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.
From $149 · Pay only if approved
Get Psychiatric Service Dog Letter Online
Documentation for your trained psychiatric service dog from a licensed clinician who actually evaluates you — for housing requests and travel, not a diploma-mill certificate.
- $149
- up to 2 dogs
- 50 + DC
- states covered
- 5–10 min
- phone or video call
- For task-trained dogsDocumentation that matches how PSDs work
- Real evaluationsA clinician assesses, never rubber-stamps
- Pay only if approvedBooking is free, no charge if you don't qualify
- Private and secureHIPAA-compliant visits and records
— Overview
What a psychiatric service dog letter is — and isn't
A psychiatric service dog is individually trained to perform tasks that help with a psychiatric disability. A PSD letter is documentation from a licensed clinician confirming that disability and how the dog's tasks help.
A PSD letter is
- Documentation from a licensed clinician after a real evaluation
- Used for housing accommodation requests under the Fair Housing Act
- Helpful supporting documentation for air travel with a trained service dog
- Issued on letterhead with license details landlords can verify
A PSD letter is not
- A registration, certificate or ID (no federal registry exists)
- Required to enter stores or restaurants (the ADA doesn't require documentation)
- A substitute for task training — the dog must be trained
- An ESA letter, which covers comfort animals without task training
Examples of psychiatric service dog tasks
- Deep pressure therapy during panic attacks
- Interrupting self-harm or repetitive behaviors
- Grounding during dissociation
- Waking a handler from nightmares
- Retrieving medication during an episode
- Guiding away from triggering situations
— Eligibility
Who qualifies for a PSD letter
A licensed clinician makes the final decision after a real evaluation.
A qualifying mental health condition
Such as PTSD, severe anxiety, panic disorder, major depression, OCD or bipolar disorder.
A trained service dog (or training plan)
The dog is individually trained to perform tasks that mitigate your disability, or is actively in training.
Symptoms that limit daily life
Your condition substantially limits major life activities such as work, sleep or social functioning.
A real clinical evaluation
We never issue letters without an evaluation. The clinician's role is to assess, not to rubber-stamp.
Not sure your dog qualifies? If your dog provides comfort but isn't task-trained, an ESA letter may be the right fit.
Start your evaluation— How it works
How to get a PSD letter online
- ~10 min
Quick intake form
Tell us about yourself, your psychiatric history, your dog, and the tasks it performs or is being trained to perform.
- Within 2–3 days
Book a phone or video call
Choose a phone or video call with one of our letter clinicians at a time that suits you.
- 5–10 min
The evaluation
An honest conversation about your mental health, your service dog, and how its tasks help with your symptoms.
- Same or next business day
Get your letter
If you qualify, your letter is issued on the clinician's letterhead with their license details for verification.
If you don't qualify, the clinician will tell you — and you aren't charged. Honest evaluations protect you and the legitimacy of the service dog community. Letters are usually renewed yearly for ongoing housing documentation.
— Pricing
PSD & ESA letter pricing
Same price in every state. Free to book, and you only pay if the clinician approves your letter.
ESA Letter
Emotional support animal · up to 2 pets
$129/ year
- Evaluation by a licensed clinician
- Fair Housing Act letter for landlords
- Covers up to 2 animals
- Delivered ~10 minutes after approval
- Pay only if approved
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
Most popular
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
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
- ✓ Pay only if approved
- ✓ Same price in every state
- ✓ Letters are valid for 12 months
— Compare
PSD letter vs. ESA letter
Different documents for different animals. Here's how they compare.
| Feature | Psychiatric service dog | Emotional support animal |
|---|---|---|
| Animal | Dogs only | Most household pets |
| Task training | ✓ Individually trained | ✕ Not required |
| Housing (Fair Housing Act) | ✓ Protected | ✓ Protected |
| Public places (ADA) | ✓ Protected | ✕ Not protected |
| Airline cabin | ✓ With DOT form | ✕ Treated as a pet |
| Price | From $149 | From $129 |
| Get a PSD letter | Get an ESA letter |
— By state
Get a PSD letter in your state
Every evaluation is done by a licensed mental health professional. Pick your state for local guidance.
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
— Stories
What members are saying
Real people, real results. Names and details published with permission.
