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ESA & Service Animal Letters · All 50 States

Keep your pet by your side. Get your letter from a licensed doctor.

Answer a short online assessment. A licensed doctor reviews it, and if you’re approved your letter is emailed to you within 24 hours.

Reviewed by a licensed doctor
Letter emailed within 24 hours of approval
Not approved? Full money-back refund
No medical records or office visits needed
Landlords can verify it online instantly

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ESA letter~~$199~~ $99.50/yr

Service animal letter~~$399~~ $199.50/yr

ESA letter$199/yr

Service animal letter$399/yr

Start your assessment

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Your name *

First

Last

Email *

Mobile phone *

Please answer some questions so we make sure you qualify

What kind of letter do you need? *

Emotional Support Animal (ESA) — $199/yr
Service Animal — $399/yr

Which condition do you experience that may qualify you for an Emotional Support Animal? *

ADHD
Anxiety
Autism Spectrum
Bipolar Disorder
Depression
Eating Disorder
General Stress
Insomnia
OCD
Panic Disorder
PTSD
Schizophrenia
Social Isolation

Which condition do you experience that may qualify you for a Service Animal? *

Anxiety
Bipolar
Blindness or vision problems
Brain or memory problems
Depression
Diabetes
Hearing problems
Intellectual disabilities
Mobility problems
Nerve or muscle problems
OCD
PTSD
Schizophrenia
Seizures
Sleep disorders
Heart or circulation issues
Severe allergic reactions

Do you struggle to stay focused on tasks? *

No
Occasionally
Frequently
Always

Do you feel restless or easily distracted? *

Never
Occasionally
Frequently
Always

Do you lose or misplace items frequently? *

Never
Occasionally
Frequently
Daily

Do you have difficulty with time management or deadlines? *

No
Occasionally
Always
Frequently

Do you act impulsively or have trouble controlling your responses? *

No
Occasionally
Frequently
Always

Do you struggle to regulate your emotions? *

No
Occasionally
Frequently
Always

Do you feel overwhelmed or anxious due to inattentiveness or hyperactivity? *

Never
Occasionally
Frequently
Always

Would the presence of an ESA help improve focus, calm, or structure? *

Not at all
Somewhat
Very helpful
Critical

Have you ever been advised to seek emotional regulation strategies? *

No
Yes, casually
Yes, professionally
Yes, ongoing support

Do you often experience excessive worry that feels difficult to control? *

No
Occasionally
Frequently
Severely

Do anxious thoughts interfere with your ability to complete everyday tasks? *

No
Occasionally
Frequently
Severely

Do you avoid certain places or situations due to anxiety or nervousness? *

No
Occasionally
Frequently
Severely

Do physical symptoms like a racing heart or shortness of breath accompany your anxiety? *

No
Occasionally
Frequently
Severely

Do you find it hard to relax or feel “on edge” most of the time? *

No
Occasionally
Frequently
Severely

Does your anxiety affect your relationships or social interactions? *

No
Occasionally
Frequently
Severely

Do you experience sleep issues (difficulty falling or staying asleep) due to anxiety? *

No
Occasionally
Frequently
Severely

Do you need emotional support to feel grounded during anxious episodes? *

No
Occasionally
Frequently
Severely

Has your anxiety led to missed days at work, school, or social events? *

No
Occasionally
Frequently
Severely

Would having a comforting companion animal help reduce the intensity or frequency of your anxiety symptoms? *

No
Occasionally
Frequently
Severely

Do you experience challenges with social communication or understanding social cues? *

No
Occasionally
Frequently
Severely

Do changes in routine or environment cause you significant stress or anxiety? *

No
Occasionally
Frequently
Severely

Do you engage in repetitive behaviors or have specific rituals that bring comfort? *

No
Occasionally
Frequently
Severely

Do you struggle with emotional regulation or calming yourself during distress? *

No
Occasionally
Frequently
Severely

Do certain sensory experiences (e.g., loud noises, bright lights) feel overwhelming? *

No
Occasionally
Frequently
Severely

Do you often feel isolated or disconnected from others? *

No
Occasionally
Frequently
Severely

Would the presence of an emotional support animal help ease social or emotional stress? *

No
Occasionally
Frequently
Severely

Do you find that animals help you better navigate emotionally intense situations? *

No
Occasionally
Frequently
Severely

Do you feel more secure and calm when accompanied by a familiar animal companion? *

No
Occasionally
Frequently
Severely

Do you believe that an ESA could assist in reducing meltdowns, shutdowns, or emotional distress? *

No
Occasionally
Frequently
Severely

Do you experience extreme mood swings that impact your daily life? *

No
Occasionally
Frequently
Severely

Do periods of elevated mood or energy interfere with your judgment or behavior? *

No
Occasionally
Frequently
Severely

Do you have episodes of depression that cause loss of interest or motivation? *

No
Occasionally
Frequently
Severely

Do your mood changes affect your ability to maintain relationships or work consistently? *

No
Occasionally
Frequently
Severely

Do you struggle with emotional regulation during high or low mood episodes? *

No
Occasionally
Frequently
Severely

Do you experience sleep disturbances (e.g., insomnia or excessive sleep) related to mood shifts? *

No
Occasionally
Frequently
Severely

Do you feel isolated or disconnected during depressive or manic episodes? *

No
Occasionally
Frequently
Severely

Would the consistent presence of an animal help stabilize your emotional state? *

