ESA Letters for North Carolina Residents

Legally valid ESA letters compliant with North Carolina state law. Speak to a licensed therapist today.

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  • Licensed North Carolina professionals
  • AB 468 Law Compliant
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Full refund if your letter doesn’t work.
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Trusted by 300,000+ customers
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Emotional Support Animal (ESA) Letters for California Residents
An ESA letter guarantees your pet will always be welcome in your home
Get Your Official Letter
4.9 stars
Trusted by 300,000+ customers
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I am in California so the law here is a little different with a 30 day period and 2 therapy sessions but it was extremely worth it
January 23, 2025
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I am in California so the law here is a little different with a 30 day period and 2 therapy sessions but it was extremely worth it
January 23, 2025
DL
As California becomes less ESA friendly, this really helped me keep my EAS pets.
January 23, 2025
GC
Thank you Pettable I appreciate the smooth process and quick response. You guys are awesome.
January 23, 2025
FREE PRE-SCREENING
Emotional Support Animal (ESA) Letters for Texas Residents
An ESA letter guarantees your pet will always be welcome in your home
Get Your Official Letter
4.9 stars
Trusted by 300,000+ customers
Very easy thorough process. Kya Miller, LICSW, LCSW was very helpful. I would recommend the services of Pettable to anyone!
May 19, 2025 - Texas
The process was very simple and the people are very kind and understanding
May 16, 2025 - Texas
Received my call on time, had a forthright conversation with a licensed clinician and received my ESA letter within 24 hours. Straightforward process.
May 06, 2025 - Texas

Pettable is Fully Compliant with North Carolina Law.

Our licensed North Carolina clinicians adhere strictly to both State & Federal law, ensuring your ESA letter is valid and recognized statewide.

Learn more about North Carolina ESA laws
Cassy,
Cat Parent
Verified Pettable Customer
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"I would give my experience 10000/5 stars! I have already recommended your company to another friend. It was a straightforward no gimmicks service, and the doctor was genuinely concerned.

My new rescue cat Marston really appreciates that he is able to live with me now!

Cruz,
Dog Parent
Verified Pettable Customer
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"I would definitely say a 5/5 star rating! It was the best service I have ever received. They were quick, and knew what was needed for the time being!"

Aaron,
Cat Parent
Verified Pettable Customer
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"They are five stars all the way! The site helped set me up with a professional therapist, who is licensed in my state. It was very easy to setup calls or opportunities to communicate with them that worked for both of us.

Most of all they allowed me to keep my cats Mew and Espurr. “

C
Christina
Charlotte, NC
5/5
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I wanted to get an ESA letter, and found Pettable through a Google search. I scheduled an appointment and during the session, I discussed my situation, and the therapist was able to create a treatment plan tailored to my needs. The continuous communication and support have been crucial in addressing my mental health issues.

Reviewed Nov 01, 2025, on Consumer Affairs
S
Shante
Charlotte, NC
5/5
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Cami was amazing and my renewal was such an easy process! Definitely would recommend Pettable to any of my dog friends! Had all my files emailed me to in no time! If anyone is looking for a true and reliable source. Look no further because Pettable is the best!

Reviewed Oct 13, 2025, on Consumer Affairs
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Sarah
Jacksonville, NC
5/5
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I had a great experience, getting my ESA letter through Pettable. Finding their website and navigating through the website was very easy. Filling out my forms, and putting in my information only took me a few minutes. It was also very easy to schedule the time to talk with the therapist. They gave me a lot of time and date options. When the therapist called me. She was very, very nice and thorough, it only took maybe 10 minutes. After our phone call, she almost immediately sent me my ESA letter probably within 10 minutes of us talking. When I sent the letter to my apartment complex, they had absolutely no issues with it, which I was concerned about because I have a Belgian Malinois/German Shepherd mix, and most apartment complex complexes have breed restrictions. I would recommend everyone to use this website if they are looking to get an ESA letter.

Reviewed Oct 08, 2025, on Consumer Affairs
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Rosa
Raleigh, NC
5/5
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Using Pettable made this process for me and my fur babies easy and with no hassles. My landlord accepted my letter and didn't require extra documentation and I was able to get my pet fee back! I recommend this for my friends and family! Thank you Pettable for this amazing experience.

Reviewed Sep 26, 2025, on Consumer Affairs
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Susan
Charlotte, NC
5/5
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I needed an ESA letter for my condo complex. I had a good talk with the counselor provided and she wrote me an ESA letter HOWEVER, she wrote at the end of the letter IT IS ONLY GOOD FOR 1 YEAR!! The letter my dr wrote for my previous ESA had no expiration date. I feel that was written in so I’d have to pay for a new one every year which is ridiculous and want everyone to be aware of this.

