How Much Does an ESA or PSD Letter Cost?
One flat, published price per letter type. No subscriptions, no membership fees, and no surprise charges after your visit.
Every Price Includes a Real Medical Evaluation
Licensed Physician Visit
A real telehealth consultation, not an automated form.
Signed, Dated Letter
Formatted to meet current housing or ADA documentation standards.
Same-Day Letter Delivery
Delivered as a downloadable, printable PDF.
Ongoing Support
Help with landlord or airline questions after you receive your letter.
Choose the Right Letter for Your Situation
- Licensed physician evaluation
- Valid for housing (Fair Housing Act)
- Digital + printable PDF letter
- approved in 15 minutes
- Free 12-month renewal reminder
- Everything in the standard ESA letter
- Covers 3 or more animals
- Individual documentation per pet
- approved in 15 minutes
- Priority support
- Licensed physician evaluation
- Full ADA public-access documentation
- Covers up to 2 dogs
- Digital + printable PDF letter
- approved in 15 minutes
- Everything in the standard PSD letter
- Covers up to 3 dogs
- Individual documentation per pet
- approved in 15 minutes
- Priority support
Us vs. Typical "Certificate Mill" Websites
| Feature | ESA Letter For Housing | Typical Certificate Mill |
|---|---|---|
| Reviewed by a licensed physician | Always | Rarely disclosed |
| Real telehealth visit | Yes, every time | Often skipped |
| Approval rate | Based on clinical need | Near 100% |
| Pricing | Flat, published | Hidden renewal fees common |
| Refund policy | Clearly published | Often unclear |
Meet the Providers Behind Your Letter
Every evaluation is completed by a licensed U.S. physician — never an algorithm, never a form-fill.
Specializes in anxiety and mood-related disability evaluations, helping patients document a genuine clinical need for an emotional support animal.
Telehealth-focused family physician with a decade of experience supporting patients through reasonable-accommodation housing requests.
Focuses on trauma-informed care and PTSD, guiding patients through psychiatric service dog task-training documentation.
Treats patients managing chronic illness alongside anxiety, offering compassionate, judgment-free virtual consultations.
Works closely with veterans and trauma survivors to assess eligibility for psychiatric service dogs and ESA support.
What Our Patients Are Saying
“My dog has helped my depression for years, but I never had it in writing until Dr. Brooks took the time to do a proper evaluation. I was able to renew it a year later just as easily, with the same attention to detail.”
“I was skeptical about telehealth for something this important, but Dr. Chen asked thoughtful questions about my seasonal depression the whole time. I had my signed letter in my inbox before the end of the week, formatted exactly the way my building's office wanted.”
“Between work and a request from my property manager, I barely had time to breathe, and Dr. Park still made the appointment feel unhurried and personal. I appreciated that nobody tried to upsell me on things I didn't actually need.”
“I've dealt with generalized anxiety since college, and this was the first time a doctor actually explained how my corgi fits into my care plan. I keep a copy on my phone now for any future moves, and I'm not worried about it holding up.”
“Honestly I expected a five-minute chat and a PDF. Dr. Lee spent real time understanding my chronic stress before approving anything. I've already told two friends with chronic stress to book with this clinic instead of the sites I tried first.”
“My therapist recommended I get this in writing, and Dr. Bennett made the whole process feel legitimate instead of transactional. My property manager actually complimented how professional and complete the documentation looked.”
Frequently Asked Questions
Yes. You pay once for your evaluation and letter. Renewals the following year are a separate, equally transparent flat fee.
Households with 3 or more pets use our multi-pet pricing tier, which is a flat $199 for ESA letters or $229 for PSD letters — still no per-pet add-on fees.
All major debit and credit cards, plus HSA/FSA cards where your plan allows it.
If your physician determines a letter isn't clinically appropriate, you will not be charged for the letter itself.
No. There are no recurring charges. You only pay again if you choose to renew your letter next year.
Get Your Letter for a Flat, Honest Price
Book a licensed telehealth visit today and get evaluated by a real physician — not a form.
Book Your Visit