No
Occasionally
Frequently
Severely

Do you believe having an emotional support animal could reduce stress during mood fluctuations? *

No
Occasionally
Frequently
Severely

Has your provider or therapist ever recommended emotional support to assist with managing your bipolar symptoms? *

No
Occasionally
Frequently
Severely

Do you often feel a persistent sense of sadness or emptiness? *

No
Occasionally
Frequently
Severely

Do you experience a loss of interest in activities you once enjoyed? *

No
Occasionally
Frequently
Severely

Do you have difficulty getting out of bed or starting your day due to low mood? *

No
Occasionally
Frequently
Severely

Do you struggle with feelings of hopelessness or worthlessness? *

No
Occasionally
Frequently
Severely

Do you find it hard to concentrate or make decisions because of your mood? *

No
Occasionally
Frequently
Severely

Do you experience changes in appetite or weight related to your mood? *

No
Occasionally
Frequently
Severely

Do you isolate yourself or avoid social interaction because of depression? *

No
Occasionally
Frequently
Severely

Would the companionship of an animal provide comfort during depressive episodes? *

No
Occasionally
Frequently
Severely

Do you believe having an emotional support animal could motivate you to stay active or engaged? *

No
Occasionally
Frequently
Severely

Has your depression interfered with your work, school, or home responsibilities? *

No
Occasionally
Frequently
Severely

Do you experience distressing thoughts about food, weight, or body image? *

No
Occasionally
Frequently
Severely

Do you engage in restrictive eating, binging, or purging behaviors? *

No
Occasionally
Frequently
Severely

Do you feel a lack of control over your eating habits? *

No
Occasionally
Frequently
Severely

Does your relationship with food negatively impact your daily functioning? *

No
Occasionally
Frequently
Severely

Do you avoid social situations involving food due to anxiety or shame? *

No
Occasionally
Frequently
Severely

Do you struggle with feelings of guilt, anxiety, or depression after eating? *

No
Occasionally
Frequently
Severely

Do you experience extreme changes in weight or physical health due to eating behaviors? *

No
Occasionally
Frequently
Severely

Would the presence of an emotional support animal help reduce your anxiety or distress related to food? *

No
Occasionally
Frequently
Severely

Do you feel comforted or emotionally supported by animals during times of disordered eating behavior? *

No
Occasionally
Frequently
Severely

Has a healthcare provider recommended additional emotional support to assist with your eating disorder recovery? *

No
Occasionally
Frequently
Severely

Do you often feel overwhelmed by the demands of daily life? *

No
Occasionally
Frequently
Severely

Do you experience physical symptoms (e.g., headaches, muscle tension) when stressed? *

No
Occasionally
Frequently
Severely

Do you have trouble relaxing or unwinding after a stressful event? *

No
Occasionally
Frequently
Severely

Do you feel mentally or emotionally drained after a day of work or social interactions? *

No
Occasionally
Frequently
Severely

Do you find it difficult to manage your responsibilities due to constant stress? *

No
Occasionally
Frequently
Severely

Do you experience sleep disturbances due to stress or anxiety? *

No
Occasionally
Frequently
Severely

Do you often feel anxious or worried about upcoming events or situations? *

No
Occasionally
Frequently
Severely

Would the presence of an emotional support animal help you feel more grounded during stressful times? *

No
Occasionally
Frequently
Severely

Do you believe an ESA could reduce your stress levels and help you relax? *

No
Occasionally
Frequently
Severely

Have you sought or considered professional help for managing stress in your daily life? *

No
Occasionally
Frequently
Severely

Do you have difficulty falling asleep at night? *

No
Occasionally
Frequently
Severely

Do you wake up frequently during the night and have trouble falling back asleep? *

No
Occasionally
Frequently
Severely

Do you feel unrested or fatigued during the day due to poor sleep quality? *

No
Occasionally
Frequently
Severely

Do you experience racing thoughts that prevent you from relaxing before bed? *

No
Occasionally
Frequently
Severely

Do you struggle with staying asleep throughout the night without waking up prematurely? *

No
Occasionally
Frequently
Severely

Do you rely on sleep aids or medication to help you fall asleep? *

No
Occasionally
Frequently
Severely

Does poor sleep or insomnia affect your ability to function at work or in social settings? *

No
Occasionally
Frequently
Severely

Would having an emotional support animal help you feel more relaxed and fall asleep easier? *

No
Occasionally
Frequently
Severely

Do you feel comforted or calmed by the presence of an animal during the night? *

No
Occasionally
Frequently
Severely

Have you sought professional help to address your insomnia or sleep difficulties? *

No
Occasionally
Frequently
Severely

Do you experience intrusive, unwanted thoughts that cause significant anxiety or distress? *

No
Occasionally
Frequently
Severely

Do you feel compelled to perform specific rituals or behaviors to reduce anxiety or prevent something bad from happening? *

No
Occasionally
Frequently
Severely

Do your compulsions interfere with your daily life or routine? *

No
Occasionally
Frequently
Severely

Do you spend a significant amount of time each day on rituals or repetitive behaviors? *

No
Occasionally
Frequently
Severely

Do you feel unable to control or stop your obsessive thoughts or compulsive behaviors, even though you want to? *

No
Occasionally
Frequently
Severely

Do you experience significant anxiety when unable to perform a compulsion? *

No
Occasionally
Frequently
Severely

Do you find that your obsessions or compulsions affect your work, relationships, or social life? *

