Emotional Support Animals
Read this walkthrough guide before purchasing an ESA letter to make sure you have all your bases covered. We'll go through everything you need to know to get an ESA letter that will work for you and your furry friend.

How To Get An ESA Letter

October 5, 2021
Rhiana Holmes - MA, LPC, LAC, & Head of Clinical at Pettable.
3 minute read
353+ reviews (4.9/5 rating)

The Bottom Line

  1. What Is An ESA? - An emotional support animal helps to alleviate symptoms of a mental or emotional disability by providing companionship and support.
  2. How To Make Your Pet An ESA? - To make your pet an ESA you need to have a mental health evaluation with a licensed professional in your state. To get the process started click here.
  3. Benefits Of An ESA - An ESA letter can help keep your pet in your home, waive expensive pet fees, stay in Airbnbs, and travel with your furry friend.
  4. Satisfaction Guaranteed - Pettable is the only ESA service offering a satisfaction guarantee - meaning your letter work for you or you get your money back!
  5. How To Get Started? - You can take our 3 minute quiz and see if an ESA will work for your needs.

Your pet has a significant, positive impact on your mental health, and you’d like to make it official. Or perhaps you’re struggling with mental and emotional disabilities that a furry companion could help ease for you. 

But how do you make them official, so your animal can be accommodated by your landlord, some airlines, and other public places? You need an ESA letter. This certifies that your animal is more than just a pet and is, in fact, an emotional support animal that’s beneficial – even instrumental – to your mental and emotional health.

If your ESA Letter does not work for you, we will refund 100% of your payment.

How to Qualify for an ESA Letter 

How can you be sure that you’ll qualify for an ESA letter? You can qualify if you have a mental or emotional disability that is improved by the presence of an emotional support animal. These conditions may include:

  • Anxiety
  • Depression
  • Post traumatic stress disorder
  • Stress
  • Personality disorders
  • Schizophrenia
  • Phobias

And many others, of course. A licensed mental health professional must be the one to certify that you do, in fact, have a qualifying mental health condition AND that having an animal companion helps to reduce and ease your symptoms, making your life more livable. 

Taking our quick ESA letter assessment can help you get a better idea of your eligibility. After you’ve completed this, Pettable will work with you to complete the next steps to obtain an official ESA letter, including booking a live consultation with a licensed mental health professional. 

During this consultation, you’ll explain some of the symptoms you experience on a daily basis as a result of your mental or emotional illness. Your licensed mental health professional will evaluate you to determine if you qualify for an ESA. If you do, they’ll write an ESA letter for you.

What Steps Do You Need To Take To Ensure Your ESA Letter Is Legitimate?

There are a few critical things you need to look out for when engaging an ESA letter service to ensure your ESA letter is legitimate.

What Makes The ESA Letter Legitimate?

Unfortunately, there are many scammers out there these days who seek to take advantage of people with real mental and emotional disabilities. Many claim to provide a legally binding “certificate” or “registration” for your ESA – when, in fact, no such registry exists, and the only way to legally legitimize an ESA is through an ESA letter written by a licensed mental health professional. The letter must also meet the following standards to be considered legitimate.

ESA Letters Must Be on Official Letterhead

For your pet to be considered a legitimate emotional support animal, the ESA letter needs to be from a licensed mental health professional (LMHP) and must include the LMHP’s official letterhead.

You can think of the letterhead as the logo for a licensed mental health professional (i.e. their business stamp).

Signed ESA Letter
Signed ESA Letter


They Must Have the Mental Health Professional’s License Number

A mental health professional must have a valid license in your state when they prescribe and sign an ESA letter certifying that you qualify to have an emotional support animal live or travel with you.

To ensure you have a legitimate ESA letter, make sure the letter includes a license number and check it to be sure it is valid. You can look online for sites where you can confirm that a mental health professional is in good standing and their license is valid.

They Also Need the Licensed Mental Health Professional’s Contact Info

All valid ESA letters also have to include full contact information for the licensed provider who signs them. This is very important because landlords often want to verify that you have a legitimate ESA letter and contact the provider directly to confirm that you qualify to have your ESA with you.

ESA Letters Need Specific Information Required by HUD under the Fair Housing Act

The Fair Housing Act governs the rights of people who qualify for an emotional support animal under federal law. The Fair Housing Act also requires that your health care provider follows specific rules to diagnose that you have a mental or emotional disability that qualifies. 

For your ESA letter to be valid, the licensed professional who signs it needs to use specific language when stating you have a qualifying mental health condition. Don’t worry about confidentiality. ESA letters are medical documents, and particular information about your medical issue(s) cannot legally be included.

Besides stating that you have a qualifying condition, the licensed professional who signs your ESA letter has to also say that the symptoms of your condition benefit from having an emotional support animal with you.