Reviewed Sep 24, 2025, on Consumer Affairs
A
Aleatra
Waxhaw, NC
5/5
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Using Pettable was a great decision. The service was straightforward and clear. They connected me with an awesome medical professional who was compassionate & thorough. I received my ESA letter the day of our consult, which was approved within 48 hours via my property & Petscreening.com. I am so relieved & beyond grateful for this service. I was skeptical due to some bad reviews from other companies, but Pettable was recommended as a trusted provider, and I see why. I felt informed and protected throughout the process, very happy I followed through and chose them.

Reviewed Aug 30, 2025, on Consumer Affairs
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Angelo
Mooresville, NC
5/5
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We had a great experience with our updated letter. It was done correctly and quickly. All went well. We will use this service again next year. I would recommend this service at Pettables to anyone seeking an ESA letter. Our person was a delight to speak with.

Reviewed Aug 21, 2025, on Consumer Affairs
J
Jacqueline
Cary, NC
5/5
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I’ve been a Pettable customer for the past two years, and I couldn’t be happier with the service and support I’ve received throughout. The entire process of obtaining my Emotional Support Animal (ESA) certification was smooth and straightforward, and every interaction with their team has been professional, compassionate, and genuinely helpful.

Reviewed Jul 10, 2025, on Consumer Affairs
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Redding
Ocean Isle Beach, NC
5/5
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I really just needed to get an ESA letter for my cat, I was having a really tough time trying to go through my primary care doctor and there was just so many steps to get Me psychological services and a recommendation considering my primary care physician didn’t want to give me one herself. The process to get an appointment through them and through a psychologist Was long and expensive using this was so much quicker and affordable plus the therapist I spoke with was amazing and really attentive to my needs and situation. I definitely recommend going through Pettable for ESA letters in a timely manner with a very understanding therapist

Reviewed Jun 14, 2025, on Consumer Affairs
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How to obtain your ESA letter in North Carolina.

Take our 3-minute assessment
Answer a few questions about your ESA needs.
Consult with a California-Licensed Therapist.
We’ll match you with a professional in your area.
Receive your ESA Letter
Get your letter within 24-48 hours after approval.
Take our 3-minute assessment
Answer a few questions about your ESA needs.
Consult with a California-Licensed Therapist.
We’ll match you with a professional in your area.
Have a second consultation after 30 days.
Receive your ESA Letter
If approved, get your ESA letter within 24-48 hours after your second consultation.
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Don’t see your city! No worries! We’re able to serve all cities in North Carolina.
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Why choose an ESA in North Carolina?

North Carolina law supports the use of Emotional Support Animals for individuals with mental or emotional disablities. With a valid ESA letter you can.

  • Live in housing with “no pets” policies without additional fees.
  • Have your ESA recognized as part of your mental health treatment.
  • Benefit from protections under the Fair Housing Act.

How to Get an ESA Letter in North Carolina Online

Securing an emotional support animal (ESA) letter in North Carolina involves having a live consultation with a licensed mental health professional (LMHP) residing in the state. This professional has the authority to evaluate your eligibility for an emotional support animal and issue an official ESA letter in North Carolina accordingly.

Fortunately, telehealth services such as Pettable have simplified this process even further. Through Pettable, individuals can take an online quiz followed by a virtual consultation with a clinician licensed in North Carolina, all from the comfort of their homes. This enhances accessibility and convenience for individuals seeking ESA documentation.

Emotional Support Animal (ESA) Laws in North Carolina

North Carolina, like many other states, upholds laws mandating accommodation for service animals in most public places. However, the protection afforded to emotional support animals varies.

Recent revisions to the Air Carrier Access Act (ACAA) have changed the treatment of emotional support animals during air travel. Unlike service animals, ESAs are no longer automatically guaranteed admission to the cabin. Airlines now have the discretion to decide whether to accommodate ESAs. It's advisable to contact the airline beforehand to inquire about their policies regarding ESAs. If not accommodated, alternatives include traveling with your ESA as a pet or considering training your animal to serve as a psychiatric service animal.

Fortunately, federal laws such as the Fair Housing Act (FHA) and the Americans with Disabilities Act (ADA) provide substantial protections for ESA owners. In North Carolina, housing providers are prohibited from rejecting potential tenants based on their ownership of service animals or ESAs. To receive this protection, you must present your ESA letter along with a written request for reasonable accommodation. Landlords are obliged to accommodate your assistance animal, irrespective of their typical pet policies, breed restrictions, weight limitations, or pet fees.

Understanding these laws ensures ESA owners in North Carolina can navigate various settings with confidence, knowing their rights and obligations regarding their assistance animals.

