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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!"

Cat Parent
"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.
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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.
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.

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.

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.
Guarantee*
Consultations
Team
Frequently Asked Questions
Emotional Support Animal Overview
An emotional support animal provides comfort to help relieve a symptom or effect related to a person's disability. Also, there is no animal or breed restrictions for ESA's as long as it is reasonable and justified.
Note that being an emotional support animal is not the same as being a service animal (like seeing-eye dogs). These types of animals have stricter criteria that must be met, including different forms of training such as obedience, public access and disability training. These additional trainings are necessary since service dogs have public access and travel rights, unlike emotional support animals who are only protected under housing rights.
ESA's do not have public access or travel rights, so it's best to check with individual business guidelines to see if they allow ESA's. Additionally, you can train your dog to become a PSD (psychiatric service dog) in order to have public access and travel rights.
The general criteria is to have some emotional or psychological condition that is improved by having an animal that provides support. Conditions may include depression, generalized anxiety, paranoia, insomnia, and others. And remember, Emotional Support Animals do not require special training!
Only a licensed mental health professional is qualified to determine if you meet the criteria. Through our service, you can speak directly with a qualified mental health professional in the state where you reside. Pettable connects you with a licensed mental health professional for a consultation to determine if you qualify for an ESA. Unlike, some less legitimate services, we do not provide letters for fee, but instead we connect you to a professional for an honest evaluation.
Step 1: Once payment is submitted and your appointment is scheduled through our website, you will receive an email to activate your account.
Step 2: Once your account is activated, the process will prompt you to fill out the required forms to give more information to your clinician before your scheduled appointment.
Step 3: Your assigned clinician will call you at your scheduled appointment time and will let you know if you have qualified. If you've qualified, your clinician will upload your letter in your portal for you to view and print.
If for any reason you are not approved we will refund your entire purchase.
Get your official ESA Letter
When you take our quiz we collect information to match you with a therapist that has experience with your case and can meet your specific needs.
Additionally, to our knowledge, Pettable is the only provider that offers a full Money Back Guarantee - meaning if you do not qualify for a letter after your consultation or your landlord does not accept it after filing a complaint with the HUD, then we’ll refund 100% of your purchase.
We have experience with every kind of ESA situation - multiple pets, breed restrictions, weight/size restrictions, traveling across state lines, immediate turnaround, etc. We are confident we can help you with your specific ESA needs and if we can't, we will refund your money 100%. See our Money Back Guarantee FAQ for more information.
We employ a vetted network of licensed and qualified mental health professionals who possess the credentials necessary to write a certified ESA Letter.
Our website is also HIPAA Compliant, ensuring that your information is protected according to nationally mandated federal law.
Phone Consultation - Our professionals will reach out to you to setup a phone consultation and establish a relationship.This gives our professionals the authority and basis for prescribing you an ESA letter.
Compliant Letters - The ESA Letter is issued directly from a LMHP with their license number and their contact information included. The letter will come on the professional letterhead of the Licensed Mental Health Professional and contain everything legally required for an ESA prescription within the body of the letter.
No problem, we've got your back!
Our mental health professionals should be able to call your landlord to verify the legitimacy of your letter.
Should your landlord request a validation of your letter, please have them reach out to your therapist using the contact information on your ESA letter.
In the unlikely event that your letter does not work as intended and we've tried to make it work with the landlord we will refund your purchase 100%.
We can turn around an ESA letter in as fast as 24 hours! If you need it this quickly make sure to choose our "Express Service." You can select this option at checkout.
To ensure the fastest turn around possible, it is important that you sign and submit our consent forms.
We have an extensive network of mental health professionals, licensed across states, with wide range of availability and can route you to someone that is able to meet your timeline needs.
Once a consultation is concluded, letters are turned around within 24 hours and most of the time much more quickly than that.
