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Emotional Support Animal (ESA) Letters for North Carolina

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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.

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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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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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If your ESA Letter is not approved, we will refund 100% of your payment.

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.

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.

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ESA Registration and Certification in North Carolina

In North Carolina, it's essential to understand that there is no official registration or certification process for emotional support animals. Unlike service animals, which undergo specific training and certification to perform tasks for individuals with disabilities, ESAs primarily provide emotional support and comfort to their owners.

While some online platforms claim to offer emotional support animal registration in North Carolina or certification services, these are often misleading or unnecessary. The only requirement for qualifying for an ESA in North Carolina is obtaining an ESA letter from a licensed mental health professional based in the state.

An ESA letter North Carolina serves as official documentation that verifies the need for an emotional support animal to alleviate symptoms of a qualifying mental health condition. This letter should include the LMHP's contact information, license number, and signature, as well as details about the individual's need for an ESA.

It's important to be cautious when visiting websites or services that offer ESA registration or certification for a fee, as these are typically not recognized or required by law. Instead, focus on obtaining a legitimate ESA letter from a qualified licensed mental health professional to ensure compliance with North Carolina regulations regarding emotional support animals.

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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.

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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)

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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? 

At Pettable we work with an extensive network of licensed mental health professionals with unparalleled experience in assessing for and writing ESA letters. We know we are the best option online for acquiring an ESA letter, and here's why:

1. We Guarantee Our Letters Will Work For You
We have ensured our processes are legally compliant by creating a network of mental health professionals licensed in all 50 states. We are confident our ESA letters will work for you, that's why if your landlord unrightfully denies an ESA letter written by one of our team of LMHPs, we will refund 100% of the purchase, guaranteed.

2. Our Process is Entirely Risk-Free
Think you might qualify for an emotional support animal and want to attend a consultation to find out? We have your back! If you attend a consultation with one of our LMHPs and are denied an ESA letter, we will refund your purchase.

3. Unparalleled Customer Support
We understand that obtaining approval for your emotional support animal to reside with you can be challenging. That's why we dedicate significant resources to our team of committed support specialists, ensuring you receive the necessary support and care at all times!

4. Licensed in All 50 States
Our network of word-class licensed mental health professionals spans all 50 states, Puerto Rico, and D.C., meaning we can offer consultations to you regardless of where you live in the United States. Our deep network of LMHPs also enables us to meet any timeline.

5. Geniune Consultations from Real Mental Health Professionals
For your ESA letter to be legitimate and legally enforceable, you need to have a live consultation with a real mental health professional licensed in your state. Our process ensures that you receive a genuine, unbiased assessment, aligning with federal laws and the Fair Housing Act.

6. We Don't Push Unnecessary ESA Products/Services
Unfortunately, some organizations offering emotional support animal services online use questionable practices and offer products that don't align with the law. We aim to be 100% legitimate, and won't offer you unnecessary services like ESA registration, certificates, ID cards, or ESA vests.

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 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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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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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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