA)✕ Not protected✓ Protected
Airline cabin✕ Treated as a pet✓ With DOT form
PriceFrom $129From $149
Get an ESA letterGet a PSD letter
— By location

Get an ESA letter in your state or city

Every evaluation is done by a licensed mental health professional. Pick your location for local guidance.

Popular cities

Browse all 169 cities

Alaska

Arkansas

Delaware

District of Columbia

Hawaii

Idaho

Maryland

Massachusetts

Mississippi

Montana

Nebraska

New Hampshire

North Dakota

Rhode Island

South Carolina

South Dakota

Vermont

West Virginia

Wyoming

— Stories

What members are saying

Real people, real results. Names and details published with permission.

★★★★★
“Needed an updated ESA letter for a new apartment that initially refused my dog. HealifyNow's clinician did a real evaluation, issued the letter that day, and the landlord accepted it immediately. Saved me from losing the apartment.”
Megan T., 29Brooklyn, NY · ESA letter · 3 months
★★★★★
“Anxiety and depression for 10 years. My cat is genuinely a stabilizer. HealifyNow's evaluation was thorough and respectful. The clinician treated me like a person, not a transaction.”
Marcus L., 34Austin, TX · ESA letter · 6 months
★★★★★
“Tried a $50 online letter mill — landlord rejected it. Switched to HealifyNow. Real licensed clinician, real evaluation, real letter. Landlord accepted without issue. Worth the price difference.”
Lia W., 27Portland, OR · ESA letter · 4 months
— Your care team

Your ESA or PSD letter is issued by

After your evaluation, your letter is reviewed and signed by one of our letter clinicians.

Physician
  • ESA letters
  • PSD letters
  • Clinical evaluations

Andrew Patel, MD

Reviews each evaluation and issues HealifyNow's emotional support animal and psychiatric service dog letters.

Licensed Clinical Social Worker
  • ESA letters
  • PSD letters
  • Mental health evaluations

Gabriel Warner, LCSW

Conducts mental health evaluations and issues HealifyNow's emotional support animal and psychiatric service dog letters.

Medical oversight

HealifyNow's medical care is overseen by independently licensed U.S. physicians.

Dr. Benjamin H. Krasne, M.D.
Board-Certified Physician
  • Longevity
  • Weight management
  • Metabolic health

Dr. Benjamin H. Krasne, M.D.

A board-certified physician who brings a rigorous, pharmacology-driven lens to longevity medicine and weight management.

Dr. Johnathan Chance Miller, M.D.
Physician
  • Healthspan
  • Body composition
  • Metabolic health

Dr. Johnathan Chance Miller, M.D.

A Columbia-trained physician and former collegiate athlete focused on metabolic function, body composition, and healthspan.

Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G.
Board-Certified OB-GYN
  • Women's health
  • Obstetrics & gynecology
  • Holistic care

Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G.

A board-certified OB-GYN and ACOG Fellow with more than four decades of experience in women's health.

— FAQ

ESA Letter Online FAQs

Straight answers to what people ask us most. Still have a question? Our care team replies within hours.

Contact the care team

How is HealifyNow's ESA letter different from cheap online letters?

+

We provide real evaluations by licensed mental health clinicians. Letter mills offer 'letters' for $50 with no real evaluation. These are increasingly rejected by landlords and have damaged the legitimacy of the ESA system. Our letters are accepted because they come from real licensed providers.

Can I bring my ESA on a flight?

+

Generally no longer. FAA rule changes in 2021 eliminated ESA accommodation on airlines. Most airlines now treat ESAs as regular pets. For travel, a psychiatric service dog (PSD) — which requires task training — has different accommodations.

Will my landlord accept the letter?

+

Under the Fair Housing Act, landlords cannot legally reject a legitimate ESA letter for a qualifying disability. Letters from licensed clinicians via HealifyNow are generally accepted nationwide. If a landlord questions a letter, your clinician can speak with them.

Do I need to be in ongoing therapy?

+

You need a qualifying mental health condition; you don't necessarily need active treatment. Many members with stable conditions qualify. Your clinician will assess.

How many animals can I have on one letter?

+

The letter can cover one or multiple animals if clinically appropriate. Discuss with your clinician during the evaluation.

How long is the letter valid?

+

Most landlords accept letters dated within the past 12 months. Annual renewal is straightforward.

What if I don't qualify?

+

If you don't have a qualifying mental health condition, the clinician won't issue the letter. We don't rubber-stamp. This protects you, the system, and the disability community.

Does this cover service dog rights?

+

No. An ESA letter is different from psychiatric service dog (PSD) documentation. PSDs require task-trained animals and have public access rights under the ADA. ESAs do not.

How do I get an ESA letter online?

+

{ "Book for free, complete a short questionnaire, and meet a licensed mental health professional by secure telehealth. If an emotional support animal is appropriate, your signed letter arrives by email." }

How much does an ESA letter cost online?

+

{ "An ESA letter is $129 for up to 2 pets or $199 for 3 or more pets. A PSD letter is $149 for up to 2 dogs or $229 for up to 3. You only pay if approved." }

Is an online ESA letter legitimate?

+

{ "Yes, when it comes from a licensed mental health professional who actually evaluated you. Instant letters, registrations and ID cards are not the same thing." }

Can a landlord charge pet fees for an emotional support animal?

+

{ "No. Under the Fair Housing Act, landlords can't charge pet rent or pet deposits for an assistance animal, though you're still responsible for any damage." }

Which animals can be emotional support animals?

+

{ "Most common household animals, such as dogs, cats, rabbits and birds, can be emotional support animals. Unlike service dogs, they need no task training." }

Do I need to register my emotional support animal?

+

{ "No. There is no official ESA registry. Housing providers may ask for a letter from a licensed professional, not a registration or certificate." }

What's the difference between an ESA letter and a PSD letter?

+

{ "An ESA provides comfort by its presence and is protected mainly in housing. A psychiatric service dog is trained to perform tasks and is also protected in public places." }

Ready to get your ESA letter?

Book free, meet a licensed clinician, and pay only if you're approved.

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