Licensed U.S. physicians · State & federally compliant ESA and PSD lettersMon–Sun, 8am–9pm ET
Simple, Flat-Rate Pricing

ESA & PSD Letter Pricing

No tiers to decode and no surprise renewal traps — just four clear plans built around how many pets you have and which letter you need.

HIPAA Compliant FHA & ADA Aligned Approved in 15 Minutes
4 Simple Plans
One-Time FeeNo subscriptions
ESA Letter
Housing & rental protection · up to 2 pets
$129 one-time
  • Licensed physician evaluation
  • Valid for housing (Fair Housing Act)
  • Digital + printable PDF letter
  • approved in 15 minutes
  • Free 12-month renewal reminder
Get Started
PSD Letter
Full ADA public access (dogs) · up to 2 pets
$149 one-time
  • Licensed physician evaluation
  • Full ADA public-access documentation
  • Covers up to 2 dogs
  • Digital + printable PDF letter
  • approved in 15 minutes
Get Started
PSD Letter · Up to 3 Pets
Full ADA public access (dogs) · up to 3 pets
$229 one-time
  • Everything in the standard PSD letter
  • Covers up to 3 dogs
  • Individual documentation per pet
  • approved in 15 minutes
  • Priority support
Get Started
Licensed Physician Evaluation
Signed & Dated PDF Letter
Approved in 15 Minutes
HIPAA-Compliant Visit
Our Care Team

Meet the Providers Behind Your Letter

Every evaluation is completed by a licensed U.S. physician — never an algorithm, never a form-fill.

JA
James Anderson, DO
Family Medicine · Veteran Care

A former military physician who now dedicates part of his practice to veterans seeking ESA and PSD documentation.

Veteran CareFamily Medicine
PP
Priya Patel, MD
Behavioral Health Physician

Specializes in generalized anxiety and panic disorders, with a focus on clear, compliant clinical documentation.

Behavioral HealthAnxiety Disorders
RK
Robert Kim, MD
Primary Care Physician

Provides accessible, same-week telehealth visits for patients across the country seeking ESA housing letters.

Primary CareTelehealth
LM
Lisa Martinez, MD
Psychiatrist · Mood Disorders

Helps patients navigate depression and mood disorders with individualized, evidence-based evaluations.

Mood DisordersPsychiatry
CL
Christopher Lee, MD
Family Medicine Physician

Reviews ADA documentation requests with an emphasis on accuracy landlords and airlines readily accept.

Family MedicineADA Documentation
Real Patients, Real Approvals

What Our Patients Are Saying

★★★★☆

“I needed the letter for renewing my lease and was dreading another runaround, but the scheduling and the visit itself were both refreshingly simple. Support even followed up a few weeks later just to make sure everything had gone smoothly with my landlord.”

MF
Monique F.Richmond, VA · Dog owner
★★★★★

“I've read horror stories about letter mills, so I did my research first. This clinic and Dr. Thompson were the real deal. It finally feels like my small dog is officially recognized as part of my care, not just a pet.”

SY
Shawn Y.Minneapolis, MN · Small Dog owner
★★★★★

“My senior dog genuinely changed how I manage my depression, and it finally feels validating to have a licensed physician confirm that in writing. The letter arrived within two days and my landlord accepted it without a single follow-up question.”

EB
Erica B.Spokane, WA · Senior Dog owner
★★★★★

“I was worried a video visit couldn't cover something as personal as seasonal depression, but Dr. Foster handled it with real care. The whole thing, from scheduling to receiving the PDF, took less than 48 hours.”

GL
Gavin L.Austin, TX · Corgi owner
★★★★★

“Getting ready for a request from my property manager was stressful enough without paperwork problems, so I appreciated how clearly everything was explained. For the first time, I didn't have to explain my PTSD to a stranger at the leasing office myself.”

TR
Tanya R.Portland, OR · Beagle owner
★★★★★

“I almost gave up after being denied by my building once already, but this letter from Dr. Watson was accepted without a single follow-up question. It's been three months now and my rescue cat and I finally feel settled in our new place.”

WH
Wesley H.Sacramento, CA · Rescue Cat owner
Questions, Answered

Frequently Asked Questions

If you're seeking housing protection under the Fair Housing Act, choose an ESA Letter plan. If you need full public-access rights under the ADA for a trained service dog, choose a PSD Letter plan.

Any household documenting three or more qualifying animals uses the multi-pet plan, which covers individual documentation for each animal at one flat price.

Yes. Many patients start with an ESA letter and later complete a separate PSD evaluation once their dog has completed task training.

Renewal pricing is published separately and is typically lower than a first-time evaluation, since your physician already has your history on file.

Get Started Today

Pick Your Plan and Get Started

Book a licensed telehealth visit today and get evaluated by a real physician — not a form.

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100% legit ESA & PSD letters — licensed providers, issued in 15 min of approval. Pay only if approved.

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