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Emotional Support Animal (ESA) Letter for Missouri Residents

An ESA letter guarantees your pet will always be welcome in your home
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How to Get an ESA Letter in Missouri Online

The process to obtain a legitimate ESA letter online is similar to what it would be otherwise – it just saves you the hassle of waiting in traffic or long lines for an in-person appointment. All you have to do is connect with a licensed mental health professional who can determine if you qualify for an emotional support animal and then write you an ESA letter if you do. 

Online services like Pettable can do the heavy lifting of matching you with a licensed mental health professional in Missouri. Not only does Pettable's vast network include LMHPs in every state, but each licensed therapist is also an expert in writing a legitimate and foolproof ESA Letter.

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Our fast and simple process:

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3-minute assessment

Answer a few questions about your ESA needs

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Consult with a therapist

We'll match you to a professional in your state

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Get your ESA letter

Receive it within 24 hours of getting approved *

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We'll help with any extra forms you need signed and our therapists are available to talk to your landlord anytime, for an additional fee.

* For California residents, effective January 1, 2022, new law AB 468 requires those seeking an ESA letter for dogs to establish a client-provider relationship with the individual for at least 30 days prior to providing documentation, which will result in having two consultations before qualifying.

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Emotional Support Animals in Missouri

If you struggle with a mental or emotional disability, you may find a coping mechanism in obtaining an emotional support animal. Missouri and federal law are aware of the struggle of mental illness and will protect an individual's right to live anywhere with an emotional support animal. 

Some states in America have particular laws about emotional support animals. Missouri is one of those states. You must be aware of this law if you are a Missouri resident and an emotional support animal owner. In 2020, Missouri's governor instated a rule prohibiting individuals from deliberately misrepresenting an emotional support animal. This law specifically prohibits people from putting harnesses or vets on their pets to make it seem like they are emotional support animals if they are a pet. 

ESA Laws in Missouri

If you’re an ESA owner in Missouri, you probably already know that public establishments are under no legal obligation to accommodate emotional support animals – only service animals. This includes stores, restaurants, theaters, museums, libraries, hospitals, hotels, and workplaces. 

If you wish to bring your emotional support animal with you to a place that is not explicitly pet-friendly, your best option is to have your ESA letter on hand. Although the venue is not required to admit your emotional support animal, the owner or manager (or your boss) may be willing to make an exception if you can present a valid ESA letter to help explain your situation. 

This also includes commercial aircraft (under the Air Carrier Access Act), so if you’re hoping to fly with your ESA, you should contact the airline well in advance of your travel date. If they do not accept ESAs on board, your ESA may still be able to travel with you as an ordinary pet, subject to the airline’s pet fees and policies.

Thankfully, housing legislation is more lenient to ESA owners. Specifically, you have the right to have your emotional support animal live with you, even in a rented apartment with a “no pets” policy. According to the federal Fair Housing Act (FHA), housing providers must make reasonable accommodations for any tenant (or potential tenant) who provides a legitimate ESA letter. The landlord must also waive their usual pet charges, and even breed and weight restrictions.

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Missouri ESA Housing Laws

The Fair Housing Act grants service animals and emotional support animals special housing privileges. Landlords must make reasonable accommodations to allow ESAs to live in any residence, even if a building has a no-pet policy. Emotional support animals are also exempt from weight, size, breed restrictions, pet fees, and deposits. That said, if your assistance animal causes any damage to your home, you may be held responsible for paying for those damages.

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Missouri's Fair Housing & Employment Act

The Fair Housing Act protects people with disabilities from facing discrimination when obtaining housing. Under this law, a landlord must provide reasonable accommodation to individuals with disabilities to have the same opportunity to live elsewhere. To grant people with mental disabilities this equal opportunity, landlords must grant housing rights to ESAs or service animals and their handlers. 

While emotional support animals are included in the US Department of Housing and Urban Development's (HUD) definition of assistance animals, ESAs are not recognized by the Americans with Disabilities Act. That means that employers are not obligated to allow ESAs into work environments. However, some employers may be willing to work with their employees on a case-by-case basis. For instance, if your ESA is not disruptive and no one in your office is allergic to dogs, your employer may allow your emotional support animal to inhabit your workplace. Check with your local HR department or pet policy for more information.

