- ESA letters
- PSD letters
- Clinical evaluations
Andrew Patel, MD
Reviews each evaluation and issues HealifyNow's emotional support animal and psychiatric service dog letters.
Connect with licensed professionals for individualized emotional health evaluations. 100% certified ESA letters, compliant with Illinois state laws, issued within 10 minutes of therapist approval.
Our step-by-step video covers who qualifies in Illinois, how the online evaluation with a licensed clinician works, and what to do with your letter afterwards.
Law check · updated November 12, 2026
Documentation must be written by a person with whom the tenant has a 'therapeutic relationship' (good-faith care with actual knowledge of the disability and need); entities that issue a certificate, licence or similar document without meaningfully assessing the disability or need are excluded. Landlords may verify authenticity and may not charge pet deposits/fees.
Assistance Animal Integrity Act, 310 ILCS 120 (P.A. 101-518)
General information, not legal advice. Letters are issued only if a licensed clinician decides you qualify. See our disclaimer and editorial policy.
Illinois is one of the states that wrote its own rules for assistance-animal paperwork, in a 2020 law called the Assistance Animal Integrity Act. For renters in Chicago, Rockford, Peoria or Springfield, that Act shapes what an emotional support animal letter needs to show and what a housing provider may do with it.
The Assistance Animal Integrity Act (310 ILCS 120) took effect on January 1, 2020. It treats emotional support animals and service animals together as assistance animals when they qualify as a reasonable accommodation under the federal Fair Housing Act or the Illinois Human Rights Act.
Under Section 10, a housing provider may ask for documentation only when the disability or the disability-related need is not readily apparent or already known. The documentation has to be in writing, describe the disability-related need for the animal, and come from someone who has a therapeutic relationship with the resident. The Act defines that as care given in good faith by a physician, a mental health provider, or another reliable party with actual knowledge of the disability. It expressly leaves out entities that hand over a certificate or similar document without conducting a meaningful assessment.
A provider may offer its own standardized form but may not turn a request down only because the resident did not use it. No specific diagnosis has to be disclosed. The provider may check that what was submitted is authentic.
On money, the Act is direct: a housing provider may not require a pet-related deposit, pet fee or related pet assessment for an assistance animal, and may not demand special liability insurance for it. The resident still answers for damage beyond normal wear and tear on the same terms as any other resident. The Act does not create a criminal penalty of its own for false paperwork; its safeguard is the verification right.
The Act also lists when a request may be denied or withdrawn: undue financial or administrative burden, a fundamental change to the provider's operations, or reliable objective evidence, after an individualized assessment, of a direct threat, substantial property damage or uncontrolled behavior. Since HUD's May 22, 2026 memo, the federal agency acts only on complaints involving individually trained animals, so this state statute and the Illinois Human Rights Act now carry more of the weight for Illinois renters. A letter supports a request; it does not guarantee approval.
Illinois Department of Human Rights, Fair Housing Division. The Fair Housing Division investigates charges of unlawful discrimination in real estate transactions and runs fair-housing education. A charge must be filed within one year (365 days) of the last incident of alleged discrimination. The department's complaint form can be emailed to its fair housing inbox or mailed to the address printed on the form.
The Act's definition of housing provider is wide. It reaches owners and property managers, and also condominium boards, associations and government housing entities, along with their agents and employees. That matters in a market like Chicago, where many rentals sit inside buildings governed by an association with its own pet rules.
Separately, the Illinois Human Rights Act (775 ILCS 5/3-104.1) makes it a civil rights violation to refuse to rent to a person who is blind, hearing impaired or physically disabled because of a guide, hearing or support dog, or to charge extra for the dog apart from actual damage.
Checked . General information, not legal or medical advice. How we research
Simple, fast, and 100% compliant with Illinois law. Most members complete the entire process in under 30 minutes.
Choose a time that works. We connect you with a licensed therapist typically within 2 business days.
Meet with your therapist over secure video or phone. Real clinical assessment of your emotional and mental well-being — not a checklist.
If clinically appropriate, your therapist issues an ESA letter based on Illinois state and federal FHA requirements. No rubber-stamping.
Once approved, your ESA letter is delivered within 10 minutes via secure email. Print-ready PDF plus signed digital copy.
ESA registries and "certifications" don't create legal rights. Your ESA does not become "real" because of a vest, ID card, or online registry. Only a letter from a licensed mental health professional creates the legal accommodation right. HealifyNow's process is designed around this reality.
Transparent pricing. No hidden fees. Free to book — you only pay after the therapist 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
Through our secure telehealth platform, we provide ESA and PSD evaluations to residents throughout Illinois — every county, every ZIP code.
Rental restrictions and pet fees are common in Chicago. A HealifyNow ESA letter helps you request housing accommodation under the Fair Housing Act — statewide, licensed clinicians.
Rental restrictions and pet fees are common in Aurora. A HealifyNow ESA letter helps you request housing accommodation under the Fair Housing Act — statewide, licensed clinicians.
Rental restrictions and pet fees are common in Naperville. A HealifyNow ESA letter helps you request housing accommodation under the Fair Housing Act — statewide, licensed clinicians.
Rental restrictions and pet fees are common in Joliet. A HealifyNow ESA letter helps you request housing accommodation under the Fair Housing Act — statewide, licensed clinicians.
Rental restrictions and pet fees are common in Rockford. A HealifyNow ESA letter helps you request housing accommodation under the Fair Housing Act — statewide, licensed clinicians.
Rental restrictions and pet fees are common in Springfield. A HealifyNow ESA letter helps you request housing accommodation under the Fair Housing Act — statewide, licensed clinicians.
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 prescriptions are reviewed and authorized by independently licensed physicians — real doctors with real credentials from top medical institutions in the United States.

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.
City guides for renters and homeowners across Illinois.
The Assistance Animal Integrity Act does not set a number of days. It asks instead for a therapeutic relationship, meaning good-faith care by someone with actual knowledge of your disability and need, and it excludes documents issued without a meaningful assessment.
Under 310 ILCS 120/10(f), a housing provider may not require a pet-related deposit, pet fee or pet assessment for an approved assistance animal, or special liability insurance. You remain responsible for damage beyond normal wear and tear.
Yes. The Act allows a housing provider to verify the authenticity of documentation, and to ask for more if the first document is insufficient. It does not allow a demand for your specific diagnosis.
Condominium boards and associations are named in the Act's definition of housing provider, so the same documentation and fee rules generally apply to them as to a landlord.
The department states that a housing charge must be filed within one year, counted as 365 days, of the last incident of alleged discrimination.
$129 for a letter covering up to two pets, or $199 for three or more. Booking is free and you pay only if the clinician approves your letter.
You book a phone or video visit, answer a short intake, and speak with a licensed clinician about your mental health and how your animal helps. The clinician decides whether an ESA letter is appropriate.
You aren't charged. The clinician will explain the decision and you can ask about other options.
Licensed clinicians. Letters arrive about 10 minutes after the therapist approves. If you believe an emotional support animal may be appropriate for your situation, start your professional evaluation today.