After speaking with a licensed mental health professional and receiving your own ESA Letter, all you need to do is designate which animal will be your specific emotional support animal. It can be any breed or species, whether an existing pet or a new pet you adopt or rescue. You do not need to go to any specific breeder or place to acquire one.
Absolutely! There is research and data that support the theory that animals provide substantial and measurable emotional support. If you're thinking about the benefits of an emotional support animal, you can learn more by researching online or talking to qualified mental health professionals in our network.
Our ESA letters contain the following:
- The official letterhead of the mental health professional.
- Their business, contact information, and signature.
- Their license information which allows anyone to check the status of their license.
- Their confirmation that you meet the definition of a disability and recommendation for an emotional support animal.
The Fair Housing Act requires housing providers such as landlords or management companies to allow the possession of animals that work, provide assistance for, or perform tasks that benefit individuals with qualified medical disabilities – or that provide emotional support to individuals to reduce a symptom or effect of a disability.
The Fair Housing Act also requires individuals, who wish to possess a service or support animal, to follow specific criteria relevant to the type of support needed.
For an emotional support animal, the individual has to speak with a licensed mental health professional in the state they reside and receive a prescription of an ESA Letter in order to qualify.
Although the Fair Housing Act and U.S. Department of Housing and Urban Development does not specify guidance around the issue of ESA letter expiration, we recommend that you renew your ESA letter annually for a few reasons:
- Landlords or property managers may refuse to accept an ESA letter that is expired. Renewing your letter enables you to provide current documentation that verifies your need for an emotional support animal as still relevant.
- Clinicians may not validate an ESA letter that is expired in the event a landlord or property manager reaches out to verify. An annual consultation with a clinician to discuss your needs for an ESA letter is advised in order to keep licensed professional recommendations current.
Renewing your letter is easy through our seamless consultation process.
Federal and state laws require a live consultation over the phone, video, or in person to properly vet and qualify an individual to warrant an ESA Letter.
To ensure our ESA letter are compliant, all of our consultations are conducted live over the phone in order to meet the legal standards set forth and assure the validity of your letter.
Yes. Federal and state laws require a live consultation over the phone, video, or in person to properly vet and qualify an individual to warrant an ESA Letter. Since the letter grants privileges about keeping a pet in a place that otherwise would not allow it, base guidelines must be met to qualify.
Yes. An emotional support animal can be any breed or species as long as it supports an emotional or psychological condition.
Since emotional support animals do not require any training, your childhood pet or newly adopted animal can qualify.
Yes, you can register multiple pets on the same ESA letter. At Pettable we can accommodate up to two pets per letter for no additional charge.
According to the American Disabilities Act your request for multiple animals must be "reasonable".
An example of an unreasonable request is if you want four great danes registered as ESAs and you live in a tiny apartment.
In order to make sure we're meeting the standard of "reasonable" Pettable is able to accommodate up to two pets per letter as long as you meet the criteria to warrant an ESA letter.
At the end of the day it is a judgement call but we want to make sure that you are covered in any situation you're in, which is why we've set this policy.
Once you have a proper ESA Letter, your landlord is required by the Fair Housing Act to allow you to keep your designated emotional support animal with you at your place of residence.
Sometimes landlords create barriers for individuals in attempt to refrain from accommodating legitimate ESA's. If this occurs please reach out to your assigned mental health professional to validate or assist in verifying your legitimate ESA letter.
The most common type of fraud we've seen are in particular sites that claim to certify service animals (different from emotional support animals) without requiring any formal testing or accreditation typical for that process. The US has cracked down on these forms of fraud. Now they will enact hefty fines – or even jail time – for caught offenders.
These are the clues you should be on the lookout for to spot a scam: The service does NOT require you to speak with someone live over the phone – All legitimate ESA Letter providers are required by law to ensure that you speak with a licensed mental health professional over the phone or video. If a service asks you to answer questions using a quiz or "exam" but doesn't ask you to schedule a live consultation afterwards, it is probably a scam. Pettable is not a purchase-diagnosis website, but instead refers you to a licensed professional who conducts a live evaluation and provides a legitimate ESA letter per their professional discretion.