Whether you need an ESA letter for housing or travel, the letter must also include the professional’s request for reasonable accommodation on your behalf.

ESA Travel Letters Must Also Include Information Required under the Air Carrier Access Act

If your ESA letter is intended to allow you to travel on a plane with your emotional support animal, it has to include some additional information required by the Americans with Disabilities Act and Air Carrier Access Act. Those rules say that the licensed healthcare professional who signs your ESA letter has to specifically state that you need an emotional support animal to travel due to qualifying emotional disabilities or mental disabilities.

What are the Benefits of Having an ESA Letter?

If your animal companion truly does provide emotional support in and out of the home, having an emotional support animal letter to make your pet an official ESA can have several benefits.

Live Anywhere With Your Pet

The Housing and Urban Development Department (HUD) wants to ensure people with mental and emotional disabilities are able to access the treatment and support they need. Because of this, they have regulations in place that protect your ability to live with your ESA, regardless of the pet policies at any housing unit or apartment complex you move to.

Having an ESA letter makes your support animal official. This allows you to hand your ESA letter to your landlord and bypass any “no-pet” rules on the premises. Your landlord may verify your mental health clinician’s license and call them to verify your letter, but cannot ask any more questions regarding your specific diagnosis or how the animal helps.

Avoid Expensive Housing Pet Fees

Even in housing units and apartment complexes that typically charge pet owners a fee to live with their animals, you shouldn’t have to, provided you show your landlord your ESA letter. The HUD doesn’t want you to go without the support you need due to extraneous fees. An ESA letter can make it possible for you to avoid them, and still keep your ESA in your apartment.

Fly on Some Airlines With Your Support Animal

In early 2021, the Department of Transportation (DOT) changed policies that no longer federally protect ESAs, giving individual airlines the power to decide whether or not they will accommodate ESAs in the cabin during flights.

Unfortunately, because of this, most domestic carriers no longer accept ESAs and instead ask that they fly in the cargo portion of the plane with other pets. However, several international airlines will still allow an ESA on board with no extra fees. It’s always a good idea to call an airline ahead of your booking to learn of their specific policy.

Stay at Any Airbnb With Your ESA

Airbnb supports the use of emotional support animals, thus allowing guests to bring a pet that is an ESA to any Airbnb – even those that typically have a “no-pet” policy. Just be sure to provide your ESA letter for your host to view and confirm the animal’s purpose.

Gain Access to Some Public Places With Your Pet

While an ESA letter provides no federal protection to allow your emotional support animal to go with you anywhere, some public places may be accommodating if they understand that the animal is more than just a pet.

Ask your restaurant host or manager at the store if you can bring your emotional support animal inside – and be sure to show them your ESA letter, too. You never know – you may just come across an understanding person who’s willing to accommodate your support animal.

What Makes The Emotional Support Animal Letter Provider Legitimate?

Besides making sure your ESA letter includes all the necessary details and language, you need to make sure the service that you use to obtain the letter is also legit, or you will almost certainly run into trouble.

The Service Has Licensed Mental Health Professionals In Your State

First off, the providers you connect with through an ESA letter service MUST be licensed in the state where you live. It is illegal for anyone to provide a medical service, including an ESA assessment, in a state where they don’t have a valid license. 

As long as they are licensed in your state, various medical professionals can provide a valid ESA letter, including:

  • Licensed Clinical Social Worker
  • Licensed Marriage and Family Therapist
  • Family Doctor With Experience In Mental Health
  • Licensed Professional Counselors
  • Licensed Professional Mental Health Counselors
  • Licensed Clinical Psychologists


Check this out carefully, because services that provide fake ESA letters will sometimes connect you with a professional, but they won't necessarily be licensed in your state. When a landlord or an airline checks that your ESA letter is legit, that is one of the questions they can ask. 

The Service Only Offers Live LMHP Consultations

Another thing you need to check when trying to get a valid ESA letter is that the medical consultation is done live either in person or, more commonly these days, via a video call. If a service says they provide ESA letters and you only have to fill out a form online, get away from them right away.

It is entirely legal to provide ESA letters via an online service. It is also 100% illegal for a mental health professional to state that your mental health qualifies you for an ESA letter without necessarily having met you previously. But, if you don’t have a live conversation with the professional who signs your ESA letter, then the letter isn’t in fact legitimate.