★★★★★
“Lost my prior therapist when she retired and needed an updated PSD letter for a housing application. HealifyNow's clinician took the evaluation seriously — not a five-minute rubber stamp. Letter accepted by my new landlord without issue.”
★★★★★
“Combat veteran with PTSD and a trained service dog. Mid-tour I needed new documentation and my VA appointment was 8 weeks out. HealifyNow's evaluation was thorough and the letter helped me secure housing during transition. Grateful.”
★★★★★
“Panic disorder with a partially trained PSD. The clinician was honest — said the letter should specify in-training status. That nuance was exactly what protected me when a landlord later questioned things.”
— Your care team
Your PSD or ESA letter is issued by
After your evaluation, your letter is reviewed and signed by one of our letter clinicians.
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.
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.
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.
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
Psychiatric Service Dog Letter Online FAQs
Straight answers to what people ask us most. Still have a question? Our care team replies within hours.
Contact the care teamIs a PSD letter the same as an ESA letter?
+
No. A PSD letter documents a psychiatric service dog (trained to perform specific tasks) and is associated with ADA service animal rights. An ESA letter documents an emotional support animal (provides comfort by presence, no task training required) and is associated with Fair Housing Act accommodation only. Different documents, different uses.
Do I need to register my service dog anywhere?
+
No. There is no federal registry of service dogs. Anyone offering 'service dog registration' or 'ADA certification' is selling something with no legal force. What matters is the disability and the dog's training.
Can I bring my PSD on a flight?
+
Federal rules since 2021 require airlines to accommodate trained service dogs, including psychiatric service dogs, but treat them as service animals (different from previous ESA accommodations, which most airlines have eliminated). Each airline has specific forms (a DOT Service Animal Form) that you submit in advance. HealifyNow can help complete these as needed.
What if my landlord rejects the letter?
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Under the Fair Housing Act, landlords cannot reject a legitimate accommodation request for someone with a qualifying disability and a service animal trained to mitigate it. If your letter is rejected, your clinician can speak with the landlord directly. Persistent issues may be referred to fair housing legal services.
How long is the letter valid?
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Most landlords accept letters dated within the past 12 months for ongoing accommodation. Renewal is straightforward — typically a follow-up visit to confirm ongoing need.
Do I need to be in active treatment?
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You need a qualifying mental health condition; you don't necessarily need to be in current treatment. Many members have stable conditions that don't require active treatment but still qualify for a service dog. Your clinician will assess.
What does it cost?
+
A PSD letter is $149 for up to 2 dogs, or $229 for 3 dogs. Booking is free and you only pay if the clinician approves your letter. No hidden fees, no certificate add-ons and no fake registrations.
How does this compare to letter mills online?
+
Many online services offer 'letters' for $50 with no real evaluation. These are increasingly rejected by landlords, courts, and the disability community for harming legitimate service dog handlers. Our letters are issued only after real evaluation by licensed clinicians, and that's what makes them respected.
How do I get a psychiatric service dog letter online?
+
Book for free, answer a short questionnaire, and meet a licensed mental health professional. If you qualify, your signed PSD letter arrives by email.
Who qualifies for a psychiatric service dog letter?
+
You need a mental health condition that substantially limits a major life activity, such as PTSD, panic disorder or major depression, and a dog trained to perform tasks for it.
What tasks does a psychiatric service dog perform?
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Examples include deep pressure therapy during panic attacks, interrupting self-harm or repetitive behaviors, waking a handler from nightmares, and grounding during dissociation.
Do I need a PSD letter to take my dog into stores?
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No. Under the ADA, businesses can't require documentation for a service dog. Staff may only ask whether it's a service dog and what task it's trained to perform.
Can a landlord deny my psychiatric service dog?
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Under the Fair Housing Act, housing providers must reasonably accommodate psychiatric service dogs without pet fees, unless a narrow safety or damage exception applies.
Can I fly with a psychiatric service dog?
+
Yes. Airlines treat trained psychiatric service dogs like other service dogs and may ask you to complete the DOT Service Animal Air Transportation Form.
What if I don't qualify for a PSD letter?
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No letter is issued and you aren't charged. If your animal provides comfort but isn't task-trained, an ESA letter may be the right fit.
Real documentation for real disabilities
Book your evaluation with a licensed clinician. An honest evaluation, a clear letter, no rubber-stamping.