Psychiatric Service Dog (PSD) Letters
A PSD letter documents that your dog is trained to perform specific tasks tied to a mental health disability, granting full public access under the ADA.
PSD vs. ESA: Not the Same Letter
PSD Letter
Covers a dog specifically trained to perform tasks that mitigate a psychiatric disability — like interrupting a panic attack or providing deep pressure during dissociation. Protected under the ADA with full public access to restaurants, stores, and transit.
ESA Letter
Covers any animal providing comfort through its presence, no specific task training required. Protected under the Fair Housing Act, but limited to housing — not public spaces.
Tasks a Psychiatric Service Dog May Perform
Interrupting Panic Attacks
Applying trained pressure or nudging to redirect focus during an episode.
Deep Pressure Therapy
Lying across the handler's lap or chest to reduce anxiety symptoms.
Guiding During Dissociation
Leading a disoriented handler to a safe location or exit.
Medication Reminders
Retrieving medication or alerting a handler at scheduled times.
Creating Space
Positioning between the handler and crowds to reduce overstimulation.
Night Terror Response
Waking a handler experiencing a night terror or severe nightmare.
The PSD Evaluation Process
Confirm Task Training
Your dog should already know at least one specific, trained task tied to your condition.
Complete Your History
Share your mental health history and how your dog's tasks support you day to day.
Telehealth Evaluation
Meet with a licensed physician who reviews your case in detail.
Receive Your PSD Letter
Get a signed letter documenting full ADA public-access rights.
Pricing for PSD Letters
- Licensed physician evaluation
- Full ADA public-access documentation
- Covers up to 2 dogs
- Everything in the standard PSD letter
- Covers up to 3 dogs
- Priority support
Meet the Providers Behind Your Letter
Every evaluation is completed by a licensed U.S. physician — never an algorithm, never a form-fill.
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.
A former military physician who now dedicates part of his practice to veterans seeking ESA and PSD documentation.
What Our Patients Are Saying
“I've dealt with PTSD since college, and this was the first time a doctor actually explained how my dog fits into my care plan. Support even followed up a few weeks later just to make sure everything had gone smoothly with my landlord.”
“Honestly I expected a five-minute chat and a PDF. Dr. Bennett spent real time understanding my generalized anxiety before approving anything. It finally feels like my small dog is officially recognized as part of my care, not just a pet.”
“My therapist recommended I get this in writing, and Dr. Rodriguez made the whole process feel legitimate instead of transactional. The letter arrived within two days and my landlord accepted it without a single follow-up question.”
“I needed the letter for moving into a new apartment and was dreading another runaround, but the scheduling and the visit itself were both refreshingly simple. The whole thing, from scheduling to receiving the PDF, took less than 48 hours.”
“I've read horror stories about letter mills, so I did my research first. This clinic and Dr. Kim were the real deal. For the first time, I didn't have to explain my anxiety to a stranger at the leasing office myself.”
“My rescue cat genuinely changed how I manage my social anxiety, and it finally feels validating to have a licensed physician confirm that in writing. It's been three months now and my rescue cat and I finally feel settled in our new place.”
Frequently Asked Questions
No formal government certification or registry exists for psychiatric service dogs. What matters legally is that the dog is trained to perform specific tasks related to your disability.
Businesses may only ask two questions: whether the dog is a service animal required because of a disability, and what task it's trained to perform. They generally cannot ask about your diagnosis or demand documentation on the spot.
It's not legally required for ADA access, but carrying it can help resolve misunderstandings quickly with staff who are unfamiliar with the law.
Yes, though most patients only need one depending on whether their primary concern is housing (ESA) or public access (PSD).
Document Your Dog's Trained Support
Book a licensed telehealth visit today and get evaluated by a real physician — not a form.
Book Your Visit