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How Do You Qualify for an ESA in Missouri?

An LMHP who can work in Missouri must be the one to determine if you qualify for an emotional support animal. They can properly assess your symptoms and mental health condition to discover if you have a disability-related need for such an assistance animal. 

Many people suffering from mental health disorders, including anxiety, depression, bipolar disorder, post-traumatic stress disorder, and phobias, will likely qualify for an emotional support animal. However, an LMHP will consider every individual's situation case by case. To be eligible for an ESA, not only must you have a mental illness, but your ESA must also be able to alleviate at least one of the symptoms of your mental health disorder. 

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Benefits of Emotional Support Animals for Missouri Residents

Many people are confused about how an emotional support animal can help treat an individual suffering from a mental or emotional illness. Here are some of the few ways that ESAs can support people with disabilities. 

Provide Unconditional Love

One of the best things about animals? No matter what happens, they always provide their caretakers with unconditional love. Receiving unconditional love can be particularly beneficial for individuals with mental health issues, especially if they are not receiving that love from others. 

Receiving this care and attention from an ESA can be the first step in an individual's mental health improvement, leading to them re-engaging with the world and people around them. 

Stabilize Everyday Feelings

Whether you are grappling with depression or OCD, it can be difficult for people with mental disorders to regulate their emotions. While some individuals may be experiencing regular bouts of panic and stress, others may feel extreme sadness and depression. An ESA can help reduce daily anxiety, regulate physiological arousal, and improve an individual's overall mood. 

Because animals demand regular attention, an ESA or assistance animal is a good distraction and can divert its owner's attention away from their thoughts and feelings. 

Structure and Purpose

Having an animal to care for and attend to can give individuals who have a mental disability a higher purpose in life. Additionally, an ESA inadvertently provides its owner with a day-to-day routine. ESAs need to be walked and fed, forcing their owners to go outside and get some exercise, whether they are taking trips to the grocery store to buy dog food or taking their animals on walks around the block. Regardless of what a person goes through, an emotional support animal will always force its owner to get out of bed and start the day.

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How To Get a Psychiatric Service Dog Letter in Missouri

Obtaining a letter for psychiatric service dogs in Missouri is similar to getting an emotional support animal letter. Only a licensed health professional who lives in the state of Missouri can provide a resident of the state with a PSD letter. Similar to ESA letters, there are also online services that can grant individuals with PSD letters. These online services will connect you with a therapist from your state, who you will meet for a consultation. If the therapist deems you eligible for a PSD, they will also provide you with a psychiatric service dog letter. Pettable can offer both emotional support animal letters and psychiatric service dog letters. 

To receive a PSD letter, you must have a service animal with specific training to perform a task directly related to your mental disability. For instance, owners may train a psychiatric service dog to perform room checks for an individual suffering from post-traumatic stress disorder.

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Why Pettable? 

Too many "ESA providers" out there are trying to scam their users by following processes that are not in line with federal and legal requirements. At Pettable, our excellent legal team takes measures to ensure we're compliant with federal and state laws every step of the way. Together with our world-class mental health professionals, they go to great lengths to ensure your PSD or ESA letter will work for you. After all, if your letter still doesn't work for you, you get your money back.

Why Pettable?

1. We Guarantee Our Letters Will Work For You
We believe you should not have to worry about your letter working or not. That's why at Pettable we offer a satisfaction guarantee - meaning your letter works or you get your money back.

2. World Class Mental Health Professionals
We have built a team of world class mental health professionals who can write you a PSD Letter prescription guaranteed to work anywhere you go.

3. Unparalleled Customer Support
We know getting your animal approved to travel or live with you can be stressful, which is why we invest so much in our team of dedicated support specialists to make sure you are always taken care of and have the support you need!

4. Licensed in all 50 states
Our network of mental health professionals is deep and spans across the entire country. Additionally, we have a deep team of mental health professionals to make sure we can meet any timeline.

5. Best In Class Legal Support
We are here to make sure your housing and travel needs are taken care of so you don't worry. Our legal team is dedicated to having your back should you need it!