No
Occasionally
Frequently
Severely

Would the presence of an emotional support animal help reduce your anxiety or compulsive urges? *

No
Occasionally
Frequently
Severely

Do you believe an ESA could provide emotional comfort and grounding during moments of distress related to your OCD? *

No
Occasionally
Frequently
Severely

Have you sought or are you currently seeking therapy or medication to help manage your OCD symptoms? *

No
Occasionally
Frequently
Severely

Do you experience sudden and unexpected feelings of intense fear or anxiety? *

No
Occasionally
Frequently
Severely

Do you have physical symptoms during a panic attack, such as rapid heartbeat, shortness of breath, or dizziness? *

No
Occasionally
Frequently
Severely

Do you worry about having another panic attack, leading to avoidance of certain places or situations? *

No
Occasionally
Frequently
Severely

Do you feel as though you’re losing control or “going crazy” during a panic attack? *

No
Occasionally
Frequently
Severely

Do panic attacks interfere with your ability to work, socialize, or engage in everyday activities? *

No
Occasionally
Frequently
Severely

Do you feel emotionally drained or overwhelmed after experiencing a panic attack? *

No
Occasionally
Frequently
Severely

Do you experience feelings of detachment or unreality during or after a panic attack? *

No
Occasionally
Frequently
Severely

Would the presence of an emotional support animal help reduce the severity of your panic attacks? *

No
Occasionally
Frequently
Severely

Do you believe that having an ESA could provide comfort and emotional grounding during moments of intense fear or anxiety? *

No
Occasionally
Frequently
Severely

Have you sought or are you currently receiving treatment for panic disorder, such as therapy or medication? *

No
Occasionally
Frequently
Severely

Do you experience flashbacks or intrusive memories related to a traumatic event? *

No
Occasionally
Frequently
Severely

Do you avoid situations, places, or people that remind you of the trauma? *

No
Occasionally
Frequently
Severely

Do you experience nightmares or disturbed sleep related to the trauma? *

No
Occasionally
Frequently
Severely

Do you feel emotionally numb, detached, or disconnected from others due to past trauma? *

No
Occasionally
Frequently
Severely

Do you feel constantly on edge or easily startled? *

No
Occasionally
Frequently
Severely

Do you struggle with feelings of guilt, shame, or hopelessness as a result of your traumatic experience? *

No
Occasionally
Frequently
Severely

Do you experience difficulty concentrating or remembering things, especially during stressful moments? *

No
Occasionally
Frequently
Severely

Would having an emotional support animal help you manage feelings of anxiety, hypervigilance, or emotional distress related to PTSD? *

No
Occasionally
Frequently
Severely

Do you believe an ESA could help provide comfort and grounding during moments of heightened stress or flashbacks? *

No
Occasionally
Frequently
Severely

Have you sought or are you currently receiving therapy or medication for PTSD symptoms? *

No
Occasionally
Frequently
Severely

Do you experience hallucinations, such as hearing voices or seeing things that aren't there? *

No
Occasionally
Frequently
Severely

Do you experience delusions, such as believing things that aren't based in reality (e.g., thinking you're being watched or controlled)? *

No
Occasionally
Frequently
Severely

Do you have difficulty distinguishing between what is real and what is not during certain episodes? *

No
Occasionally
Frequently
Severely

Do you find it hard to maintain coherent or logical conversations due to disorganized thinking? *

No
Occasionally
Frequently
Severely

Do you experience periods of emotional numbness or detachment from reality? *

No
Occasionally
Frequently
Severely

Do you struggle with social interactions or maintaining relationships due to your symptoms? *

No
Occasionally
Frequently
Severely

Do you often feel confused or disoriented, even in familiar settings? *

No
Occasionally
Frequently
Severely

Would having an emotional support animal provide comfort or emotional grounding during periods of distress or confusion? *

No
Occasionally
Frequently
Severely

Do you believe an ESA could help alleviate symptoms such as anxiety, paranoia, or emotional instability? *

No
Occasionally
Frequently
Severely

Have you sought or are you currently receiving treatment, such as medication or therapy, for your schizophrenia symptoms? *

No
Occasionally
Frequently
Severely

Do you find yourself withdrawing from social activities or avoiding social situations? *

No
Occasionally
Frequently
Severely

Do you feel lonely or disconnected from others, even when you're around people? *

No
Occasionally
Frequently
Severely

Do you struggle to maintain friendships or relationships due to a lack of social interaction? *

No
Occasionally
Frequently
Severely

Do you feel misunderstood or unable to relate to others? *

No
Occasionally
Frequently
Severely

Do you often feel like you don’t have anyone to talk to or share your feelings with? *

No
Occasionally
Frequently
Severely

Do you experience feelings of sadness or emptiness due to a lack of social connection? *

No
Occasionally
Frequently
Severely

Do you tend to isolate yourself at home or avoid leaving the house to prevent social interaction? *

No
Occasionally
Frequently
Severely

Would the presence of an emotional support animal provide comfort and help reduce feelings of loneliness? *

No
Occasionally
Frequently
Severely

Do you believe having an ESA could motivate you to engage more with the outside world or people? *

No
Occasionally
Frequently
Severely

Have you considered or received professional help to address feelings of social isolation or loneliness? *

No
Occasionally
Frequently
Severely

How often do you experience excessive worry or fear in everyday situations? *

No
Occasionally
Frequently
Severely

How often do you feel restless or on edge? *

No
Occasionally
Frequently
Severely

How often do you experience physical symptoms like a racing heart or shortness of breath when anxious? *