Emotional Support Animals in North Carolina

Acknowledging the invaluable role emotional support animals (ESAs) can play in enhancing mental health treatment plans, North Carolina has implemented laws and policies to safeguard the rights and privileges of ESA owners. These provisions not only recognize the therapeutic benefits of ESAs but also ensure essential accommodations for their owners.

One significant benefit of having an emotional support animal in North Carolina is the assurance that you can reside anywhere with your ESA, regardless of housing restrictions on pets. This privilege is granted upon presentation of an official ESA letter, which confirms the need for the animal for your mental well-being. Moreover, ESA owners are often exempted from paying pet rent or fees, alleviating the financial burdens associated with housing accommodations.


Who Qualifies for an ESA in North Carolina

To qualify for an ESA in North Carolina, you must undergo an assessment by a licensed mental health professional in the state. This professional will evaluate your symptoms and determine whether you have a qualifying mental health condition. Additionally, they must determine that your ESA serves a disability-related need, meaning it provides comfort and alleviates symptoms associated with your condition.

Common mental health conditions that could qualify for an ESA include:

  • Anxiety disorders
  • Depression
  • Post-traumatic stress disorder (PTSD)
  • Bipolar disorder
  • Panic disorders
  • Phobias

It's important to note that this list is not exhaustive, and eligibility for an ESA may vary based on individual circumstances and the professional judgment of the assessing mental health practitioner.

Get your official ESA Letter
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Benefits of an Emotional Support Animal in North Carolina

Provide Mental and Emotional Stability

Having an assistance animal present in your life provides a loving and loyal companion that can uplift your emotional and mental health. The unconditional love provided by pets can offer immense mental health benefits for those who may be having struggles in their day-to-day lives.

Create a Healthy Daily Routine

The responsibilities that come with having an emotional support animal create a positive daily routine that is shown to provide immense mental and physical health benefits. Simply having an emotional support animal helps people start and maintain healthy habits like promoting an active lifestyle or setting a daily schedule.

Save on Pet Rent & Fees

The main advantage of having an emotional support animal is the housing rights afforded to you by the Fair Housing Act. ESAs are classified as assistance animals, making them exempt from any pet-related housing fees or restrictions. Acquiring these benefits is only possible by obtaining an ESA letter from a licensed mental health professional (LMHP)

How to Get a Psychiatric Service Dog in North Carolina

Securing a psychiatric service dog (PSD) in North Carolina involves several steps to ensure compliance with state and federal regulations. Unlike emotional support animals, psychiatric service dogs undergo specialized training to perform tasks that mitigate the effects of a mental health disability. Here's a comprehensive guide on how to get a psychiatric service dog in North Carolina:

  • Consultation with a Licensed Mental Health Professional: The first step is to consult with a licensed mental health professional (LMHP) in North Carolina. The LMHP will evaluate whether your condition qualifies as a disability under the Americans with Disabilities Act ADA and whether a psychiatric service dog could alleviate symptoms or assist in managing your disability.
  • Training and Acquisition: Once eligibility is established, the next step is to obtain a trained psychiatric service dog. It's crucial to work with reputable organizations or trainers that specialize in training service dogs for individuals with psychiatric disabilities. These dogs undergo extensive training to perform specific tasks tailored to your needs.
  • ADA Compliance: Ensure that your psychiatric service dog meets the requirements set forth by the ADA. This includes being trained to perform tasks directly related to your disability and maintaining proper behavior in public settings.
  • Public Access Training: Both you and your psychiatric service dog should undergo public access training to ensure you can navigate various environments together safely and confidently. This training focuses on obedience, behavior in public spaces, and adherence to ADA regulations.

At Pettable we offer an online psychiatric service dog training program that will walk you through the steps to train your own PSD. Complete the online assessment and enroll today.

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Why Pettable is the Best Online ESA Provider in North Carolina

We compared our services and real customer reviews to those of other major ESA providers online, and you can see our results in the chart below. 

What sets us apart? A transparent process, superior customer service, live consultations, and our satisfaction guarantee.

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How to Get an ESA Letter in North Carolina Online

Securing an emotional support animal (ESA) letter in North Carolina involves having a live consultation with a licensed mental health professional (LMHP) residing in the state. This professional has the authority to evaluate your eligibility for an emotional support animal and issue an official ESA letter in North Carolina accordingly.

Fortunately, telehealth services such as Pettable have simplified this process even further. Through Pettable, individuals can take an online quiz followed by a virtual consultation with a clinician licensed in North Carolina, all from the comfort of their homes. This enhances accessibility and convenience for individuals seeking ESA documentation.

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?