6. Human Connection & Legitimate Evaluations
In order for your letter to work you need to have a live consultation with a mental health professional. At Pettable we make sure our clinicians adhered to HUD standards and conduct consultations over the phone to get to know you and your mental health situation well.

Why Pettable Is the Best Online ESA Letter Provider in Missouri

Just look at how we compare to other major ESA providers online. With our satisfaction guarantee, our live consultations with therapists, and a transparent team, Pettable is a clear choice 

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Verified Reviews: 4.8/5
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Trust Pilot: 4.7/5
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Facebook: 4.6/5
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What our pet parents are saying

Verified customers. Real reviews.
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I had an incredible experience with Pettable. I had just moved and was looking for a new therapist, but knew an ESA would really help me with the transition, so I came to Pettable to get documentation so I didn’t have to wait months to get approval from my landlord to bring a pet home. The process was straightforward, timely, and made me feel so valid in my journey. Now I am raising a puppy and never been happier and healthier! I can’t recommend Pettable enough! 
“The process was straightforward, timely, and made me feel so valid in my journey.
Maddee W. Dog parent
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My pup provides relief in stressful situations, particularly when I'm away on necessary travel. Pettable was an amazing resource, connecting me with a therapist who listened to my situation and provided advice above and beyond. I could hear Rhiana's compassion over our call and appreciated her patience. Grateful for this service!"
“I could hear Rhiana's compassion over our call and appreciated her patience.
Austin K. Dog parent
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You were very attentive and I’m very satisfied with the provider I was assigned with, thank you again for helping relieve the stress of not being able to take my furry baby to our new home."
“Thank you again for helping relieve the stress.
Lauren M. Cat parent
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Meet Our Top Licensed Clinicians

Jennifer Bronsnick


Jennifer Bronsnick is a Licensed Clinical Social Worker, Anxiety Treatment Specialist, & Heartmath Certified Trainer. She provides customized workshops and trainings to working professionals and teams to help build resilience and reduce stress with practical strategies.

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Emilie Kay


I graduated with a Master of Social Work (MSW) from the University of Wisconsin-Milwaukee before obtaining my Licensed Clinical Social Worker (LCSW) in 2021. I have eight years of experience in the mental health field working in and with various populations, including case management, intake coordination, and residential, inpatient, and outpatient programs. I am certified in Brainspotting to help individuals deeply process negative emotions and trauma/significant life events. Additionally, I utilize Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI), and safety planning in sessions/groups.

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Kassie Claughton

LCSW, Clinical Social Work/Therapist

I offer extensive experience supporting individuals in both outpatient and residential settings in the fields of social work and mental health. I am also a Certified Clinical Trauma Professional, Certified Alcohol & Drug Counselor-II, Substance Abuse Professional, Certified First Responder Counselor, and Board-Certified Telemental Health Provider.

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Marvy Beckman


As a clinical social worker, I have been able to work within multiple types of settings, such as hospitals, community centers, and family welfare. I enjoy having the clinical and administrative experience to holistically serve those I work with.

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Frequently Asked Questions

Emotional Support Animal Overview
What would count as an emotional support animal?
How do I know if I qualify for an Emotional Support Animal?
What does the ESA process look like at Pettable?
How do I know my letter will work?
Can you confirm that this is legal?
What makes your ESA Letters legitimate?
What happens if my landlord wants to validate that my letter is legitimate?
How long does the process take from start to finish and how quickly will I get my ESA letter?
If I qualify, how would I go about getting an emotional support animal?
Are there benefits to having an Emotional Support Animal?
What is on your ESA letter?
I'm not familiar with the Fair Housing Act – what is it?
Do I need to renew my ESA letter?
How do your consultations work?
To get an ESA Letter, do I have to talk with a mental health professional?
Would an existing pet qualify as an Emotional Support Animal?
Can I qualify multiple pets with the same ESA letter?
My landlord says I can't keep my pet despite having a legitimate ESA letter. What do I do?
What does an ESA Letter let me do?
How does the Money Back Guarantee work?
Are there scams out there I need to be aware of?

Life feels so much better with an emotional support animal.

At Pettable, we understand at a personal level the positive impact an animal can have on your life.

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