No
Occasionally
Frequently
Severely

How often do you avoid places or situations because they make you anxious? *

No
Occasionally
Frequently
Severely

How often do you experience panic attacks or intense feelings of fear? *

No
Occasionally
Frequently
Severely

How much does anxiety affect your ability to concentrate or focus? *

No
Occasionally
Frequently
Severely

How often do you feel overwhelmed by anxiety? *

No
Occasionally
Frequently
Severely

How much does anxiety impact your ability to engage in social or work settings? *

No
Occasionally
Frequently
Severely

How much do you believe that a service animal could help reduce your anxiety symptoms? *

No
Occasionally
Frequently
Severely

How often do you experience mood swings, ranging from feelings of extreme euphoria to deep depression? *

No
Occasionally
Frequently
Severely

How often do you feel impulsive or engage in risky behaviors during periods of mania or hypomania? *

No
Occasionally
Frequently
Severely

How often do you feel irritable or easily frustrated during mood shifts? *

No
Occasionally
Frequently
Severely

How often do you experience racing thoughts or difficulty concentrating during manic episodes? *

No
Occasionally
Frequently
Severely

How much do your mood swings interfere with your daily activities and responsibilities? *

No
Occasionally
Frequently
Severely

How often do you feel emotionally exhausted or overwhelmed after a manic or depressive episode? *

No
Occasionally
Frequently
Severely

How much does your bipolar disorder affect your ability to maintain relationships or social connections? *

No
Occasionally
Frequently
Severely

How often do you experience periods of low energy, sadness, or hopelessness during depressive episodes? *

No
Occasionally
Frequently
Severely

How much do you believe a service animal could help manage the symptoms of your bipolar disorder? *

No
Occasionally
Frequently
Severely

How often do you feel that your bipolar disorder limits your ability to function in work or social situations? *

No
Occasionally
Frequently
Severely

How often do you experience difficulty navigating unfamiliar places due to vision problems? *

No
Occasionally
Frequently
Severely

How much does your vision impairment impact your ability to perform daily tasks like cooking, cleaning, or shopping? *

No
Occasionally
Frequently
Severely

How often do you rely on others for assistance with activities due to your vision issues? *

No
Occasionally
Frequently
Severely

How often do you feel unsafe or disoriented in unfamiliar environments due to your vision impairment? *

No
Occasionally
Frequently
Severely

How much would a service animal help you in safely navigating public spaces or your home? *

No
Occasionally
Frequently
Severely

How often do you feel limited in your independence due to your vision impairment? *

No
Occasionally
Frequently
Severely

How much do vision problems affect your ability to engage in social or recreational activities? *

No
Occasionally
Frequently
Severely

How often do you experience difficulty with reading or recognizing objects or people? *

No
Occasionally
Frequently
Severely

How much do you believe that a service animal could improve your ability to safely move through your environment? *

No
Occasionally
Frequently
Severely

How often do you require assistance from a guide or other support services due to vision loss? *

No
Occasionally
Frequently
Severely

How often do you experience forgetfulness or memory lapses in daily activities? *

No
Occasionally
Frequently
Severely

How much do brain or memory problems interfere with your ability to perform tasks at work or home? *

No
Occasionally
Frequently
Severely

How often do you struggle with recalling important dates, names, or appointments? *

No
Occasionally
Frequently
Severely

How much do you rely on reminders or assistance from others due to memory difficulties? *

No
Occasionally
Frequently
Severely

How often do you find yourself feeling disoriented or confused in unfamiliar environments? *

Never
Occasionally
Frequently
Severely

How much does forgetfulness impact your social interactions or relationships? *

Not at all
Occasionally
Frequently
Severely

How often do you feel overwhelmed by difficulty remembering instructions or important details? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could help you stay organized or assist with memory-related tasks? *

Not at all
Occasionally
Frequently
Severely

How often do you experience difficulty following conversations or maintaining focus due to cognitive challenges? *

Never
Occasionally
Frequently
Severely

How much do brain or memory issues impact your independence or daily living activities? *

Not at all
Occasionally
Frequently
Severely

How often do you feel sad, hopeless, or down for extended periods of time? *

Never
Occasionally
Frequently
Severely

How much does depression affect your ability to perform daily tasks like getting out of bed, eating, or bathing? *

Not at all
Occasionally
Frequently
Severely

How often do you lose interest in activities that you once enjoyed? *

Never
Occasionally
Frequently
Severely

How much do feelings of worthlessness or guilt impact your thoughts or actions? *

Never
Occasionally
Frequently
Severely

How often do you experience difficulty concentrating or making decisions due to your depression? *

Never
Occasionally
Frequently
Severely

How much do depressive symptoms affect your ability to engage socially or maintain relationships? *

None
Occasionally
Frequently
Severely

How often do you feel fatigued or lack energy, even after resting? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could provide emotional support and help improve your mood? *

None
Occasionally
Frequently
Severely

How often do you experience changes in appetite or sleep patterns (eating too much, too little, or difficulty sleeping)? *

Never
Occasionally
Frequently
Severely

How much does depression affect your ability to participate in work, school, or social activities? *

Not at all
Occasionally
Frequently
Severely

How often do you experience fluctuations in your blood sugar levels that require immediate attention? *