ESA Letter phone consultation
ESA Letter phone consultation

How to Spot a Fake ESA Letter 

With the plethora of scammers on the Internet, it’s essential to learn how to spot a fake ESA letter. Some telltale signs that an ESA letter is fake include the following:

  • It’s not written by a licensed mental health professional
  • It’s written without an LMHP’s letterhead
  • Not written by an LMHP registered in your state
  • Includes no license number or contact information for the LMHP who wrote it
  • Does not include the date issued
  • Uses incorrect terms, like “therapy animal” or “service animal” instead of “emotional support animal”

Or the ESA letter-writing service may not be legitimate if any of the following are true:

  • It does not require a mental health screening
  • The service is TOO inexpensive
  • They don’t offer to respond to people who wish to verify your ESA letter
  • They claim registration is required
  • They claim a certificate, ESA tag, ESA ID card, or vest is required
  • They claim you’ll be able to take your pet anywhere

What Makes The ESA Service Provider World Class?

The last piece for you to consider is what makes a service like Pettable that can help you get an ESA letter a truly world-class service.

Offer a Guarantee That the Letter Will Work, or Your Money Back

You can be sure the service you work with to obtain an ESA letter does things legitimately when it guarantees the service it offers. Look for a company that promises to refund your money if the ESA letter they provide doesn’t work to protect your rights to keep an emotional support animal with you at home or while traveling.  

At Pettable, we know how important the service we provide is to our customers, and we stand behind it 100%. We guarantee that the ESA letter you obtain through Pettable will do everything it is supposed to under the law.

We can offer such a strong guarantee because we carefully choose the mental health professionals you will work with. We make sure that you get matched with the right person – someone with experience writing ESA letters, who knows the legal and other requirements, and who will work with you to understand your situation and make sure you get the ESA help you need.

Outstanding Customer Service

Finding the right service to work with to get a valid emotional support animal letter can be stressful. For one thing, there are many shady services out there that take advantage of how important emotional support animals are to their owner’s quality of life. 

And, of course, anyone who needs an emotional support animal is already dealing with difficult mental or emotional challenges. Our responsibility to our customers is a serious one. We’ve built our business to offer you unparalleled customer support as you work to deal with often challenging housing or travel situations.

That’s why we provide knowledgeable 24/7 support via email, SMS, or phone to answer specific questions or help you deal with an urgent issue. If you get an ESA letter through Pettable, we've got your back – our team has resolved 99% of all customer inquiries.

Have Your Back With Legal Support

Having your back includes providing legal support. We’re here to help if you run into problems getting your emotional support animal approved by your landlord or need help filling out a Reasonable Accommodation form.

Sometimes one of our ESA clients encounters someone willing to risk denying a valid ESA letter and legal request for accommodation. It doesn’t happen a lot but, when it does, our team is there to explain your legal rights as an ESA owner and make sure you and your companion are protected. 

Don’t Charge You For A Bunch of Extras  - Like Multiple Pets or Calling Your Landlord

We don’t charge you extra for things that should be included in every ESA letter service, like helping you get approved for more than one ESA or making any necessary calls to your landlord.

We don't believe in price gouging our customers, and we include as much as we can into one affordable fee.

We offer some added-cost options, including express service that guarantees you will receive an ESA evaluation within twenty-four hours of signing up. We also can sign any external forms (like something from your landlord or rental office) for an additional fee.

One benefit of Pettable is that we include up to two animals per letter if your situation qualifies. Most services restrict it to one per letter and try to nickel and dime you.

Because the medical and legal forms involved in obtaining an ESA letter are often lengthy, complex, and require additional work from our clinicians, we cover the cost of providing multiple copies of forms with a reasonable fee. 

Pettable’s Process for Helping You Get An ESA

Here at Pettable, we design our ESA letter process to make it as efficient and easy as possible for our customers. That includes making sure you can do everything needed to get certified as needing an emotional support animal online or via video, without having to travel to a clinic or medical office.

All of our clinicians have experience working with patients to understand their needs and write valid ESA letters that are guaranteed to work for you. Our clinicians and expert support staff are here to help you understand and deal with anything that comes up after you receive your ESA letter.

Fill Out Our Assessment

The first step is to fill out our online ESA assessment (click below to start taking it).

The ESA assessment puts together a unique profile about you that helps us match you with one of our licensed mental health professionals and schedule a consultation.

Pick From Our ESA Letters

Once the assessment is complete, tell us if you need a housing letter, a travel letter, or a combination letter that can be used for both.

Patients who need their ESA with them every time they fly can ask for a psychiatric service dog letter. 

If you think you might need more than one ESA for your emotional or mental wellness, check out our advice on how many emotional support animals you can have.

Book Your Consultation

When you are ready to book your consultation with one of our expert mental health professionals, you’ll pay our affordable fee online. Then we use your assessment info to connect you with a clinician licensed in your state.

The professionals we work with are all experts in ESA and properly licensed. They understand everything that’s required to make your ESA letter medically and legally valid.

Sign Off On HIPPA and Telehealth Forms

After your fee is paid and you’ve filled out and returned privacy and consent forms, you’ll be ready to start the process of certifying your right to live or travel with emotional support animals.

