- ESA letters
- PSD letters
- Clinical evaluations
Andrew Patel, MD
Reviews each evaluation and issues HealifyNow's emotional support animal and psychiatric service dog letters.
A legitimate emotional support animal letter from a licensed mental health professional — the documentation landlords can ask for under the Fair Housing Act.
Answer a short, confidential questionnaire about your symptoms and your animal. No payment to start.
A licensed mental health professional evaluates you and decides whether an ESA is right for you.
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.
An emotional support animal provides comfort through its presence. It needs no task training, and its protections are mainly in housing.
Need public access or to fly with your dog? A psychiatric service dog letter covers trained service dogs.
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 qualifySame price in every state. Free to book, and you only pay if the clinician approves your letter.
Emotional support animal · up to 2 pets
Emotional support animal · 3 or more pets
Psychiatric service dog · up to 2 dogs
Psychiatric service dog · up to 3 dogs
If your dog is trained to perform tasks for a mental health condition, a psychiatric service dog letter may fit better.
| Feature | Emotional support animal | Psychiatric service dog |
|---|---|---|
| Animal | Most household pets | Dogs 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 |
| Price | From $129 | From $149 |
| Get an ESA letter | Get a PSD letter |
Every evaluation is done by a licensed mental health professional. Pick your location for local guidance.
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.”
“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.”
“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.”
After your evaluation, your letter is reviewed and signed by one of our letter clinicians.
Reviews each evaluation and issues HealifyNow's emotional support animal and psychiatric service dog letters.
Conducts mental health evaluations and issues HealifyNow's emotional support animal and psychiatric service dog letters.
HealifyNow's medical care is overseen by independently licensed U.S. physicians.

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

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

A board-certified OB-GYN and ACOG Fellow with more than four decades of experience in women's health.
Straight answers to what people ask us most. Still have a question? Our care team replies within hours.
Contact the care teamWe 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.
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.
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.
You need a qualifying mental health condition; you don't necessarily need active treatment. Many members with stable conditions qualify. Your clinician will assess.
The letter can cover one or multiple animals if clinically appropriate. Discuss with your clinician during the evaluation.
Most landlords accept letters dated within the past 12 months. Annual renewal is straightforward.
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.
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.
{ "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." }
{ "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." }
{ "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." }
{ "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." }
{ "Most common household animals, such as dogs, cats, rabbits and birds, can be emotional support animals. Unlike service dogs, they need no task training." }
{ "No. There is no official ESA registry. Housing providers may ask for a letter from a licensed professional, not a registration or certificate." }
{ "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." }
Book free, meet a licensed clinician, and pay only if you're approved.