Never
Occasionally
Frequently
Severely

How much do you rely on monitoring your blood sugar levels throughout the day to manage your diabetes? *

None
Occasionally
Frequently
Severely

How often do you experience symptoms of low blood sugar, such as shaking, sweating, or dizziness? *

Never
Occasionally
Frequently
Severely

How much do these blood sugar fluctuations impact your ability to perform daily tasks or go about your routine? *

None
Occasionally
Frequently
Severely

How often do you feel fatigued or weak due to your blood sugar being too high or too low? *

Never
Occasionally
Frequently
Severely

How much does managing your diabetes interfere with your ability to participate in social or recreational activities? *

None
Occasionally
Frequently
Severely

How often do you experience feelings of confusion or difficulty thinking clearly when your blood sugar is off balance? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could assist in alerting you to blood sugar changes or helping with emergency situations? *

None
Occasionally
Frequently
Severely

How often do you require assistance from others to monitor or manage your diabetes, especially during episodes of high or low blood sugar? *

Never
Occasionally
Frequently
Severely

How much does your diabetes impact your independence or ability to carry out your daily responsibilities? *

Never
Occasionally
Frequently
Severely

How often do you have difficulty hearing important sounds or signals, such as alarms, doorbells, or sirens? *

Never
Occasionally
Frequently
Severely

How much does hearing impairment affect your ability to communicate effectively in social or work settings? *

Never
Occasionally
Frequently
Severely

How often do you miss conversations or verbal cues, even when in close proximity to the speaker? *

Never
Occasionally
Frequently
Severely

How much do you rely on others to alert you to important sounds or events, such as phone calls or notifications? *

Never
Occasionally
Frequently
Severely

How often do you experience difficulty hearing people on the phone or in noisy environments? *

Never
Occasionally
Frequently
Severely

How much do hearing problems interfere with your ability to participate in social or professional activities? *

Never
Occasionally
Frequently
Severely

How often do you feel unsafe or unaware of your surroundings due to hearing difficulties, especially in public places? *

Never
Occasionally
Frequently
Severely

How much would a service animal help you by alerting you to sounds or helping with communication in various situations? *

None
Occasionally
Frequently
Severely

How often do you feel isolated or disconnected because of your hearing difficulties? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could assist you in improving safety and independence by alerting you to sounds you may not hear? *

Never
Occasionally
Frequently
Severely

How often do you experience shortness of breath, dizziness, or fatigue due to heart or circulation issues? *

Never
Occasionally
Frequently
Severely

How much do your heart or circulation problems affect your ability to perform daily tasks or physical activities? *

Never
Occasionally
Frequently
Severely

How often do you experience chest pain or discomfort that limits your ability to engage in normal activities? *

Never
Occasionally
Frequently
Severely

How much do these heart or circulation issues impact your mobility or ability to walk long distances? *

Never
Occasionally
Frequently
Severely

How often do you experience swelling in your legs, feet, or ankles as a result of circulation problems? *

Never
Occasionally
Frequently
Severely

How much does the concern over your heart or circulation issues affect your confidence or mental well-being? *

Never
Occasionally
Frequently
Severely

How often do you need to stop physical activities due to feeling lightheaded or faint? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could help you by providing support or alerting you in case of an emergency related to your heart or circulation? *

Never
Occasionally
Frequently
Severely

How often do you require assistance from others to manage symptoms related to heart or circulation issues, such as taking medication or resting? *

Never
Occasionally
Frequently
Severely

How much do heart or circulation issues affect your ability to participate in social or work activities? *

Never
Occasionally
Frequently
Severely

How often do you struggle with understanding or processing complex instructions or tasks? *

Never
Occasionally
Frequently
Severely

How much do intellectual disabilities affect your ability to remember important information, like appointments or tasks? *

Never
Occasionally
Frequently
Severely

How often do you feel confused or overwhelmed by everyday tasks or decisions? *

Never
Occasionally
Frequently
Severely

How much do you rely on others to help with organizing or completing daily activities? *

Never
Occasionally
Frequently
Severely

How often do you experience difficulty with problem-solving or decision-making in everyday situations? *

Never
Occasionally
Frequently
Severely

How much do your intellectual disabilities affect your ability to live independently or manage your personal life? *

Never
Occasionally
Frequently
Severely

How often do you need assistance with managing finances, appointments, or other routine responsibilities? *

Never
Occasionally
Frequently
Severely

How much would a service animal help you by providing support in managing daily tasks or offering emotional support? *

Never
Occasionally
Frequently
Severely

How often do you feel anxious or frustrated due to difficulties with understanding or processing information? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could improve your ability to stay focused or on task in various situations? *

Never
Occasionally
Frequently
Severely

How often do you experience difficulty walking or standing for long periods of time? *

Never
Occasionally
Frequently
Severely

How much do mobility problems affect your ability to get around in public spaces or your home? *

Never
Occasionally
Frequently
Severely

How often do you experience pain, discomfort, or fatigue when walking or using mobility aids (e.g., cane, walker)? *

Never
Occasionally
Frequently
Severely

How much do your mobility issues prevent you from performing tasks such as grocery shopping, running errands, or carrying heavy items? *

Never
Occasionally
Frequently
Severely

How often do you require assistance from others when navigating stairs, uneven surfaces, or crowded areas? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could assist you in maintaining balance or preventing falls during daily activities? *

Never
Occasionally
Frequently
Severely

How often do you find yourself needing to take breaks or rest during physical activities due to mobility issues? *