Get Connected For Your Consultation

As soon as we have your completed forms, you can schedule an appointment to complete a mental health evaluation and discuss how your ESA will help you with your specific mental or emotional health and wellness issues. This consultation will give the clinician all the details they need to write your legally valid ESA letter.

Receive Your ESA Letter Within 24 Hours Of Your Consultation

Once the assessment is successfully completed and the clinician agrees that your emotional support animals are a necessary part of your care, they will write a personalized and legally compliant ESA letter.

Phone Consultation
Receive your ESA Letter within 24 hours of your phone consultation

Frequently Asked Questions about ESA Letters

What is an ESA letter?

An ESA letter is the only legal and legitimate document that certifies your pet serves the specific purpose of emotional support animal for you – meaning they ease the symptoms of your mental illness and make life more livable. 

Who can write an ESA letter?

Only a licensed mental health professional can write an ESA letter. This includes 

  • Licensed clinical social workers
  • Licensed marriage and family therapists
  • Family doctor with experience in mental health
  • Licensional counselors
  • Licensed professional mental health counselors
  • Licensed clinical psychologists

What does an ESA letter look like?

A valid ESA letter will feature your LMHP’s official letterhead, license number, contact information, and the date the letter was issued. In the body of the letter, it will use specific wording to explain your need for an emotional support animal. 

Can a physician write an ESA letter?

Yes, some can. Only family doctors with experience in mental health can write an ESA letter. 

How to get an ESA letter online?

If you feel more comfortable staying within your home than seeking out an in-person meeting with an LMHP, you might consider meeting remotely through an online ESA letter-writing service, such as Pettable. Just be sure to work with a legitimate service that will work with you every step of the way, set up a live consultation with an LMHP, and provide a legal, legitimate ESA letter. 

At Pettable, we are so confident in our service that we offer a 100% satisfaction guarantee – meaning in the unlikely event that your ESA letter does not work for you, we’ll provide you a full refund. 

What does an ESA letter need to say?

An ESA letter must include specific wording to be considered valid and legal. While it cannot give specific information about your medical issues, it must state that you have a qualifying condition. The ESA letter also must say that your symptoms are improved by the companionship of an emotional support animal. Finally, it must include the LMHP’s request for reasonable accommodation for your emotional support animal. 

If it is an ESA travel letter, it must also state that your ESA is needed to accompany you during travel due to your mental or emotional disabilities. 

Can a nurse practitioner write an ESA letter?

If that nurse practitioner has a license to practice mental health care, then yes. 

Can a therapist write an ESA letter?

Yes, any mental health professional can write an ESA letter, including therapists. 

Who can prescribe an ESA letter?

Any licensed mental health professional. And remember, they must be licensed within your state to evaluate you for an ESA and to write a valid ESA letter. 

How long is an ESA letter good for?

An ESA letter, or “prescription,” is good for one year. 

How to tell if an ESA letter is legitimate?

For an ESA letter to be legitimate, it must meet the following criteria:

  • Be written by a mental health professional licensed in your state
  • Be written after you’ve been evaluated via a live consultation with an LMHP
  • The LMHP’s official letterhead
  • The LMHP’s license number and contact information 
  • The date the letter was issued
  • The correct language – including statements that 
  • The patient has a qualifying mental health condition
  • The emotional support animal improves symptoms for that person
  • A request for reasonable accommodation for the ESA
  • (If it is a travel letter it must also state that) the person needs their ESA present during travel due to their mental health condition

Can my counselor write an ESA letter?

Yes, any licensed mental health professional can write an ESA letter. 

Can my doctor give me an ESA letter?

Yes, if that doctor has experience practicing mental health care, they can write an ESA letter. 

What’s the difference between an ESA letter vs PSA letter?

An ESA letter makes an emotional support animal official, while a PSA letter legitimizes a psychiatric service dog. 

An emotional support animal requires no special training beyond basic training for good behavior. Its role is simply to provide a comforting presence for the owner. They are required to be allowed in any place of residence, but only some airlines and other public places. 

Psychiatric service animals, on the other hand, require extra training to complete a specific task (or tasks) that aids the owner with a mental or emotional disability. PSAs are generally allowed in any public place.

How Do I Start The Process To Get An ESA?

It's easy to get started and be on your way to having your emotional support animals legitimized. The steps are:

  1. Fill out our assessment 
  2. Book your consult at the end of the assessment
  3. Sign off on the forms we'll send you
  4. Coordinate a time with your clinician for the phone consultation
  5. Get your ESA letter within 24 hours

Get started today and join the long list of Pettable customers who have discovered the peace of mind a legally valid ESA letter provides!

3-minute assessment

Consult with a therapist

Get your ESA letter

Meet the author:

Rhiana Holmes - MA, LPC, LAC, & Head of Clinical at Pettable.