- 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 Tennessee state laws, issued within 10 minutes of therapist approval.
Law check · updated November 12, 2026
'Reliable documentation' must come from a healthcare provider or other licensed/qualified source with actual knowledge of the disability, and expressly excludes documentation obtained through a website whose primary function is to provide a certificate, registration, licence or similar document for a service or support animal for a fee. Misrepresentation is a Class B misdemeanor and a lease default.
General information, not legal advice. Letters are issued only if a licensed clinician decides you qualify. See our disclaimer and editorial policy.
Tennessee has some of the most detailed support-animal housing rules in the South, and it rewrote how civil-rights complaints are handled in 2025. A renter in Nashville, Memphis or Knoxville who wants to keep an emotional support animal should know both changes before relying on a letter.
Tennessee uses the term support animal. Two parallel statutes, Tenn. Code Ann. 66-7-111 in the general leases chapter and 66-28-406 in the Uniform Residential Landlord and Tenant Act, define it as an animal prescribed or recommended by a healthcare provider to assist with a disability, including emotional support that alleviates identified symptoms. A tenant with a disability may ask for an exception to a no-animal rule, a limit on animals, or a policy that requires payment to keep an animal.
When the disability is not readily apparent or known, the landlord may ask for reliable documentation of the disability and the disability-related need. When the disability is apparent but the need is not, the landlord may ask only about the need. The landlord may verify the documentation but may not obtain confidential medical records, and may deny the request if accurate, reliable documentation is not provided.
The definition of reliable documentation is the part to read twice. It means written documentation from a healthcare provider, or another licensed or qualified source, with actual knowledge of the disability. It expressly excludes documentation from a website whose primary function is to provide a certificate, registration, license or similar document for a service or support animal for a fee. A Tennessee landlord may therefore look closely at where a letter came from and whether the provider actually evaluated the tenant.
Misrepresentation carries two consequences. Under Tenn. Code Ann. 39-16-304 it is a Class B misdemeanor to knowingly make a fraudulent claim of disability or need, or to give a landlord documentation that falsely describes an animal. The housing statutes also treat it as material noncompliance with the lease, which lets the landlord terminate the tenancy and recover damages including reasonable attorney's fees.
Since HUD's May 22, 2026 memo, the federal agency acts only on complaints involving individually trained animals, although the Fair Housing Act is unchanged. An ESA letter in Tennessee supports a request; it does not guarantee approval. The state statutes above now carry more of the weight.
Civil Rights Enforcement Division, Office of the Tennessee Attorney General. The Tennessee Human Rights Commission was dissolved in 2025 and its enforcement work moved to this division, known as CRED. It investigates alleged violations of the Tennessee Human Rights Act, which covers housing discrimination based on disability, and of the Tennessee Disability Act. Complaints go through CRED's online form and must be filed within 180 days of the alleged act; the division does not act as either side's lawyer.
Tennessee sets no statutory cap on security deposits, so the amount is a matter of the lease. That makes the wording of 66-7-111 and 66-28-406 useful: both allow a tenant to request an exception to a policy that requires payment for an animal. Neither statute sets a specific fee rule, so whether a charge is waived depends on the request and the facts.
Two limits are worth knowing in Chattanooga, Clarksville or anywhere else in the state. The support-animal statutes say a landlord is not liable for injuries caused by an animal allowed as a reasonable accommodation. They also do not apply to public housing owned by a governmental entity to the extent they conflict with federal or state law.
Checked . General information, not legal or medical advice. How we research
Simple, fast, and 100% compliant with Tennessee 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 Tennessee 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 Tennessee — every county, every ZIP code.
Rental restrictions and pet fees are common in Nashville. 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 Memphis. 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 Knoxville. 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 Chattanooga. 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 Clarksville. 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 Murfreesboro. 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.
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City guides for renters and homeowners across Tennessee.
Tennessee law does not ban telehealth evaluations, but it excludes documentation from a website whose primary function is to provide animal certificates, registrations or similar documents for a fee. Reliable documentation must come from a healthcare provider or other qualified source with actual knowledge of the disability. A landlord may review a letter against that standard and may deny a request that does not meet it.
Tenn. Code Ann. 39-16-304 makes knowing misrepresentation a Class B misdemeanor. In housing it is also treated as a lease default, so the landlord may end the tenancy and seek damages and reasonable attorney's fees.
Complaints under the Tennessee Human Rights Act go to the Civil Rights Enforcement Division in the Attorney General's office, which took over in 2025. The filing window stated by the division is 180 days from the alleged discriminatory act.
No, not under the state statutes. A landlord may ask for reliable documentation and may verify it, but 66-7-111 and 66-28-406 say the landlord may not obtain confidential or protected medical records or information.
The statutes let a tenant with a disability request an exception to a policy requiring payment for an animal, but they do not set a blanket rule. After HUD withdrew its earlier guidance, fee questions for untrained emotional support animals generally depend on the facts of the request.
$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.