Never
Occasionally
Frequently
Severely

How much would a service animal help you by providing support in standing, walking, or navigating your environment? *

Never
Occasionally
Frequently
Severely

How often do you feel unsafe or vulnerable due to your mobility limitations, especially in unfamiliar or public places? *

Never
Occasionally
Frequently
Severely

How much do mobility problems impact your ability to maintain an independent lifestyle or participate in social activities? *

Never
Occasionally
Frequently
Severely

How often do you experience muscle weakness, stiffness, or fatigue due to nerve or muscle problems? *

Never
Occasionally
Frequently
Severely

How much do nerve or muscle problems affect your ability to perform daily tasks such as dressing, eating, or bathing? *

Never
Occasionally
Frequently
Severely

How often do you experience pain, tingling, or numbness in your muscles or nerves? *

Never
Occasionally
Frequently
Severely

How much do your nerve or muscle problems impact your ability to walk, stand, or sit for extended periods? *

Never
Occasionally
Frequently
Severely

How often do you experience difficulty with fine motor tasks, such as holding objects or writing? *

Never
Occasionally
Frequently
Severely

How much do you rely on assistive devices (e.g., braces, walkers, crutches) to manage nerve or muscle issues? *

Never
Occasionally
Frequently
Severely

How often do you need assistance from others when performing physical tasks due to muscle or nerve problems? *

Never
Occasionally
Frequently
Severely

How much would a service animal help you by providing support or assistance with balance, mobility, or muscle function? *

Never
Occasionally
Frequently
Severely

How often do you experience sudden or unexpected muscle spasms, cramps, or loss of coordination? *

Never
Occasionally
Frequently
Severely

How much do nerve or muscle problems affect your overall quality of life and ability to participate in social or work activities? *

Never
Occasionally
Frequently
Severely

How often do you experience intrusive thoughts or obsessive worries that are difficult to control? *

Never
Occasionally
Frequently
Severely

How much do compulsive behaviors (such as washing, checking, or arranging) interfere with your daily routine? *

Never
Occasionally
Frequently
Severely

How often do you feel the need to perform rituals or repetitive actions to reduce anxiety or prevent something bad from happening? *

Never
Occasionally
Frequently
Severely

How much do your OCD symptoms affect your ability to focus on tasks at work, school, or home? *

Never
Occasionally
Frequently
Severely

How often do you feel distressed, anxious, or overwhelmed by your obsessions or compulsions? *

Never
Occasionally
Frequently
Severely

How much do your OCD symptoms affect your social interactions or relationships with others? *

Never
Occasionally
Frequently
Severely

How often do you engage in compulsive behaviors, such as repeating tasks or actions, to alleviate anxiety or stress? *

Never
Occasionally
Frequently
Severely

How much would a service animal help by providing calming support or redirecting you during moments of anxiety or compulsions? *

Never
Occasionally
Frequently
Severely

How often do your OCD symptoms cause you to feel exhausted or emotionally drained due to the repetitive nature of your thoughts or actions? *

Never
Occasionally
Frequently
Severely

How much do you believe a service animal could help reduce your overall anxiety and make it easier to manage OCD symptoms in daily life? *

Never
Occasionally
Frequently
Severely

How often do you experience flashbacks or intrusive memories related to a traumatic event? *

Never
Occasionally
Frequently
Severely

How much do feelings of anxiety, fear, or panic affect your daily life or interactions with others? *

Never
Occasionally
Frequently
Severely

How often do you experience nightmares or difficulty sleeping due to PTSD-related stress? *

Never
Occasionally
Frequently
Severely

How much do you struggle with feelings of detachment or numbness, especially in social situations? *

Never
Occasionally
Frequently
Severely

How often do you feel hypervigilant, on edge, or easily startled by sounds or movements? *

Never
Occasionally
Frequently
Severely

How much do PTSD symptoms interfere with your ability to concentrate, focus, or complete tasks? *

Never
Occasionally
Frequently
Severely

How often do you experience avoidance behaviors, such as avoiding places, people, or activities that remind you of a traumatic event? *

Never
Occasionally
Frequently
Severely

How much would a service animal help you manage anxiety, provide emotional support, or assist you during times of distress or hypervigilance? *

Never
Occasionally
Frequently
Severely

How often do you feel emotionally overwhelmed or disconnected from others due to PTSD symptoms? *

Never
Occasionally
Frequently
Severely

How much do PTSD-related symptoms impact your relationships with family, friends, or coworkers? *

Never
Occasionally
Frequently
Severely

How often do you experience auditory or visual hallucinations (e.g., hearing voices or seeing things that others do not)? *

Never
Occasionally
Frequently
Severely

How much do these hallucinations affect your ability to function in daily activities or interact with others? *

Never
Occasionally
Frequently
Severely

How often do you have difficulty distinguishing between reality and thoughts or delusions? *

Never
Occasionally
Frequently
Severely

How much do delusional thoughts or beliefs impact your relationships or social interactions? *

Never
Occasionally
Frequently
Severely

How often do you feel disconnected from your emotions or have difficulty expressing yourself? *

Never
Occasionally
Frequently
Severely

How much does your condition interfere with your ability to complete tasks or focus on work or school? *

Never
Occasionally
Frequently
Severely

How often do you experience periods of confusion, disorganization, or difficulty thinking clearly? *

