Get Your Emotional Support Animal (ESA) Letter Online

Gain legal protections for housing and travel. Compassionate, research-driven care in 30+ states

Why Get ESA Certified?

  • Legal Protections: Secure your right to housing and, in some cases, travel accommodations with your emotional support animal.
  • Emotional Benefits: Experience companionship, reduced anxiety and stress, and improved mood.
  • Health & Routine: Caring for an emotional support animal can provide a sense of purpose, routine, and responsibility.

What Is an ESA Letter?

  • An ESA letter is official documentation from a licensed mental health professional that confirms your need for an emotional support animal.
  • There is no federal or state registry; the letter itself is what grants legal status.
  • Common uses:
    • Housing (protection under the Fair Housing Act)
    • Air travel (where permitted)
    • Renewals for ongoing support

Who Qualifies for an Emotional Support Animal?

  • Qualifying conditions include:
    • Anxiety Disorders (generalized, social, phobias)
    • Depressive Disorders (major depression)
    • Bipolar Disorder (I or II)
    • PTSD
    • ADHD
    • Autism Spectrum Disorder
    • Other mental/behavioral health conditions causing emotional distress or impairment (e.g., OCD, panic disorder, agoraphobia)
  • Eligibility is determined by a licensed mental health professional based on whether your symptoms are alleviated by the presence of an animal.

How the ESA Certification Process Works

  1. Start Online: Begin your ESA certification online from the comfort of your home.
  2. Professional Evaluation: Our experienced, compassionate staff will review your case and determine if you qualify.
  3. Receive Your Letter: If eligible, you’ll get your ESA letter—valid for housing and, where applicable, for travel.
  4. Renewal Support: We offer easy ESA letter renewal and annual re-evaluations if required by your state.

Pricing

Service Number of Pets Cost
Emotional Support Animal Registration (ESA Letter) Up to 2 $129
Emotional Support Animal Registration (ESA Letter) 3+ $199
Psychiatric Service Dog Registration (PSD LETTER) Up to 2 $149
Psychiatric Service Dog Registration (PSD LETTER) Up to 3 $229

What’s Included with Your Certification

  • Professional evaluation by a licensed provider
  • Official ESA letter (digital and/or mailed copy)
  • Support for renewal and documentation
  • Guidance on state-specific requirements

State-Specific ESA Requirements

  • Arkansas: 30-day provider relationship; annual renewal required
  • California: 30-day provider relationship; provider must be CA-licensed; specific disclosures required
  • Colorado: ESA letter should be from a CO-licensed provider; penalties for misrepresentation
  • Florida: Provider must be FL-licensed and have personal knowledge of your condition; penalties for false claims
  • Illinois: Genuine therapeutic relationship required; provider must know your disability and need
  • Iowa: 30-day relationship; annual renewal; provider must know your disability
  • Louisiana: 30-day relationship; two sessions required; provider must be LA-licensed
  • Missouri: ESA letter must come from a qualified professional; penalties for misrepresentation
  • Montana: 30-day provider relationship; landlords may request supporting info; annual documentation for multiple emotional support animals
  • Pennsylvania: Penalties for fraudulent claims; no waiting period or special format
  • Other States: Standard federal criteria apply: qualifying disability + valid ESA letter from a state-licensed provider

Why Choose CMed?

  • Compassionate, Data-Driven Care: Our clinics combine research and education with a commitment to your wellbeing.

  • Licensed: We ensure compliance with all state and federal ESA requirements.

  • Guidance at Every Step: From evaluation to renewal, our team supports you throughout your ESA journey.

  • Integrity & Innovation: We follow the highest standards of care and legal compliance.

Frequently Asked Questions

How do I qualify for an ESA?

What conditions are commonly approved for ESA letters?

What diagnosis qualifies for an ESA?

Can I get an ESA letter without a diagnosis?

How does the ESA evaluation process work at CMed?

What is the quickest way to get an ESA letter?

How long does the ESA certification process take?

What kind of documentation do I need for ESA certification?

Can I renew my ESA letter online?

Start Your ESA Certification

Ready to get started? Click the button to begin your secure online assessment.