Never
Occasionally
Frequently
Severely

How much would a service animal help you manage symptoms such as anxiety, confusion, or feeling overwhelmed during episodes? *

Never
Occasionally
Frequently
Severely

How often do you experience social withdrawal or difficulty maintaining relationships due to your symptoms? *

Never
Occasionally
Frequently
Severely

How much do you feel that having a service animal could provide emotional stability and assistance during moments of distress or confusion? *

Never
Occasionally
Frequently
Severely

How often do you experience seizures, whether they are focal, generalized, or another type? *

Never
Occasionally
Frequently
Severely

How much do you rely on others to help you during or after a seizure? *

Never
Occasionally
Frequently
Severely

How often do you experience warning signs or auras before a seizure occurs? *

Never
Occasionally
Frequently
Severely

How much do you worry about having a seizure in public or in situations where help may not be immediately available? *

Never
Occasionally
Frequently
Severely

How often do you feel anxious, fearful, or stressed about the possibility of having a seizure? *

Never
Occasionally
Frequently
Severely

How much would a service animal help by alerting you to an impending seizure or providing support during or after a seizure? *

Never
Occasionally
Frequently
Severely

How often do you experience physical discomfort or confusion following a seizure? *

Never
Occasionally
Frequently
Severely

How much do your seizures impact your ability to perform everyday activities such as driving, working, or going to social events? *

Never
Occasionally
Frequently
Severely

How often do you experience seizures despite taking medication or following a treatment plan? *

Never
Occasionally
Frequently
Severely

How much do you believe having a service animal would improve your sense of security and independence when living with seizures? *

Never
Occasionally
Frequently
Severely

How often do you experience severe allergic reactions, such as anaphylaxis, to specific allergens (e.g., food, insects, pollen)? *

Never
Occasionally
Frequently
Severely

How much do you worry about experiencing a severe allergic reaction in public or in situations where help may not be immediately available? *

Never
Occasionally
Frequently
Severely

How often do you need to carry emergency medication, such as an epinephrine injector (EpiPen), to manage potential allergic reactions? *

Never
Occasionally
Frequently
Severely

How much does the fear of an allergic reaction affect your ability to participate in everyday activities or social events? *

Never
Occasionally
Frequently
Severely

How often do you experience symptoms such as swelling, difficulty breathing, or dizziness as a result of an allergic reaction? *

Never
Occasionally
Frequently
Severely

How much would a service animal help by alerting you to potential allergens in your environment or notifying you during an allergic reaction? *

Never
Occasionally
Frequently
Severely

How often do you require assistance from others during or after a severe allergic reaction? *

Never
Occasionally
Frequently
Severely

How much do allergic reactions impact your confidence in managing your health independently? *

Never
Occasionally
Frequently
Severely

How often do you avoid certain environments or activities due to the risk of an allergic reaction? *

Never
Occasionally
Frequently
Severely

How much do you believe having a service animal would improve your ability to manage your allergies and help you feel more secure in daily situations? *

Never
Occasionally
Frequently
Severely

How often do you have difficulty falling asleep or staying asleep throughout the night? *

Never
Occasionally
Frequently
Severely

How much do sleep disturbances, such as insomnia or frequent awakenings, impact your ability to function during the day? *

Never
Occasionally
Frequently
Severely

How often do you experience excessive daytime sleepiness or fatigue due to poor sleep quality? *

Never
Occasionally
Frequently
Severely

How much does sleep deprivation affect your mood, concentration, or ability to complete daily tasks? *

Never
Occasionally
Frequently
Severely

How often do you experience restless legs, vivid dreams, or nightmares that disrupt your sleep? *

Never
Occasionally
Frequently
Severely

How much do you rely on medication or other treatments to help you manage sleep issues? *

Never
Occasionally
Frequently
Severely

How often do you find yourself feeling anxious or stressed about your inability to get a restful night’s sleep? *

Never
Occasionally
Frequently
Severely

How much would a service animal help you feel more relaxed or secure, especially if you experience night terrors, sleepwalking, or anxiety during sleep? *

Never
Occasionally
Frequently
Severely

How often do you wake up feeling unrefreshed or still tired after a full night of sleep? *

Never
Occasionally
Frequently
Severely

How much do you believe having a service animal would improve your sleep quality by providing comfort or reducing anxiety during the night? *

Never
Occasionally
Frequently
Severely

Just a few more questions, almost done

Would a service animal help you manage your symptoms or condition? *

Would having a service animal help you engage more in social or public activities? *

Do you experience situations where a trained service animal could assist you? *

Would a service animal improve your quality of life? *

Do you think an ESA could help you feel more motivated or engaged in daily life? *

Would an emotional support animal help reduce symptoms related to your mental health condition? *

Do you believe having an emotional support animal would provide you with comfort or companionship? *

Have you ever relied on a pet or animal to help manage difficult emotions? *

Last step, lets get your certification ready

Pet's Name *

Type of Service Animal *

Dog
Miniature Horse

Pet's Breed *

Type of Pet and/or Breed *

Profile Photo for your Pet *

Drag & Drop Files, Choose Files to Upload

Profile Photo of yourself *

Drag & Drop Files, Choose Files to Upload

Date of Birth (Yours) *

Home address *

Address Line 1

Address Line 2

City

State

Zip Code

I confirm that the information I have provided is accurate and truthful. I consent to receiving my ESA or service animal certification letter electronically and understand that Dogtor’s Note will issue my letter based on this information.

🔒 Private & secure · Full refund if not approved

Available in all 50 statesLicensed doctorsLetter within 24 hoursMoney-back if not approvedPrivate & secureEasy yearly renewal

How it works

Three simple steps, all online. No office visit.

Take the online assessment

Tell us about you, your pet, and how your animal helps you. It only takes a few minutes.

A licensed doctor reviews it

Your answers are carefully reviewed. If you’re not approved, you get a full refund.

Get your letter by email

Approved letters are emailed to you within 24 hours, with a verification code your landlord can check online.

Get Started Now →

✓ Built-in landlord verification

Your landlord can verify your letter online in seconds

Every Dogtor’s Note letter comes with its own verification code and QR code. Your landlord scans it or types it in on our website and instantly sees that your letter is real and active. No phone calls, no waiting, no back-and-forth.

A unique code and QR code printed on every letter
Live status that shows Active only while your letter is current
Shows your name and your animal, never your medical details
Landlords can open the full official letter and see the reviewing doctor’s details
Works 24/7 at dogtorsnote.com/verify

Get My Verified Letter →See the Verify page

dogtorsnote.com/verify

DN-7K4P-9QX2Verify

✓ Active and verified

This letter is valid

Issued toJordan Smith

Letter typeESA Letter

AnimalLuna

Animal typeDog

DoctorLicensed physician ✓

StatusActive

📄 View full letter🩺 Doctor details

Example of what your landlord sees

Simple, upfront pricing

Flash sale: 50% off both plans, and you keep the sale price every year. One yearly price. No hidden fees. Full refund if you’re not approved.

Emotional Support Animal (ESA) Letter

50% OFF · SAVE $99.50

~~$199~~$99.50$199/year

Review by a licensed doctor
Letter emailed within 24 hours of approval
Verification code your landlord can check online
For housing accommodation requests
Automatic yearly renewal
Full refund if not approved

Get My ESA Letter

Service Animal Letter

50% OFF · SAVE $199.50

~~$399~~$199.50$399/year

Review by a licensed doctor
Letter emailed within 24 hours of approval
Verification code your landlord can check online
Everywhere you go: restaurants, stores, travel
Automatic yearly renewal
Full refund if not approved

Get My Service Animal Letter

Why people choose Dogtor’s Note

A faster, easier way to get the documentation you need.

🩺

Real doctors

Every assessment is reviewed by a licensed doctor.

⚡

Fast

Approved letters are emailed within 24 hours.

💵

Risk-free

Not approved? You get a full refund. No hassle.

🔁

Auto renewal

Renews each year with an updated letter. Your verification code stays active.

FAQ

Questions? We have answers.

Everything you need to know about getting your ESA or service animal letter.

Still have a question?

Our team is happy to help before you start.

Start My Assessment →

How does the process work?

You’ll complete a quick online assessment, which is reviewed based on the information you provide. If approved, your ESA or service animal letter is emailed to you within 24 hours.

Are the letters written by real medical professionals?

Yes. Letters are issued following a professional review and are based on a licensed healthcare provider’s clinical opinion.

How long does it take to receive my letter?

After you pay, our doctor reviews your assessment and you’ll hear back with a decision within 24 hours, usually within a few hours. Approved letters arrive by email as a PDF.

What if I’m not approved?

If you’re not approved after review, you’ll receive a full money-back refund. No hassle, no hidden conditions.

Is this a one-time fee or yearly?

Your letter is a yearly membership so your documentation stays current. It renews automatically each year, and we email you an updated letter with new dates. Your verification code stays the same, so there’s nothing new to send your landlord.

Will my letter be accepted by landlords or housing providers?

ESA and service animal letters are commonly used for housing accommodations. Acceptance is determined by third parties in accordance with applicable laws, but our letters are designed to meet standard housing requirements.

Do I need to upload medical records?

No. You’ll simply answer a few questions during the online assessment. No paperwork uploads or office visits required.

Is my information private and secure?

Yes. Your information is kept private and handled securely. We only collect what’s necessary to complete your assessment and deliver your letter.

Can I use this for more than one pet?

Each letter applies to one animal. If you need documentation for multiple animals, you’ll complete a separate assessment for each.

What happens after I sign up?

Right after checkout you get a confirmation email. Our doctor then reviews your answers. If you’re approved, your letter arrives by email (usually within a few hours, always within 24) along with your personal verification code. If you’re not approved, you get a full refund.

Can my landlord confirm my letter is real?

Yes. Every letter has its own verification code and QR code. Your landlord can scan the QR code or enter the code at dogtorsnote.com/verify to see, in real time, that your letter is active, who it was issued to, and which animal it covers. Medical details are never shown.

Where can I download my letter again?

Any time from your account. Log in, open My Letter, and download your PDF or copy the verification link to send to your landlord.

What happens if I cancel my membership?

Your letter and verification code stay active until the end of the year you already paid for. After that, the code shows as not active until you renew.

Can I make changes to my letter?

Letters are locked PDFs so they can’t be edited after they’re issued. If something is wrong, like your animal’s name, just email us and we’ll send a corrected letter.

What will the charge look like on my card statement?

Your card statement will show FLMMD Tech Solutions LLC, the company that runs Dogtor’s Note. Yearly renewals show the same name.

Ready to get your letter?

Start your online assessment now. It only takes a few minutes.

Start My Assessment →

Start My Assessment · from $99.50$199